journal
https://read.qxmd.com/read/38710354/importance-of-abortion-training-to-united-states-obstetrics-and-gynecology-residency-applicants-in-2023
#41
JOURNAL ARTICLE
Rebecca H Cohen, Anitra Beasley, Christine Conageski, Sarah M Page-Ramsey, Meredith J Alston
OBJECTIVE: Nearly half of obstetrics and gynecology (OB/GYN) residency programs in the United States lost access to local training in abortion care following the 2022 Dobbs v Jackson Supreme Court decision. We aimed to determine whether OB/GYN residency candidates who desire abortion training apply to programs in states where abortion is restricted/banned. STUDY DESIGN: In 2023, we conducted an anonymous electronic survey of residency interviewees at three large academic OB/GYN programs about the importance of various program characteristics in their selection process...
May 4, 2024: Contraception
https://read.qxmd.com/read/38705505/confidence-in-adolescent-contraceptive-counseling-among-residents-and-fellows-training-at-the-university-of-texas-southwestern-in-dallas-texas
#42
JOURNAL ARTICLE
Jessica C Sims, Julen N Harris, Caroline L Katzman, Catherine Wong, Katelyn Jetelina, Jasmin A Tiro, Susan L Rosenthal, Jenny K R Francis
OBJECTIVES: Evaluate trainees' perceptions of past training and confidence in counseling about five contraceptive methods. STUDY DESIGN: Trainees completed an online survey in 2020. Logistic regressions evaluated the relationship between participant characteristics and confidence. RESULTS: Among 227 respondents (63% response rate), pediatric trainees reported the least confidence in counseling across each contraceptive method. Past training and confidence were associated...
May 3, 2024: Contraception
https://read.qxmd.com/read/38704299/letter-to-the-editor
#43
Luis Bahamondes
No abstract text is available yet for this article.
May 3, 2024: Contraception
https://read.qxmd.com/read/38679275/bibliometric-assessment-of-three-retracted-papers-related-to-the-abortion-pill-mifepristone
#44
LETTER
Jaime A Teixeira da Silva
No abstract text is available yet for this article.
April 26, 2024: Contraception
https://read.qxmd.com/read/38679274/money-and-place-quantifying-the-types-of-obstacles-associated-with-seeking-an-abortion-after-10-weeks-gestation-2019-2020
#45
JOURNAL ARTICLE
Jennifer Mackinnon Krems, Daniel Grossman, Katherine Ehrenreich, Lauren Ralph
OBJECTIVE: Identify factors associated with presenting for abortion after 10 weeks' gestation in a large, geographically diverse sample. STUDY DESIGN: From October 2019 to March 2020, we surveyed 1,089 patients seeking abortion at 7 U.S. facilities. We identified four domains of barriers: geographic, financial, logistical/personal, and legislative. Using multivariable logistic regression, we investigated the relationship between each domain and presenting for abortion after 10 weeks' gestation, overall and stratified by state policy landscape...
April 26, 2024: Contraception
https://read.qxmd.com/read/38670303/-that-is-when-i-understood-everything-ideological-trajectories-of-pro-choice-female-doctors-in-mexico
#46
JOURNAL ARTICLE
Suzanne Veldhuis, Georgina Sánchez-Ramírez, Blair G Darney
OBJECTIVES: There is little evidence about how physicians become abortion clinicians or advocates. We describe the ideological trajectories of pro-choice female Mexican doctors and the factors that made them pro-choice. STUDY DESIGN: In this qualitative study, we conducted semistructured interviews with members of the Mexican Network of Female Pro-choice Physicians. Participants came from eight diverse states. We used a feminist epistemology approach and analyzed data using inductive coding as well as a priori categories (becoming pro-choice, trajectories, and training)...
