Cannabidiol (CBD) use has increased markedly in recent years and the compound is found in many new supplements and foods.  Oral contraceptive pills (OCPs) containing ethinyl estradiol (EE) and levonorgestrel (LNG) likely share a metabolic pathway with CBD via the CYP3A4 enzyme.  As a result, a drug-drug interaction may exist and CBD may be an inducer ...Read more >

This is a mixed-methods study to better understand emergency department provider knowledge, attitudes and practices around abortion and self-managed abortion. We will conduct a cross-sectional mixed-methods study. This will be conducted with explanatory design where an initial quantitative survey of emergency department providers will be administered with the goal of informing development of questions for ...Read more >

Varying delivery models for abortion care is a promising way to increase access to abortion, which Gynuity is currently demonstrating through their TelAbortion project, which includes mailing mifepristone and misoprostol directly to the patient after a screening process and videoconference counseling session. The objectives of this study are to 1) understand what circumstances and barriers ...Read more >

Background: Georgia (GA) is currently facing a crisis in maternal and reproductive health. The unintended pregnancy and teen pregnancy rates in GA surpass the national average, and GA leads the country in maternal mortality rates. In 2014, 96% of Georgia counties had no clinics that provided abortion, and 58% of GA women lived in those ...Read more >

Twenty percent of clinically recognized pregnancies result in early pregnancy loss (EPL). One of the most common symptoms of EPL, vaginal bleeding in pregnancy, accounts for 2% of all visits to the emergency department (ED) every year. Treatment options that can be offered to patients in the ED include expectant, medical, or surgical management. All ...Read more >

Even after receiving contraceptive counselling and obtaining a method of choice, women may have ongoing questions and concerns. Those who are poorly served by existing healthcare settings may feel unwilling to seek further reproductive care. Others may develop a distrust of the healthcare system and prefer not to follow-up. One way to promote patient satisfaction ...Read more >

Literature suggests that when individuals need to make important medical decisions, they often consult those most important in their lives for advice and support. Abortion can be a complex decision, especially given the social discord surrounding it. While extensive research has been done on who gets an abortion and why, much less information is available ...Read more >

Gender-based violence exists in many formats, including reproductive coercion, a concept newly recognized by the medical community. Reproductive coercion (RC) is defined as behavior that undermines autonomous decision making in areas of reproductive health as a method of maintaining power and control. Several types of coercive behaviors compose RC such as birth control sabotage (e.g. ...Read more >

This retrospective cohort study aims to determine the effect of cervical preparation with osmotic dilators plus adjuvant overnight mifepristone compared to same-day misoprostol prior to dilation and evacuation between 18 0/7 and 21 6/7 weeks’ gestation on procedure time and other important clinical outcomes. Our sample size (n=574) will also allow greater numbers to describe important but uncommon ...Read more >

This a survey study of Irish general practitioners and OB-GYNs which examines their willingness and ability to participate in abortion services in the context of recent legal change.