The training and research activities proposed in this Junior Investigator Career Development Award will expand my research program in reproductive health for incarcerated women and set the stage for future grants. I will survey a representative sample of prison and jail systems across the US to prospectively report the aggregate number of pregnant women, abortions, ...Read more >

I seek a Midcareer Mentoring Award to achieve my long-term career objectives: (1) reduce unintended pregnancy through interventions that enhance safe contraceptive health care delivery and improve access for disparate populations and (2) foster a cadre of research-scientists working to enhance family planning services in primary care settings. Since 2006, I have mentored 37 trainees. ...Read more >

Objectives: To assess late presentation for care, gestational age, and disparities in traveling for care in Mexico City’s public abortion program, called ILE. To replicate a recent publication (Koch et al) purporting to show that restrictive abortion laws are associated with reduced maternal mortality in Mexico. Methods: We extracted data from clinical charts and used ...Read more >

The recommended treatment for ongoing pregnancy following medical abortion is usually suction curettage. Limited published data demonstrate that additional misoprostol can successfully terminate ongoing pregnancy, but there is no published literature on the repeat use of a combined mifepristone-misoprostol regimen. This randomized placebo-controlled trial seeks to assess the effectiveness of a repeat course of 200 ...Read more >

Objectives: To date, there has been no research on the abortion experiences of Punjabi women in Canada. Based on registry data, available research focuses solely on sex-selective abortion in immigrant populations. Our study aimed to explore and give voice to Punjabi women’s abortion experience in Ontario (ON) and British Columbia (BC). Methods: We conducted four ...Read more >

Objective: Carbamazepine, a known cytochrome P-450 enzyme inducer, significantly reduces serum hormone levels from oral contraceptives. Despite case reports of contraceptive failure with concomitant use of the etonogestrel contraceptive implant and carbamazepine, no studies have explored the pharmacologic relationship between carbamazepine and non-oral contraceptives. We set out to investigate the pharmacokinetic and pharmacodynamic effects of ...Read more >

In 2011, approximately 1.1 million abortions were performed in the US, and 333,964 of these abortions were performed at Planned Parenthood Federation of America (PPFA) affiliates. PPFA instated new restrictions on intravenous sedation eligibility during surgical abortion. As of March 2015, affiliates can no longer offer sedation to women with a BMI >45 and women ...Read more >

Objectives: This study explored the meaning of abortion work to providers, how providers experience and manage stigmatization of their work, and how these experiences and stigma management strategies differ across providers by clinic type, clinic, work role and individuals. Methods: Data were collected through qualitative observation of clinic settings, in-depth interviews with providers, and quantitative ...Read more >

Sexual and reproductive health (SRH), is an educational content domain at the intersection of health, illness, culture, ethics, and politics, and crucially important for patient care. It is widely recognized as affecting all aspects of health and well-being, and knowledge about it among providers, makes it a growing, but unmet, priority for the healthcare workforce. ...Read more >

Vietnam has one of the highest rates of abortion in the world. It also has a recent history of son preference, demonstrating a skewed sex ratio at birth (SRB) in the past decade. The SRB is especially skewed in northern Vietnam, and varies by socio-demographic characteristics and parity. The country has a total fertility rate ...Read more >