April 24, 2024: Contraception
https://read.qxmd.com/read/38670302/use-of-serum-evaluation-of-contraceptive-and-ovarian-hormones-to-assess-reduced-risk-of-pregnancy-among-women-presenting-for-emergency-contraception-in-a-multicenter-clinical-trial
#47
JOURNAL ARTICLE
Jeffrey T Jensen, Alison Edelman, Carolyn L Westhoff, Coutney A Schreiber, David F Archer, Stephanie Teal, Michael Thomas, Jill Brown, Diana L Blithe
OBJECTIVE: To evaluate ovulation risk among women enrolling in an emergency contraception (EC) study by measuring contraceptive steroids and ovarian hormones. STUDY DESIGN: We used standard chemoluminescent assays to evaluate endogenous hormones [estradiol (E2), progesterone (P4), FSH, LH] and liquid chromatography-tandem triple quadrupole mass spectrometry (LC-MS/MS) to simultaneously analyze concentrations of ethinylestradiol (EE), dienogest (DNG), norelgestromin (NGMN), norethindrone (NET), gestodene (GSD), levonorgestrel (LNG), etonogestrel (ENG), segesterone acetate (NES), medroxyprogesterone acetate (MPA), and drospirenone (DRSP), in serum samples obtained at the time of enrollment in a recent study comparing oral ulipristal acetate and LNG EC in women with weight ≥ 80kg reporting no recent use of hormonal contraception...
April 24, 2024: Contraception
https://read.qxmd.com/read/38663539/emergency-contraception-for-individuals-weighing-80kg-or-greater-a-randomized-trial-of-30-mg-ulipristal-acetate-and-1-5-mg-or-3-0-mg-levonorgestrel
#48
JOURNAL ARTICLE
Alison Edelman, Jeffrey T Jensen, Jill Brown, Michael Thomas, David F Archer, Courtney A Schreiber, Stephanie Teal, Carolyn Westhoff, Clint Dart, Diana L Blithe
OBJECTIVE: To compare the efficacy of oral emergency contraception (EC) regimens used within 72 hours of unprotected intercourse in individuals weighing >80 kg. STUDY DESIGN: We enrolled healthy women aged 18-40 years with a weight of at least 80 kg requesting EC in a multi-center, single-blind, randomized study of levonorgestrel 1.5 mg (LNG1X) and 3.0 mg (LNG2X) and ulipristal acetate 30 mg (UPA) (enrollment goal 1200). Key eligibility requirements included regular cycles, unprotected intercourse within 72 hours of enrollment, no use of hormonal contraception since last menstrual period, a negative urine pregnancy test (UPT), and willingness to abstain from intercourse until next menses...
April 23, 2024: Contraception
https://read.qxmd.com/read/38663538/iud-expulsion-risk-by-iud-frame-type
#49
LETTER
Mitchell D Creinin
No abstract text is available yet for this article.
April 23, 2024: Contraception
https://read.qxmd.com/read/38614274/heavy-menstrual-bleeding-in-women-with-inherited-bleeding-disorders-in-use-of-lng-ius-a-systematic-review-and-single-arm-meta-analysis
#50
JOURNAL ARTICLE
Juliana Almeida Oliveira, Karine Eskandar, Júnea Chagas, Livia Leni de Oliveira do Nascimento, Daniel Dias Ribeiro, Ana Luiza Lunardi Rocha, Flávia Ribeiro de Oliveira
OBJECTIVES: Inherited bleeding disorders may cause heavy menstrual bleeding in women, impacting quality of life and impairing daily and social activities. The levonorgestrel-releasing intrauterine system is a potential treatment for these women, which might reduce menstrual blood loss. STUDY DESIGN: We performed a systematic review and single-arm meta-analysis to examine the levonorgestrel-releasing intrauterine system in women with inherited bleeding disorders and heavy menstrual bleeding...
