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https://doi.org/10.1136/bmjsrh-2018-200108

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    Towards evidence-based reform of abortion law in the Isle of Man

    The Isle of Man is a self-governing British Crown dependency, located between Great Britain and Ireland in more ways than one. Many of its laws are entirely local, and abortion is available only in very restricted circumstances. Women seeking abortion therefore either travel abroad, or self-source abortion medication. In 2017, a general practitioner member of the island’s parliament was granted leave to introduce a bill to liberalise abortion and the government asked for evidence on which any new legislation could be based. In their Editorial, Aiken and colleagues describe how they compiled data on the demographics, circumstances and needs of Manx women who seek abortions to inform and guide the policy debate, paving the way for abortion law reform that is based firmly on evidence of its necessity. See page 77

    Intrauterine contraception in the spotlight

    Intrauterine contraception (IUC) has long been known to be highly effective, convenient, safe, long-acting and easily reversible. So it is surprising that in the UK, where IUC is available cost-free to women, it is chosen by only a small proportion of women requiring contraception. Some of the challenges in increasing IUC acceptability and implementation are highlighted in three articles in this issue. See pages 82, 90 and 97

    Perspectives on barriers to IUC uptake in UK general practice

    Hoggart and colleagues set out to clarify the barriers to greater acceptance of IUC in primary care in two linked articles resulting from their study conducted in South East England. In the first article they report on interviews with 30 women who had never used IUC. The themes that emerged were then used to construct a survey of almost 1200 women, 73% of whom had never used IUC. Among the interview group, a major concern was the long duration of effectiveness of IUC, with failure to realise that devices could be removed at any time for restoration of fertility. Numerous …

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