Articles Tagged With:
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Researchers Suggest It Is Time to End the Default Pelvic Exam
Women who seek most forms of contraception do not need a routine pelvic examination before they are prescribed a contraceptive. Still, these exams are routine for many OB/GYN offices and reproductive health clinics, and this creates a barrier for some women — particularly those who have experienced sexual assault and intimate partner violence, according to new research.
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Family Planning Providers Can Reduce Negative Perceptions of IUDs
Despite the safety and efficacy of the intrauterine device (IUD) and the reduction of cost barriers since the Affordable Care Act, only about 12% of American women use that method of contraception. Research shows that the women most likely to use an IUD or implant are ages 25 to 34 years, were born outside of the United States, live in a Western state, and report their religious affiliation as “other."
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Clinicians Can Help Reduce Stigma Around Substance Use Disorder
Stigma is a major barrier to women with substance use disorder receiving reproductive healthcare and contraceptives. Clinicians should ask women, including those with substance use disorder, about their goals, values, and what they find most important in contraception.
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Collaboration with Substance Use Treatment Clinics Can Reach More Patients
Women who receive treatment for a substance use disorder would welcome services that integrate their treatment with family planning and contraceptive services, the authors of a recent study found.
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Use Best Practices to Screen Patients for Substance Use Disorder
OB/GYNs and family planning clinicians should screen all patients for substance use disorders, as recommended by researchers and professional guidelines. Recent guidelines from the American College of Obstetricians and Gynecologists’ Committee on Obstetric Practice recommend anyone who enters a physician’s office for reproductive health services receive a screening for a substance use disorder.
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Pediatric Bony Knee Injuries
Pediatric knee injuries are common and seen frequently in the emergency department. The injuries range from minor to significant, but all have the potential to affect the patient's future participation in athletics — as well as normal childhood, and then adult, activities. The authors comprehensively cover pediatric bony knee injuries, including diagnostic testing, management, and referrals.
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Pap Smear Management: An Update on Recent Recommendations
Despite its current prevalence in the care of patients, the Pap smear has been used for less than 100 years. A major advancement in the field of screening came in the late 1970s and early 1980s with the identification that the human papilloma virus (HPV). Since the year 2000, there have been multiple progressive cycles of updates to both screening and management guidelines as the result of our rapidly evolving understanding of HPV.
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A New Nonhormonal Vaginal Gel Contraceptive
In this single-arm, open-label, Phase III study of a novel vaginal pH regulator gel among 1,384 sexually active women aged 18 to 35 years, the seven-cycle cumulative pregnancy rate was 13.7% (95% confidence interval, 10.0% to 17.5%).
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Is Universal Rescreening of Pregnant Women for Hepatitis C Cost-Effective?
In this cost-effectiveness analysis study, the authors assessed the cost effectiveness of offering hepatitis C virus (HCV) antenatal rescreening to U.S. women who previously were screened HCV negative in a prior pregnancy.
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Body Mass Index and Safety of Postpartum Tubal Ligation
In a single-institution, retrospective review of 3,670 postpartum tubal ligations performed after vaginal delivery, there was no association between increasing body mass index and surgical morbidity.