Contraception
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          Contraceptives Can Be Used to Prevent Cancer, Help with Multiple Medical Conditions Contraceptives can help patients who are experiencing other conditions, including menstrual pain, endometriosis, heavy menstrual bleeding, menopause, and disabilities. 
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          Intrauterine Instillation of Mepivacaine at the Time of IUD Placement In a randomized clinical trial of 151 women, intrauterine instillation of mepivacaine significantly reduced pain with intrauterine device insertion on visual analog scales both before (53.9 mm vs. 67.2 mm, respectively; P < 0.001) and after adjustment for individual provider variability (55.2 mm vs. 77.4 mm, respectively; P < 0.001), compared to placebo. 
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          Physicians Need Better Information, Training in Miscarriage Management Many women — maybe even most pregnant patients with miscarriage complications — are not offered a full range of options of the best evidence-based miscarriage management. 
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          Social Issues Are a Big Challenge in Adolescent Contraceptive Access A decade of failed improvements has shown that money needs to be focused less on a game changer and more on using strategies that work, including those that address social norms. 
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          Contraceptive Implant Can Lead to Weight Gain, But It Is Not Medically Concerning Clinicians providing contraceptive counseling should be aware of recent research showing that young people can experience weight gain when using hormonal implants, when compared with young people using some other types of contraceptives. 
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          California’s Efforts to Reduce Maternal Mortality and Morbidity Show Promise When California was faced with unacceptably high rates of maternal deaths and disparities among minority patients, the state formed a collaborative to tackle this problem and find solutions. 
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          How Are Maternal Deaths Counted and Investigated? Determining a city, state, or country’s maternal mortality rate is challenging and can be a controversial process. It depends on the time frame measured, whether maternal deaths are considered only if there are biomedical causes, or when there are factors related to pregnancy, such as suicides and homicides that would have not occurred if the person had not had a pregnancy. 
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          Some States Upend Maternal Mortality Committees and Investigations Maternal mortality review committees are facing changes that could affect how maternal deaths are investigated and reported. This could lead to fewer initiatives to lower maternal mortality and morbidity rates and also mask could increases in abortion-ban states. 
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          Twelve-Month Contraceptive Prescriptions: Do They Make a Difference? In this national retrospective cohort study of patients on Medicaid, states with 12-month hormonal contraceptive supply policies increased their 12-month dispensing by only 4.39% compared to the pre-policy period. The majority of this increase was contributed by the state of California. 
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          Abortion Bans Directly Affect OB/GYNs’ Mental Health and Burnout, Study Finds Seven out of 10 OB/GYNs interviewed by researchers reported symptoms of anxiety and depression, directly related to the impact of the U.S. Supreme Court’s Dobbs v. Jackson Women’s Health Organization decision, according to a new study. 
