Objectives: Homeless youth demonstrate high pregnancy rates; such pregnancies are linked to myriad adverse health and life outcomes. Many homeless youth exhibit pregnancy-ambivalent attitudes, yet few research efforts have sought to understand potential influences on such attitude formation that may be found in youths’ complex social networks and surrounding social norms. There is also a ...Read more >

I am seeking a Mid-Career Award in order to continue to mentor a multidisciplinary group of trainees interested in the provision of family planning services. My ultimate goal is to improve birth outcomes by nurturing a team of investigators who are committed to implementing interventions to ensure effective use of contraception by women whose medical ...Read more >

Background: In 2001, Tunisia became the first country in the Arab world to register a dedicated emergency contraceptive pill (ECP). Over the last decade, emergency contraception (EC) has been integrated into both the public and private health sectors and into national service delivery guidelines. In 2005, ECPs were made available, without a prescription, directly from ...Read more >

Introduction: Sayana Press, a subcutaneous formulation of depot medroxyprogesterone acetate (DMPA) prefilled in a Uniject syringe, could potentially improve and expand contraceptive injection services, but acceptability of Sayana Press is unknown. HIV-positive women have a particular need for family planning to avoid unintended pregnancy and risk of vertical transmission. We assessed acceptability of Sayana Press ...Read more >

Persistently high rates of unintended pregnancy in the US suggest a need for new patient-centered approaches to contraceptive acceptability and promotion. A critically understudied aspect of contraceptives are their sexual acceptability, or how methods influence women’s sexual experiences, which can in turn influence family planning clients’ preferences and practices. Moreover, despite professional enthusiasm about long-acting ...Read more >

Catholic health networks have expanded substantially in recent years. These facilities follow the Ethical and Religious Directives for Catholic Healthcare Services, which prohibit abortion, contraception, sterilization, and certain treatment for obstetrical complications or miscarriage. Yet, little is known about patients’ awareness of religious restrictions on care. Defenders of institutionally-based conscience rights assert women can simply ...Read more >

The objective of this study was to explore the challenges that abortion providers in conservative or “red” states are experiencing in this period of intense regulation and restriction, and to document what have been their responses to these challenges. (“Providers” in this case refers to administrators and various levels of staff of independent clinics, and ...Read more >

The etonogestrel (ENG) contraceptive implant (Implanon/Nexplanon) is one of the most effective forms of contraception available. Continuation rates in published studies of Implanon range from 55%-90%; one of the most common reasons for discontinuation is the complaint of “bleeding problems” such as prolonged and frequent bleeding patterns. There is limited evidence supporting ways to improve ...Read more >

Objective: To compare laminaria and Dilapan-S for overnight cervical preparation before dilation and evacuation at 18-24 weeks’ gestation. Methods: This double-blind randomized trial compared laminaria with Dilapan-S for the primary outcome of dilation and evacuation operative time within two cohorts: 18-20 6/7 and 21-23 6/7 weeks’ gestation. We required 160 women to have 80% power ...Read more >

During the Women’s Care 3rd year clerkship, University of Colorado medical students receive one didactic session on abortion. This lecture focuses on surgical techniques and medication protocols and is followed by a case discussion addressing the ethical dilemmas a physician may face when a patient requests pregnancy termination. Students are not specifically trained in options ...Read more >