Knowledge and intention to use long-acting reversible contraception among university students.

OBJECTIVE: To assess the relationship between knowledge of long-acting reversible contraception (LARC) and intention to use LARC among female students. PARTICIPANTS: Participants consisted of a convenience sample of 292 female undergraduate and graduate students at a large midwestern university. METHODS: We conducted a cross-sectional in-person survey and multivariate analysis of LARC knowledge and intention to use LARC. RESULTS: Total response rate was 84.9%. Among contraceptive users, 13.3% were using a LARC method. On average, respondents scored 4.8/10 (SD 2.5) on a 10-item LARC knowledge assessment. Higher levels of LARC knowledge were associated with the intent to use LARC in the future in our multivariate analysis (RR 1.7, 95% CI 1.14-2.54: p = .01). Common reasons for LARC hesitancy were a need for more information, safety concerns, and risk of undesirable side effects. CONCLUSIONS: Low LARC knowledge and students' self-identified need for further LARC information represent an opportunity for campus contraceptive interventions which empower students to make informed reproductive decisions.

Management of Severe Coarctation of the Aorta During Pregnancy.

An 18-year-old primigravida woman underwent emergent percutaneous balloon stent repair of a severe coarctation of the aorta, allowing her to undergo an uneventful remaining pregnancy and the delivery of a healthy baby. Her case also demonstrates the association between maternal coarctation and fetal Shone complex. (Level of Difficulty: Beginner.).