Intranasal fentanyl has been previously studied for acute pain reduction in children and adults.  Its use includes managment of pain with long-bone fractures, abscess drainage, cancer breakthough pain, and labor pain.  We conducted a randomized controlled trial comparing the administration of 100 mcg intranasal fentanyl to placebo for the reduction of reported pain associated with first ...Read more >

Background: Overnight osmotic dilators are an essential, yet potentially painful, component of cervical preparation prior to dilation and evacuation procedure. Little research has been done evaluating women’s experience with osmotic dilators. Gabapentin is an attractive option for dilator-associated pain due to low cost, no addictive potential, and few medical contraindications. Statement of purpose: We propose ...Read more >

Obesity is a major public health problem in the United States, and the number of bariatric procedures has exponentially increased in the last decade concordant with this epidemic. Bariatric surgery affords several important long-term benefits, but for women of reproductive age there may be complications that are of particular importance to pregnancies conceived in the ...Read more >

Adolescents are prone to high-risk sexual behavior which exposes individuals to sexually transmitted infections (STIs) and unintended pregnancy. Health disparities account for marked variations in STI and unintended pregnancy rates amongst different adolescent subgroups. Latinx adolescents have pregnancy rates that are two times higher and STI rates that are five to eight times higher than ...Read more >

This is a retrospective cohort study evaluating the effectiveness of early medication abortion between 64-70 days gestation in the UK using a mifepristone and vaginal misoprostol regimen. This study will be performed in collaboration with BPAS, whose abortion data specifically for this gestational age is impressive, with over 2700 cases of early medication abortion. This ...Read more >

This is a retrospective observational cohort study of long-acting reversible contraception uptake by women presenting for surgical abortion care at Planned Parenthood League of Massachusetts (PPLM).  Using electronic medical records, we calculated a modern estimate of immediate post-abortion LARC use in a clinic setting with minimal structural barriers to LARC provision, as well as demographic and medical ...Read more >

Pharmacogenomics is the study of how individual genetic differences affect drug metabolism, efficacy, and side effects. Women using the exact same contraceptive method for the same period of time have wide variability in both serum drug levels and side effect profiles from their contraception. This pharmacogenomic study aimed to help us better understand how individual ...Read more >

Objective 1 – We will conduct a cross-sectional survey of community-based obstetrician-gynecologists and family physicians in Michigan about their knowledge and experiences with abortion services. We will sample these physicians in person at their annual meetings, through an online survey, and mail letters to their offices with incentives encouraging participation. The survey will also provide ...Read more >

Despite the widespread use of osmotic dilators for cervical preparation for dilation and evacuation, there are minimal data regarding patient pain management during dilator placement.This will be a randomized, double- blind, placebo-controlled trial including women aged 18-50 years with a live intrauterine pregnancy between the gestational ages of 17w0d and 23w5d presenting for cervical dilator ...Read more >

The primary purpose of this study is to describe bleeding patterns on the LNG-IUS and the ENG implant following DMPA use, and to compare this with prior bleeding patterns on DMPA. Secondary objectives are to explore whether bleeding pattern on subsequent progestin LARC is associated with the duration of prior DMPA use, and will characterize ...Read more >