We conducted a multisite, double blind, randomized clinical trial to assess the utility of nitrous oxide for pain relief in early second trimester abortion. This study randomized participants to receive either inhaled nitrous oxide or intravenous (IV) sedation with fentanyl and midazolam. We included women desiring abortion at gestational ages between 12 weeks 0 days ...Read more >

Obesity is a major public health problem in the United States, and the number of bariatric procedures has exponentially increased in the last decade concordant with this epidemic. Bariatric surgery affords several important long-term benefits, but for women of reproductive age there may be complications that are of particular importance to pregnancies conceived in the ...Read more >

Objective: To compare pain scores during cervical dilator placement prior to dilation and evacuation with patient-administered vaginal lidocaine gel versus lidocaine paracervical block (PCB). Study design: We conducted an unblinded randomized trial of women ≥18 years of age undergoing surgical abortion at ≥16 weeks’ gestation in two outpatient clinics. We randomized participants to receive self-administered lidocaine gel ...Read more >

Background: Negative body image contributes to negative health behaviors, particularly eating disorders. In sexual health, women with negative body image are less likely to use a condom than women with positive body image. However, there is little research on how body image influences use of the various birth control methods available to young women. Methods: ...Read more >

Research shows that at least 86% of college students have reported intercourse at some point in their life and 68% report current sexual activity[.  This group has also been shown to engage in more high-risk sexual behavior including frequent partner change, sex without condoms and sex without the use of birth control.  The Surgeon General’s ...Read more >

The perinatal period is an important time to counsel patients and initiate a highly effective method of postpartum contraception. While the evidence of safety, effectiveness, and long-term continuation of postpartum contraception is established, less is known about the best approaches to counsel patients about their options for postpartum contraception. Within women’s health care and preventative ...Read more >

More abortion restrictions were enacted across the United States (US) between 2011-2013 than in the entire previous decade. Supporters of legislation restricting abortion access claim these laws are necessary to ensure the safety of abortion services and the health of women. However, abortion in the US is already safe. The mortality rate from 2000-2009 was 0.7 ...Read more >

Postpartum contraception to promote birth spacing and prevent unwanted pregnancies is important but under-utilized. A key time for contraceptive initiation is at the postpartum visit, but this is traditionally scheduled for 6 weeks postpartum, after many women return to fertility and lose pregnancy-related health insurance. This creates barriers to accessing long-acting reversible contraception (LARC), including ...Read more >

Long-acting reversible contraception (LARC) such as intrauterine devices (IUDs) and implants are becoming more popular among young people, but do not protect against sexually transmitted infections, which disproportionately impact this group. The purpose of this study was to understand the factors and influences that impact dual method contraception in adolescent and young adult women using ...Read more >

Background Cervical preparation prior to second trimester surgical abortion can reduce complications including hemorrhage and cervical laceration. Overnight osmotic dilators provide greater cervical dilation and may enable faster dilation and evacuation procedures than same-day cervical preparation. However, studies have consistently shown a strong patient preference for completing all abortion related procedures on the same day. ...Read more >