July 2024: Contraception
https://read.qxmd.com/read/38401772/amenorrhea-in-adolescents-using-the-etonogestrel-contraceptive-implant
#51
JOURNAL ARTICLE
Danielle Tsevat, Rebecca Mercier, Camryn Bernheimer, Stephanie Lin, Beth Schwartz
OBJECTIVE: Clinical factors related to development of amenorrhea in adolescents with the etonogestrel contraceptive implant are not well-understood. The purpose of this study is to describe what baseline clinical characteristics are associated with amenorrhea in adolescents with a contraceptive implant 12 months after placement. STUDY DESIGN: This retrospective cohort study included 252 post-menarchal individuals aged 12-22 years with a contraceptive implant placed between 2016-2020...
May 2024: Contraception
https://read.qxmd.com/read/38653382/-inserting-the-etonorgestrel-implant-into-the-thigh-a-case-report
#52
Elaine Cristina Fontes de Oliveira, Ana Luiza Lunardi Rocha
Traditionally, etonorgestrel implant is inserted on the inner surface of the non-dominant medial upper arm in women, over the triceps area. However, this case report aims to describe an alternative insertion site for etonorgestrel implant - the medial side of the thigh - in nephropathic patients with arteriovenous fistulas undergoing hemodialysis.
April 21, 2024: Contraception
https://read.qxmd.com/read/38648923/estimating-the-cost-of-rh-testing-and-prophylaxis-in-early-pregnancy-a-time-driven-activity-based-costing-study
#53
JOURNAL ARTICLE
Emma V Gilmore, Louise B Russell, Heidi S Harvie, Courtney A Schreiber
OBJECTIVE: To estimate the cost of Rh testing and prophylaxis for first-trimester vaginal bleeding in the ambulatory setting. STUDY DESIGN: We used time-driven, activity-based costing to analyze tasks associated with Rh testing and prophylaxis of first-trimester vaginal bleeding at one hospital-based outpatient and two independent reproductive health clinics. At each site, we observed 10 patients undergoing Rh-typing and two patients undergoing Rh prophylaxis. We computed the costs of blood Rh-typing by both fingerstick and phlebotomy, cost of locating previous blood type in the electronic health record (available for 69...
April 20, 2024: Contraception
https://read.qxmd.com/read/38648922/permanent-and-long-acting-reversible-contraception-volumes-at-a-multi-hospital-system-in-ohio-before-and-after-dobbs
#54
JOURNAL ARTICLE
Jameson A Mitchell, Meng Yao, Rie Maeda, Justin R Lappen, Ashley R Brant
OBJECTIVE: Immediately following the Dobbs decision, Ohio prohibited abortion after detection of fetal cardiac activity. We aimed to characterize changes in uptake of long-acting reversible contraception (LARC) and permanent contraception following the abrupt enactment of restrictive abortion legislation. STUDY DESIGN: We conducted a retrospective cohort study using electronic medical record (EMR) data of patients aged 15-55 who underwent permanent contraception (tubal ligation, vasectomy) or LARC placement (intrauterine device (IUD), contraceptive implant) at a multi-hospital system in northeast Ohio from 1/1/2022 to 12/31/2022; six months before and after Dobbs...
April 20, 2024: Contraception
https://read.qxmd.com/read/38641157/an-assessment-of-clinical-outcomes-of-medication-abortion-without-pretreatment-ultrasonography-in-planned-parenthood-united-states-2020-2021
#55
JOURNAL ARTICLE
Hannah R Simons, Sarah Diemert, Rebecca Passman, Gillian Dean
OBJECTIVE: Routine ultrasound before medication abortion may create an impediment to expanding abortion access. This study examines clinical outcomes of medication abortion (MAB) without pretreatment ultrasound evaluation at Planned Parenthood health centers in multiple states. METHODS: We conducted a secondary analysis of data from 23 U.S.-based Planned Parenthood affiliates that provided MAB without pretreatment ultrasound for eligible patients from March 2020-December 2021...
