Mifepristone followed by misoprostol is a safe, highly effective (> 95%) method for medical termination of early pregnancy. New data reveals that administering mifepristone prior to misoprostol also has superior efficacy than misoprostol alone in the treatment of miscarriage, and practice recommendations have been updated to reflect this practice. Despite its safety and efficacy, few ...Read more >

Background: Quality assurance and improvement in healthcare relies on performance measurement. Up until recently, there were no performance measures related to reproductive health and contraceptive provision. The Office of Population Affairs (OPA) developed and validated claims-based performance measures for contraceptive care, aimed at addressing unintended pregnancy. In 2016, the National Quality Forum (NQF) endorsed these ...Read more >

Rationale: The Los Angeles (LA) homelessness crisis continues to worsen with the current estimate of 60,000 homeless individuals expected to rise annually and women make up one-third of this population. Homeless women live in a unique sociocultural context that warrants in-depth exploration of sexual and reproductive (SRH) behaviors and needs, focusing on the variations in ...Read more >

This study will consist of in-depth interviews with adolescents with chronic disease (ACD) and their parents. It will explore the ACD-parent dyad and how contraception is currently addressed within context of both the functioning dyad and overall disease management. It aims to identify if there are factors influencing knowledge, use of, and attitudes toward contraception ...Read more >

Cervical preparation with osmotic dilators is commonly used prior to dilation and evacuation procedures to decrease the risk of complications. Women have described the pain of dilator insertion as moderate to severe yet there have been few studies aimed at addressing pain during and after dilator insertion. This study will be a randomized controlled trial ...Read more >

To explore the contraceptive use patterns in a national sample of transgender individuals. To develop a community advisor board to define reproductive health priorities for transgender individuals in Michigan and develop gender-sensitive best practices for approaching these research topics.

We propose to conduct a cross-sectional study of general obstetrician-gynecologists (OBGYNs) who care for patients with EPL. We will recruit OBGYNs who practice at academic medical centers and invite them to complete a quantitative survey designed to assess current EPL practice along with barriers and readiness to implement those management options not currently in place. ...Read more >

Catholic-affiliated hospitals provide an increasingly significant proportion of obstetric care in the United States.  Patients who deliver at Catholic-affillated hospitals encounter unique obstacles to post-partum contraception due to the influence of theologic doctrine on institutional policies prohibiting the provision of contraceptive services. There is growing concern that patients face a multitude of barriers to the receipt ...Read more >

Manual uterine aspiration is a safe management option for early pregnancy loss that can be used inside the emergency department (ED). Manual uterine aspiration use can reduce cost and decrease patient time in the ED. Despite these advantages, manual uterine aspiration has been underused and the reasons for this underuse are not known. The primary ...Read more >

Unintended pregnancy rates in the United States are highest among people between the ages of 18- and 24-years-old, the ages of most traditional college students. Prior studies have reported that unintended pregnancy is a contributor to students leaving college prior to degree completion, thus access to abortion care is important for continued college participation. There ...Read more >