This is a mixed methods implementation study of women who utilize a syringe exchange program (SEP) in Seattle. This study had two phases: a qualitative needs assessment and implementation of contraceptive services with prospective cohort study. Phase 1. Qualitative assessment: We conducted individual interviews to assess perceived barriers and facilitators to provision of contraceptive services ...Read more >

Objective: 1)To understand how women at three surgical abortion clinics in an urban center of BC utilize their mobile phones 2) To understand women’s preferences of content and design for a mobile intervention to provide decision support for postoperative care, post-abortion contraception and mental health 3)To develop a mobile intervention based on findings from objectives ...Read more >

In order to investigate the ENG/EE CVR’s potential as a method of EC that provides ongoing contraception, we are proposing a pilot study to determine its ability to suppress ovulation when initiated in the late follicular phase. Our primary objective is to determine if the ENG/EE CVR has potential as a method of EC. We ...Read more >

Background: While the etonogestrel (ENG) implant is among the most effective forms of contraception, unscheduled bleeding can be the cause of low uptake and high discontinuation rates. To date, therapies such as non-steroidal anti-inflammatory medications, estrogen and tamoxifen have been studied with mixed results with regards to efficacy and occasionally intolerable side effects and/or contraindications. ...Read more >

Background: Young women diagnosed with cancer face unique reproductive health needs. Commonly, providers and patients focus on fertility preservation, but an unplanned pregnancy during cancer treatment can lead to negative consequences, including treatment delays and fetal exposures to treatment. However, available research suggests oncology providers infrequently discuss contraception for pregnancy prevention during treatment. Little is ...Read more >

Over the past 10 years, collectively, states have proposed and/or enacted hundreds of restrictions on abortion. Some restrictions are directed at adolescents and women (e.g., parental involvement laws, biased counseling requirements, restrictions on state funding for abortion, mandatory waiting periods) which for many may prevent them from accessing abortion. Other restrictions are directed at abortion providers ...Read more >

Background: Unmet need for postpartum contraception in rural Nepal remains high. Strategies that integrate contraceptive counseling along the continuum of reproductive health care are more effective than single isolated counseling sessions. Through a public-private partnership, Possible, an NGO, is utilizing a system of intensive Community Health Worker (CHW) outreach to deliver antenatal, postnatal, and infant care. The ...Read more >

Objective: To estimate the effect of oral opioids on patient pain during first-trimester medical abortion. Methods: We conducted a randomized, double-blind, placebo-controlled trial where patients up to 10 0/7 weeks of gestation undergoing a medical abortion with mifepristone and misoprostol took 10 mg oral oxycodone or placebo at onset of painful cramping. Additionally, all patients ...Read more >

Chicago, Illinois has a substantially higher rate of violent crime than much of the United States. For many adolescents living in this city, community violence exposure (CVE) is a part of daily life. CVE has been previously linked to both psychosocial problems and risk behaviors. The purpose of this study is to evaluate these risk ...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 >