Obstetrics/Gynecology General
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Family Planning Providers Can Reduce Negative Perceptions of IUDs
Despite the safety and efficacy of the intrauterine device (IUD) and the reduction of cost barriers since the Affordable Care Act, only about 12% of American women use that method of contraception. Research shows that the women most likely to use an IUD or implant are ages 25 to 34 years, were born outside of the United States, live in a Western state, and report their religious affiliation as “other."
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Clinicians Can Help Reduce Stigma Around Substance Use Disorder
Stigma is a major barrier to women with substance use disorder receiving reproductive healthcare and contraceptives. Clinicians should ask women, including those with substance use disorder, about their goals, values, and what they find most important in contraception.
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Collaboration with Substance Use Treatment Clinics Can Reach More Patients
Women who receive treatment for a substance use disorder would welcome services that integrate their treatment with family planning and contraceptive services, the authors of a recent study found.
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Use Best Practices to Screen Patients for Substance Use Disorder
OB/GYNs and family planning clinicians should screen all patients for substance use disorders, as recommended by researchers and professional guidelines. Recent guidelines from the American College of Obstetricians and Gynecologists’ Committee on Obstetric Practice recommend anyone who enters a physician’s office for reproductive health services receive a screening for a substance use disorder.
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Should Metronidazole Be Added Routinely to Treatment Regimens for PID?
This randomized, double-blind, placebo-controlled trial compared ceftriaxone (250 mg intramuscular once) and doxycycline (100 mg orally twice per day for 14 days) with and without metronidazole (500 mg orally twice per day for 14 days) for the treatment of pelvic inflammatory disease.
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Spacing Childbirth Is Better for Women’s and Children’s Health
Women’s health benefits from waiting at least two years after a live birth before the next pregnancy. The results of a recent study reveal that women are more likely to space out childbearing after participating in a two-year intervention that includes providing women with access to family planning counselors, free transportation to a high-quality family planning clinic, referrals for services, consultations, and financial reimbursement for family planning services.
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Barriers Inhibit Abortion Training for New Doctors
Although access to training in medical and surgical abortion has improved over the decades, barriers still prevent some new physicians from obtaining the training, according to the authors of a recent study.
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State, Federal Regulations on Abortion Increase COVID-19 Risk for Patients
The authors of a recent study quantified the number of medically unnecessary clinical visits for abortion services. They found that more than 31,000 in-person clinic visits would be averted each month if four medically unnecessary state and federal policies were repealed and if 70% of patients received no-test telemedicine abortions.
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Reproductive Health Groups Petition Supreme Court to Stop Trump Rule
Essential Access Health and other family planning advocacy organizations petitioned the Supreme Court to review a Court of Appeals decision that upholds the Trump administration’s Title X regulations and gag rule. Because of the changes, the number of Title X sites in California dropped from 366 to 238.
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Pandemic Affects Reproductive Health, Highlighting Disparities
The COVID-19 pandemic has placed hardships on women seeking contraceptives and abortion care worldwide. It has been particularly deleterious to vulnerable populations. A shadow pandemic has developed of reproductive health disparities and more barriers to contraception.