Research Design:We propose a prospective randomized-controlled trial in which postpartum adolescents (age 14-19) will be randomized to receive either a brief standardized contraceptive counseling intervention or routine postpartum care. The primary outcome is repeat pregnancy rates at 6 and 12 months postpartum. Secondary outcomes include evaluating the subjects’ contraceptive choice, use and continuation rates postpartum ...Read more >

Background: Delaying the initiation of effective contraception until the postpartum visit puts some women at risk for rapid, repeat, and unintended pregnancy. Women who intend to use an intrauterine device (IUD) for postpartum contraception are often unable to return for a postpartum visit, and never receive an IUD. These women are more likely to be ...Read more >

Background: Second trimester uterine evacuation can be accomplished safely and effectively with dilation and evacuation. The Accreditation Council for Graduate Medical Education mandates routine abortion training in obstetrics and gynecology residency, but few graduate competent to perform dilation and evacuation due to limited clinical volume and lack of access to skilled teachers. Simulation-based education offers ...Read more >

Objectives: To assess whether a targeted educational intervention, with skills training in cervical dilation and paracervical anesthesia, will increase IUD insertion success rates. Study Design: This was a prospective study of an intervention aimed at improving IUD insertion success among a group of advanced practice clinicians (APCs) at family planning clinics in Utah. Data were ...Read more >

Objectives: The postpartum period is a high-risk time for unintended pregnancy, and additional opportunities to provide contraception are needed. Our objective was to evaluate the acceptability of providing postpartum contraceptive counseling at a pediatric well baby visit, and compare it to counseling at the routine postpartum visit. Methods: Postpartum women (100 per group) were recruited ...Read more >

This cross-sectional study sought to determine factors associated with sterilization among HIV-positive US women. HIV-positive women aged 18–45 completed an Audio Computer Assisted Self Interview (ACASI) questionnaire. Chi-square tests and multivariable logistic regression evaluated factors associated with sterilization. The median age of the 187 participants was 37, the majority had at least a high school ...Read more >

This study is a formal comparison of the contraceptive knowledge, attitudes, and experiences of HIV-positive adolescent females with those of their HIV-negative peers. We hypothesize that the presence of HIV – a chronic illness that requires lifelong management – will be associated with lower contraceptive adherence and different perceived barriers to successful contraceptive use than ...Read more >

The purpose of this pilot study is to explore the impact of physician self disclosure (PSD) of personal intrauterine contraception (IUC) use during contraceptive counseling. We hypothesize that PSD of IUC use positively impacts patients during contraceptive counseling. To study this we will conduct a prospective randomized block design pilot trial at the University of ...Read more >

The copper intrauterine device (IUD) is a safe, long-acting, and effective method of contraception that is under-utilized in many countries, including Malawi. A unique cohort of women who had enrolled in a trial of postpartum IUD use one year earlier gave insights into reasons for using, discontinuing, or not using the IUD. We conducted in-depth ...Read more >

Long-acting reversible contraceptive methods (LARC; intrauterine devices (IUDs) and the subdermal contraceptive implant) have numerous advantages over other forms of contraception; they are long lasting, convenient, reversible, forgettable, well-liked by users, have lower rates of discontinuation, and are cost effective. The levonorgestrel-releasing IUD (LNG-IUD) is FDA-approved for 5 years, and the etonogestrel (ENG) releasing implant ...Read more >