Considerations for Contraception Following Spinal Cord Injury: A Systematic Review

Top Spinal Cord Inj Rehabil, 2024 · DOI: 10.46292/sci23-00081 · Published: July 1, 2024

Simple Explanation

This review looks at what research exists about contraception for women with spinal cord injuries (SCI). It's important for these women to have good information about their health, especially when it comes to family planning. The review found that there isn't much research specifically about contraception for women with SCI. This means doctors might not have the best information to help these women make choices about birth control. The review points out that we need more research and better guidelines to help women with SCI understand their options for contraception. This includes both regular birth control and emergency contraception.

Study Duration

Not specified

Participants

Not specified

Evidence Level

Systematic Review

Key Findings

1
The majority (66%) of articles were literature reviews or professional practice guidelines, indicating a lack of original research.
2
Short-acting hormonal oral contraception was the most commonly discussed method (66%), followed by barrier methods (71%) and long-acting reversible contraception (52%).
3
Only one source (5%) included information on emergency contraception, highlighting a significant gap in the literature.

Research Summary

This systematic review assesses the quality and quantity of research on contraception for individuals with SCI. The review demonstrates a paucity of evidence-based information on contraception tailored to women with SCI and highlights a need for research and comprehensive guidelines. Inclusive research, specialized health care training, and tailored health care services are imperative steps toward ensuring that women with SCI can make fully informed decisions about their reproductive health.

Practical Implications

Need for Targeted Research

There is a pressing need for comprehensive research assessing potential side effects of primary and emergency contraceptive options in women with SCI.

Inclusion in Guidelines

SCI should be included in rehabilitation-specific and wider professional guidelines used by primary care providers and gynecologists, such as the CDC’s MEC.

Collaborative Approach

Increased collaboration with OB/GYN colleagues is needed to develop professional practice frameworks, shared-decision making guidelines, and continuing medical education materials.

Study Limitations

1
Paucity of evidence-based information on contraception specifically designed for women with SCI.
2
Current contraceptive research predominantly centers on able-bodied individuals.
3
Lack of specific data on contraception use among individuals with SCI leads to reliance on theoretical risks.

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