Journal articleContraception · July 14, 2026
OBJECTIVE: To describe patterns in contraceptive use and factors influencing contraceptive decision-making during the post-molar beta-hCG monitoring period. STUDY DESIGN: This was a mixed methods analysis of patients who received care for molar pregnancy a ...
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Journal articleBMC Pregnancy Childbirth · July 2, 2026
Mifepristone availability for medical management of early pregnancy loss (EPL) is limited in some settings. We report a single site, single arm pilot of ulipristal acetate for EPL management as an alternative to mifepristone. While recruitment was challeng ...
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Journal articlePharmacoepidemiol Drug Saf · February 2026
BACKGROUND: Dolutegravir (DTG)-based antiretroviral treatment (ART) is broadly prescribed to treat HIV. Effective family planning methods are important for the health of women with HIV (WWH) and their families. For WWH on DTG-based ART, we compared the typ ...
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Journal articleAIDS Care · January 2026
Limited prospective data exist for long-term hormonal contraceptive continuation rates among women living with HIV. We conducted a prospective cohort study of women living with HIV in Lilongwe, Malawi from 2017 to 2021 and evaluated their contraceptive met ...
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Journal articleObstet Gynecol Surv · August 2025
IMPORTANCE: Intrauterine devices (IUDs) are a safe and highly effective contraceptive method, but pain poses a significant barrier to IUD uptake and satisfaction. Data on existing modalities for insertional pain management are limited, and there remains no ...
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Journal articleAIDS · July 15, 2025
OBJECTIVE: We compared the contraceptive effectiveness of typical-use LNG implant and depot medroxyprogesterone acetate (DMPA) injectable during efavirenz use. DESIGN: We conducted a prospective cohort study of women with HIV (WHIV) on efavirenz-containing ...
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Journal articleJ Womens Health (Larchmt) · March 2025
Objective: To evaluate long-acting reversible contraception (LARC) use versus permanent contraception (PC) use at hospital discharge through 1 year postpartum after an unfulfilled immediate postpartum PC request. Study Design: We present a secondary analys ...
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Journal articleContraception · September 2024
OBJECTIVE: To systematically review the effect of contraceptive methods following gestational trophoblastic disease (GTD) on timing of beta-human chorionic gonadotropin (hCG) remission, risk of post-molar gestational trophoblastic neoplasia (GTN), risk of ...
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Journal articleMatern Child Health J · November 2023
OBJECTIVES: While access to basic emergency obstetric and newborn care is necessary to reduce maternal and neonatal morbidity in low- and middle-income countries, data on the timeliness and quality of care at lower-level facilities is limited. This study e ...
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Journal articlePLOS Glob Public Health · 2023
High rates of maternal and neonatal morbidity and mortality in Kenya may be influenced by provider training and knowledge in emergency obstetric and neonatal care in addition to availability of supplies necessary for this care. While post-abortion care is ...
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Journal articleObstet Gynecol Surv · October 2022
IMPORTANCE: Mifepristone (RU-486) is a selective progesterone receptor modulator that has antagonist properties on the uterus and cervix. Mifepristone is an effective abortifacient, prompting limitations on its use in many countries. Mifepristone has many ...
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Journal articleAm J Prev Med · April 2021
INTRODUCTION: Intimate partner violence and food insecurity are both structural drivers of HIV acquisition, care, and treatment, but little is known about how the 2 conditions intersect in the lives of those already living with HIV. METHODS: This study exa ...
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Journal articlePLoS One · 2021
INTRODUCTION: To improve retention on HIV treatment in Africa, public health programs are promoting a family of innovations to service delivery-referred to as "differentiated service delivery" (DSD) models-which seek to better meet the needs of both system ...
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Journal articleMedEdPORTAL · October 29, 2020
INTRODUCTION: Learning to elicit a sexual history and counsel patients on sexual pain aligns with the Association of Professors of Gynecology and Obstetrics clerkship objectives. This topic can be challenging to cover due to lack of exposure in clinical en ...
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Journal articleObstet Gynecol · September 2019
OBJECTIVE: To evaluate the effect of oral gabapentin in conjunction with usual oral pain management regimens of lorazepam, ibuprofen, oxycodone, and acetaminophen for surgical abortion on pain 5 minutes postprocedure. METHODS: This was a randomized, double ...
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Journal articleAIDS Care · December 2018
Many gaps in care exist for provision of antiretroviral therapy (ART) in sub-Saharan Africa. Differentiated HIV care tailors provision of ART for patients based on their level of acuity, providing alternatives for where, by whom, and how often care occurs. ...
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Journal articleReprod Health · August 8, 2017
BACKGROUND: Factors influencing fertility desires among HIV-infected individuals remain poorly understood. With new recommendations for universal HIV treatment and increasing antiretroviral therapy (ART) access, we sought to evaluate how access to early AR ...
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Journal articleTeach Learn Med · 2016
PROBLEM: Systems-based practice focuses on the organization, financing, and delivery of medical services. The American Association of Medical Colleges has recommended that systems-based practice be incorporated into medical schools' curricula. However, exp ...
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Journal articleLancet HIV · November 2015
BACKGROUND: Concerns have been raised about efavirenz reducing the effectiveness of contraceptive implants. We aimed to establish whether pregnancy rates differ between HIV-positive women who use various contraceptive methods and either efavirenz-based or ...
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Journal articleJ Int AIDS Soc · 2015
INTRODUCTION: Avoiding unintended pregnancies is important for the health of adolescents living with HIV and has the additional benefit of preventing potential vertical HIV transmission. Health facility providers represent an untapped resource in understan ...
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Journal articleMidwifery · January 2014
OBJECTIVE: timely initiation of antenatal care (i.e. within the first trimester) is associated with attendance of the full recommended regimen of antenatal visits. This study assessed social and behavioural factors that affect timely initiation of antenata ...
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