title: Global trends in use of long-acting reversible and permanent methods of contraception: Seeking a balance.
abstract: The global trend shows that the use of permanent contraception to prevent unintended pregnancy is high. Although the trend also shows a rise in the use of long-acting reversible methods, these are still underutilized despite having contraceptive as well as non-contraceptive benefits. Lack of knowledge among women, dependence on the provider for information, and provider bias for permanent contraception are cited as reasons for this reduced uptake. Training of healthcare providers and increased patient awareness about the effectiveness of long-acting reversible contraceptive methods will increase their uptake and help prevent unintended pregnancies.
authors.affiliation: Department of Obstetrics and Gynecology, Rukmani Birla Hospital and Research Institute, Jaipur, India. Electronic address: ritujoshi01@rediffmail.com.
authors.forename: Ritu
authors.initials: R
authors.lastname: Joshi
authors.affiliation: Bombay Hospital and Medical Research Center, Mumbai, India.
authors.forename: Suvarna
authors.initials: S
authors.lastname: Khadilkar
authors.affiliation: Nowrosjee Wadia Maternity Hospital, Parel, Mumbai, India.
authors.forename: Madhuri
authors.initials: M
authors.lastname: Patel
mesh_terms: D001291:Attitude of Health Personnel; D003267:Contraception / Q000523:psychology / Q000639:trends*; D003268:Contraception Behavior / Q000523:psychology / Q000639:trends*; D005260:Female; D014943:Global Health / Q000639:trends*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D011247:Pregnancy; D049168:Pregnancy, Unplanned
keywords: Global trends; Long-acting reversible contraception; Permanent contraception; Sterilization