Fetomaternal hemorrhage (FMH) is blood mixing between fetus and mother during sensitizing events. Anti-D immunoglobulin is administered in Rh-negative women to prevent isoimmunization. Dosing guidelines differ across countries. UK and US have differing dosing schemes. Little is known about the FMH occurring with dilation and evacuation. There is a resource and cost savings incentive to ...Read more >

Patients in the United States have many methods of contraception to choose from based on their own preferences. However, with the advent of LARC, the narrative of contraception counseling has changed from generalized counseling based on preferences to more focused recommendations. Complicating this shift in contraceptive counseling is the medical field’s history of coercive provider ...Read more >

Background and purpose: “Health literacy” is more than just how much a person knows about human biology or her health—health literacy is also the ability to obtain, process, and understand information about one’s health in order to make decisions about it. Health literacy has never been studied in relation to abortion care, but there is ...Read more >

Background: The oral contraceptive pill (OC) and the contraceptive ring are often prescribed in an extended manner to achieve amenorrhea, reduce menstrual-related symptoms and improve method adherence. Concerns regarding thromboembolic risk may lead providers to avoid offering the contraceptive patch as an extended contraceptive regimen beyond the label indicated use of 3 weeks. However, data ...Read more >

Objectives: Unintended pregnancy is common in the United States, yet scant research has evaluated women’s preferences on pregnancy options counseling. This study explores pregnant women’s preferences for pregnancy options counseling from health care providers. Methods: We conducted semistructured interviews with pregnant women at a prenatal clinic and an abortion clinic. We asked women about recent ...Read more >

Justification for the project Long-acting reversible contraceptive (LARC) methods such as etonogestrel contraceptive implants and intrauterine devices (IUDs) have low failure rates and are effective at preventing teen pregnancy. High upfront cost limits use of these methods, but acceptability and initiation are high among adolescents when these methods are offered for free. While continuation rates ...Read more >

Although blood loss during modern dilation and evacuation procedures is well tolerated by most patients, one of the most common complications is heavy bleeding if the uterus doesn’t contract appropriately after the procedure.  As physicians, we prevent and treat heavy bleeding with a range of different “uterotonic” medications given in a wide variety of different ...Read more >

Levonorgestrel (LNG) and ulipristal acetate (UPA) emergency contraceptive (EC) efficacy trials suggest more EC failure among women with greater body mass index (BMI); this relationship appears much stronger for LNG-EC than for UPA-EC. Differences in systemic exposure by BMI might explain differences in failures. Thus, the primary objective of this study was to compare the ...Read more >

Background: Over 1 million induced abortions are performed each year in the US. The majority of first trimester abortions are performed using vacuum aspiration. There are two methods of vacuum aspiration available; manual vacuum aspiration (MVA) and electric vacuum aspiration (EVA). In studies performed prior to 11 weeks’ gestation, no differences between the methods have ...Read more >

Background: Reproductive coercion (RC) refers to explicit attempts to impregnate a partner against her will, control outcomes of a pregnancy, coerce a partner to have unprotected sex, and/or interfere with contraceptive methods. Recent research from the CDC, family planning clinics in California, and a family medicine residency site in the Bronx, NY, report prevalence of ...Read more >