April 17, 2024: Contraception
https://read.qxmd.com/read/38641156/individual-partner-and-community-variables-associated-with-method-specific-contraceptive-beliefs-in-urban-and-rural-kenya
#56
JOURNAL ARTICLE
Caila Brander, Kathryn Risher, George Odwe, Yohannes Dibaba Wado, Francis Obare, John Cleland, Kazuyo Machiyama
OBJECTIVES -: Global unmet need for contraception remains high. Contraceptive health-related beliefs are a barrier to contraceptive use but are poorly understood. This study examined quantitative differences in two health-related beliefs between pills, injectables and implants. STUDY DESIGN -: We used cross-sectional baseline data collected between August-December 2016 from Nairobi (urban) and Homa Bay (rural) Kenya among women aged 15-39 years (N=5081). Dichotomous outcome variables were constructed for two health-related beliefs (infertility and serious health problems) for the three methods...
April 17, 2024: Contraception
https://read.qxmd.com/read/38641155/medical-management-of-early-pregnancy-loss-with-mifepristone-and-misoprostol-in-emergency-departments-compared-to-a-complex-family-planning-office-implementation-of-a-covid-19-institutional-policy-change
#57
JOURNAL ARTICLE
Roselle R Bleck, Antoinette A Danvers, Anushri Nimbvikar, Elizabeth P Gurney
OBJECTIVES: To evaluate the implementation of mifepristone and misoprostol for medical management of early pregnancy loss (EPL) in emergency departments (EDs) by comparing efficacy, complication, and follow-up rates for patients treated in EDs to those in the Complex Family Planning (CFP) outpatient office. STUDY DESIGN: In COVID-19's first wave, we expanded medication management of EPL to our EDs. This retrospective study evaluated 72 patients receiving mifepristone and misoprostol for EPL from 4/1/2020-3/31/2021, comparing treatment success, safety outcomes, and follow-up rates by location...
April 17, 2024: Contraception
https://read.qxmd.com/read/38636583/comparison-of-a-person-centered-pregnancy-prevention-question-and-one-key-question%C3%A2-to-assess-postpartum-contraceptive-needs
#58
JOURNAL ARTICLE
Jayme L Congdon, Eric Vittinghoff, Christine Dehlendorf
INTRODUCTION: Pregnancy intention is widely used to screen for contraceptive needs, yet its relevance to postpartum individuals has not been demonstrated. METHODS: We surveyed 234 postpartum individuals to assess the alignment between pregnancy intentions in the next year and current desire to prevent pregnancy. RESULTS: Most individuals (87%) desired pregnancy prevention now, including 73% of individuals who desired or were ambivalent about pregnancy in the next year...
April 16, 2024: Contraception
https://read.qxmd.com/read/38621484/abortion-attitudes-among-youth-before-and-after-abortion-ban-in-poland
#59
JOURNAL ARTICLE
Alicja Zawistowska
OBJECTIVES: To compare attitudes toward abortion among youth before and after the Polish Constitutional Tribunal introduced abortion ban in October 2020. STUDY DESIGN: The study uses two nationally representative samples of final-year secondary school students conducted in Poland before (year 2018, N=1,609) and after the abortion ban (year 2021, N=1,513). RESULTS: The support for abortion increased between 2018 and 2021 (OR=2.77 in foetus impairment case; OR=2...
April 13, 2024: Contraception
https://read.qxmd.com/read/38588848/do-miscarriage-care-practice-recommendations-align-with-individuals-needs-a-scoping-review
#60
REVIEW
Sofía Filippa, Ruvani T Jayaweera, Kelly Blanchard, Daniel Grossman
BACKGROUND: Miscarriage is a common experience; yet individuals often have negative experiences when receiving miscarriage care, signaling a gap in the quality of miscarriage care. We explore the literature on individuals' experiences with miscarriage care across a variety of dimensions and assess how these experiences align with practice recommendations. METHODS: We conducted a scoping review of peer-reviewed studies in PubMed published in English through April 30, 2022, and focused on individuals' experiences with miscarriage care in healthcare settings and on practice recommendations for providing care in a variety of countries...
April 6, 2024: Contraception
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