Dilation and evacuation at 16 to 20 weeks’ gestation is generally performed as a two-day procedure in which cervical dilation is achieved with overnight preparation. When cervical preparation and dilation and evacuation can be performed on the same day, women are spared a multi-day procedure and access to abortion is increased. The Society of Family ...Read more >

No clear guideline currently exists for best practices involving cervical preparation for women planning dilation and evacuation at 20 weeks and greater. I plan to perform a pilot, randomized, double-blind, placebo-controlled trial. On day 1, 66 women will receive mifepristone 200 mg orally or placebo 18-24 hours prior to osmotic dilator (Dilapan-S 4-mm) placement (day ...Read more >

Objective: Black race is associated with higher rates of poor pregnancy outcomes, including pregnancy loss and perinatal depression. However, the association between race and adverse mental health outcomes in an early pregnancy loss (EPL) population is not well described. This study aimed to examine the relationship between race and psychometric variables among participants in an ...Read more >

Background: Ulipristal acetate 30 mg (UPA) became available as a Schedule 1 prescription-only emergency contraception (EC) in British Columbia, Canada in September 2015. UPA has been found to be superior in overweight women relative to levonorgestrel (LNG). Canadian data on UPA use is lacking. Objectives: This will be the first study of current EC use ...Read more >

Background: Crisis pregnancy centers (CPC) are non-medical counseling facilities that aim to prevent abortion by intercepting women who are actively looking for a health center that provides abortion, or looking for information about an abortion. This may increase barriers for women in finding an abortion clinic to meet their needs in an efficient manner. Websites ...Read more >

Framing effect is when content equivalent material is interpreted differently depending on framing.  It has been associated with modification of participant attitudes and intentions in marketing and psychology. Evaluating framing effect on medical students’ abortion attitudes and intentions may identify differential responses to types of message framing. Therefore, we aimed to examine the impact of ...Read more >

Background: Abortions are common health experiences in the United States, yet they are siloed from mainstream healthcare on many levels. This siloing both reflects and reproduces the stigma surrounding abortion. The practice of clinicians mentioning abortion during reproductive or preventive health visits has the potential to reduce abortion stigma and facilitate patient care. However, there ...Read more >

Objectives: To compare contraceptive provision 2016-2018 across ambulatory care clinics at New York Presbyterian Hospital(NYPH) quarterly and by clinic specialty using NQF-endorsed contraceptive care measures. Methods: We evaluated contraception provision across 31 clinics at the NYPH Ambulatory Clinic Network using the NQF-endorsed contraceptive care measures. We evaluated women ages 15 to 44 at risk of ...Read more >

This is a qualitative study of the interest and acceptability of providing medication abortion as part of student health services at a state university in New York.  Students as well as student health service providers and administrative staff will be interviewed.  The goal of this study is to identify themes which may assist in implementation ...Read more >

This is a double center, randomized, 2 arm (1:1), single blinded clinical trial comparing pain control at the time of uterine aspiration with two different paracervical blocks in women undergoing dilation and curretage in the first trimester for either surgical abortion or miscarriage management. The primary aim is to compaire on a visual analog scale (VAS) ...Read more >