Effect of Removing Financial Barriers on Use Of Long-acting Reversible Contraceptives
Managed Care (Langhorne, Pa.)
|January 26, 2017
Summary
Long-lasting reversible contraceptives (LARCs) offer effective birth control. Lingering Dalkon Shield IUD memories in the U.S. hinder LARC adoption, despite modern safety improvements.
Area of Science:
- Reproductive Health
- Medical Device History
Background:
- Long-lasting reversible contraceptives (LARCs) are highly effective and user-friendly birth control methods.
- The United States exhibits lower LARC utilization compared to other developed nations.
- Historical issues with the Dalkon Shield intrauterine device (IUD) continue to impact public perception of modern IUDs.
Purpose of the Study:
- To explore the historical context influencing LARC adoption in the U.S.
- To address the persistent negative impact of the Dalkon Shield on contemporary contraceptive choices.
Main Methods:
- Historical review of IUD development and safety incidents.
- Analysis of public health data on contraceptive trends.
- Examination of patient and provider perspectives on LARCs.
Main Results:
- The Dalkon Shield's severe complications (infertility, ectopic pregnancy, death) due to a design defect created lasting distrust.
- This historical trauma contributes significantly to the slower uptake of modern, safe LARCs in the United States.
- Current LARC technologies have vastly improved safety profiles compared to the Dalkon Shield.
Conclusions:
- Addressing historical fears is crucial for increasing LARC use in the U.S.
- Educating the public and providers about modern IUD safety is essential.
- Overcoming the legacy of the Dalkon Shield can improve access to effective contraception.
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