Dilation and evacuation (D&E) is the safest and most common method of second trimester abortion. D&E’s safety depends largely on sufficient cervical preparation which traditionally has been done with osmotic dilation. Adequate dilation can be achieved quickly with Dilapan-S allowing for same day procedures, even in the mid-second trimester. Recently, however, the cost of Dilapan-S ...Read more >

Housing insecurity continues to be a pervasive issue throughout the United States, with numbers projected to increase due to the Covid-19 pandemic. Families in particular continue to be a growing segment of the homeless population. In New York City women are the “head of the household” in ninety-three percent of homeless families. Research shows homeless ...Read more >

The HPV vaccine has the ability to eradicate cervical cancer, but many people are making it to adulthood without completing the recommended vaccine series. A focus of public health efforts has been to vaccinate these patients when they interface with the healthcare system. We recognize the abortion visit as such a time. Education and a ...Read more >

The COVID-19 pandemic has created a unique opportunity to develop strategies to continue providing reproductive health services. Telehealth is an effective approach to expanding access to care, however its uptake in the United States has been limited. Exploring patient satisfaction with contraceptive counseling delivered via telehealth will provide essential data that may strengthen the argument ...Read more >

Our study is an exploratory mixed methods study with a convergent parallel design. We will administer a cross-sectional survey of fourth year residents in obstetrics and gynecology training at Ryan Residency Program sites to quantify the number of tubal ligations or salpingectomies after vaginal delivery (PPBTL) performed during residency and residents’ perceived competency with this ...Read more >

Background: The Covid-19 pandemic has interrupted family planning services, such as by canceling or rescheduling appointments with little notice (Tschann, Lange, Ly, & Hilliard, 2020). A May 2020 national patient survey demonstrated changes to pregnancy intention and attitudes towards contraception (Lindberg, VandeVusse, Mueller, & Kirstein, 2020). Even before the pandemic, Georgia had high rates of ...Read more >

myTIPreport, a web-based trainee feedback platform, has been adopted for use by all Fellowship in Complex Family Planning (CFP) sites. This evaluation tool has been validated for providing feedback for both procedures and milestones in Obstetrics and Gynecology four-year residency programs and a three-year subspecialty, Female Pelvic Medicine and Reconstructive Surgery. Given the shorter timeframe ...Read more >

With the Coronavirus Disease 2019 (COVID-19) pandemic exacerbating the already existing problem of access to abortion-care across the United States, the American College of Obstetricians and Gynecologists (ACOG) recommends making no-test abortion more widely available to patients that qualify. Instead of the standard steps prior to undergoing a medical abortion, which typically include a physical ...Read more >

Background: Twelve U.S. states and the District of Columbia have authorized independent pharmacist prescribing of hormonal contraception, allowing facilitated access and initiation of contraception at the pharmacy.1 Multiple barriers to pharmacists’ uptake of hormonal contraception prescribing include the need for additional pharmacy staff, required training/education, and lack of reimbursement processes/billing structures. 2 ??4 States lack ...Read more >

We propose a single-site, double-blinded, placebo-controlled clinical trial of lavender aromatherapy versus placebo for patient satisfaction in adult women having a surgical abortion before 10 weeks and 0 days gestation. We will evaluate whether lavender aromatherapy is an effective adjunct therapy for patient satisfaction during first trimester surgical abortion. We will measure satisfaction using the ...Read more >