Cervical preparation with osmotic dilators is commonly used prior to dilation and evacuation procedures to decrease the risk of complications. Women have described the pain of dilator insertion as moderate to severe yet there have been few studies aimed at addressing pain during and after dilator insertion. This study will be a randomized controlled trial ...Read more >

To explore the contraceptive use patterns in a national sample of transgender individuals. To develop a community advisor board to define reproductive health priorities for transgender individuals in Michigan and develop gender-sensitive best practices for approaching these research topics.

We propose to conduct a cross-sectional study of general obstetrician-gynecologists (OBGYNs) who care for patients with EPL. We will recruit OBGYNs who practice at academic medical centers and invite them to complete a quantitative survey designed to assess current EPL practice along with barriers and readiness to implement those management options not currently in place. ...Read more >

Our aim is to evaluate a home follow-up alternative after medication abortion using low sensitivity pregnancy testing and a texted survey to assess abortion completion. We plan to enroll a prospective cohort of participants seeking medication abortion following the remote follow-up plan and compare it to a historical cohort of patients from the previous year ...Read more >

Background: Early pregnancy loss (EPL) can safely be managed surgically, medically, or expectantly, and patient preferences, together with provider recommendations, should be used to guide treatment decisions. The management options differ substantially experientially, and both patients and providers acknowledge the complexity of the treatment choice. Decision aids provide evidence-based information, enhance expectation management, result in ...Read more >

Catholic-affiliated hospitals provide an increasingly significant proportion of obstetric care in the United States.  Patients who deliver at Catholic-affillated hospitals encounter unique obstacles to post-partum contraception due to the influence of theologic doctrine on institutional policies prohibiting the provision of contraceptive services. There is growing concern that patients face a multitude of barriers to the receipt ...Read more >

Manual uterine aspiration is a safe management option for early pregnancy loss that can be used inside the emergency department (ED). Manual uterine aspiration use can reduce cost and decrease patient time in the ED. Despite these advantages, manual uterine aspiration has been underused and the reasons for this underuse are not known. The primary ...Read more >

Unintended pregnancy rates in the United States are highest among people between the ages of 18- and 24-years-old, the ages of most traditional college students. Prior studies have reported that unintended pregnancy is a contributor to students leaving college prior to degree completion, thus access to abortion care is important for continued college participation. There ...Read more >

As technology is becoming more integrated into medical care, many specialties are utilizing mobile health (mHealth) and electronic health (eHealth). The benefits have been shown in prenatal care, management of chronic respiratory diseases, and in improving health in older adults, for example. Internationally, abortion hotlines have been used for the provision of medication abortion. Carafem ...Read more >

My proposed study will be a quantitative survey-based study exploring geographical disparities in the management of early pregnancy loss among populations in rural and Urban New Mexico.