Obstetrics/Gynecology
RSSArticles
-
Research Shows Pharmacists Can Easily Dispense Medication Abortion
The results of a recent study support allowing pharmacists to dispense mifepristone directly to people — like any other medication.
-
Declining Pregnancy Among U.S. Teens Partly Due to Contraceptive Changes
Pregnancies and births in young people, ages 14 to 18 years, have declined dramatically in recent years when compared to decades past, new research shows. Researchers studied data from 2007 to 2017 and found that delays in first sexual intercourse contributed the most to the trend of declining births over this decade. But declines in the number of sexual partners and changes in contraceptive use — including use of long-acting reversible contraception — also contributed to the trend.
-
Self-Administered Depo-Provera Improves Use and Efficacy
Depo-Provera is a convenient option for patients who want a contraceptive that is both effective and can last for several months. But one drawback is that it requires a clinic visit for an injection. This is where an option to self-administer Depo could improve access to and continuation of the contraceptive.
-
Providers Can Take Action to Help Prevent Doxing
Increasingly, doctors who provide abortion care are being harassed and vilified through doxing — the online dissemination of their personal information. From July to December 2018, researchers studied a sample of documents posted on an anti-abortion website and found a large percentage of photographs, home addresses, bankruptcy documents, and other personal information.
-
Abortion Providers and Patients Under Threat of Privacy Breaches
Reproductive health providers and people seeking abortion care need only look at the not-so-distant past in the United States to predict a future in which their privacy is in legal and physical jeopardy. Physicians who perform legal abortions also face privacy breaches that place the providers and families at risk from doxing, threats, and other harms.
-
Contraceptive Simulation Can Teach IUD Insertion, Extraction, and Counseling
Family planning staff could learn a lot about contraceptive patient care from realistic simulation sessions. Researchers found positive changes in clinicians’ knowledge and confidence when they practiced inserting IUDs, removing them, and counseling patients in a realistic family planning simulation.
-
Be Careful About Informed Consent if Pelvic Exams Happen While Patients Are Under Anesthesia
Incorporate explicit discussions with patients about pelvic exams conducted while patients are under anesthesia. These discussions should occur during consent processes for gynecologic procedures. Specifically, patients would be told about the potential for medical student involvement in these exams.
-
Postpartum Contraception Care at Catholic Hospitals
A survey using a probability sample of adult, reproductive-age women in the United States revealed that most women did not expect restrictions on care at Catholic hospitals, especially for services viewed with less stigma than abortion, and did not realize that Catholic hospitals are restricted in providing contraception and female sterilization.
-
What Is the Best Oral Emergency Contraceptive for Individuals with Obesity?
In this randomized controlled trial of 70 obese women, double dosing levonorgestrel emergency contraception (3 mg vs. 1.5 mg) did not prevent more follicle ruptures and, therefore, is unlikely to improve emergency contraception performance in this population.
-
Prevention of Perineal Injury During the Second Stage of Labor
This randomized clinical trial in nulliparous women demonstrated that the hands-off technique reduced the risk for perineal injuries when compared to the hands-on technique during the second stage of labor.