Objectives: The objective was to compare the outcomes of surgical evacuation procedures after cervical preparation with either osmotic dilators, or mifepristone followed by misoprostol. This was a non-inferiority design to evaluate whether pharmacologic preparation was significantly worse than osmotic/mechanical dilation. Methods: A randomized controlled trial of 50 women was performed, to compare pharmacologic cervical preparation ...Read more >

Background: The intrauterine device is a long-acting, highly effective, reversible contraceptive that may be underutilized due to fear of pain during insertion. To date, in clinical trials, misoprostol, nonsteroidal anti-inflammatory drugs, paracervical block, and 1 mL of 2% lidocaine gel have been found to be ineffective. Methods: This is a randomized, placebo-controlled, double-blind trial evaluating ...Read more >

The objective of this research project is to use qualitative and quantitative research methods to investigate women’s ambivalence about committing to long-term contraception when they present for EC and to assess how the selection of the copper IUD versus oral LNG for EC affects future use of an effective method of contraception. The aims of ...Read more >

Objectives: We describe payor for contraceptive visits and uptake of long-acting reversible contraception (LARC) during 2013 and 2014, before and after Affordable Care Act (ACA) implementation, in a network of diverse Community Health Centers (CHCs) and estimate the relative contributions of the ACA, Title X, and state 1115 or SPA family planning programs to insurance ...Read more >

Background: The decades-long conflict, human rights violations, and lack of development in Eastern Burma have led to mass displacement of women from Burma into Thailand. These women face significant challenges accessing safe abortion care. Objectives: We evaluated two programs designed to reduce harm from unsafe abortion: a referral program in Northern Thailand and a misoprostol ...Read more >

All women can face obstacles when accessing reproductive health services. For some, obstacles are even greater. Over the last decade, Dr. Davis has created a network of researchers and clinicians dedicated to improving the reproductive health of two special populations: women with epilepsy seeking contraception and women in the second trimester of pregnancy seeking abortion. ...Read more >

Family planning has been shown to save the lives of women and children living in developing countries, yet it is estimated that between one third and nearly half of all women in developing countries using modern reversible contraceptive methods discontinue their method within 12 months of initiation. The objective of this study is to investigate ...Read more >

Objectives: To explore the prevalence of negative experiences with long-acting reversible contraception (LARC), shared by a friend or family member, and to assess the influence of these stories on decision-making. Methods: We performed a sub-study within a randomized controlled trial evaluating a contraceptive counseling intervention for women presenting for induced abortion (n=60). We surveyed participants ...Read more >

Objectives: Expanding medication abortion to the pharmacy setting could help women access safe care. Studies have not evaluated pharmacy interventions. This non-inferiority study in Nepal investigated whether mifepristone-misoprostol medication abortion provided by trained nurses from pharmacies could be as effective and safe as when provided from government-certified abortion facilities. Methods: Nurses in two districts, Chitwan ...Read more >

Objectives: To gain training and expertise in bioethics to inform scholarship and further ongoing bioethical research about Catholic hospital obstetric care. To develop a bioethical framework regarding restrictions on reproductive health care in religious hospitals to inform a sociological crossover book about Catholic health care in the US. Methods: Training was gained through an intensive ...Read more >