Scholars@Duke
Beverly Allen Gray

Beverly Allen Gray

Professor of Obstetrics and Gynecology
Obstetrics and Gynecology, Women's Community & Population Health
beverly.gray@duke.edu
Dept of OBGYN, Box 3084, Durham, NC 27710

Selected Publications

Accelerating climate action to promote reproductive health: why? who? how?

Journal Article Am J Obstet Gynecol · May 2026 Climate change has substantial broad implications for individual and population health. This impact on health, as well as the considerable contribution of the healthcare sector to greenhouse gas emissions and waste production, implicates healthcare workers ... Full text Link to item Cite

Pregnancy outcomes among medically complex populations with high risk of pregnancy mortality in Virginia: a retrospective observational study.

Journal Article BMC Med · February 18, 2026 BACKGROUND: Abortion may be medically indicated to avert death or permanent harm of the pregnant person. However, some US states now prevent access to abortion for these patients. To evaluate the population for whom this may cause harm, we aimed to estimat ... Full text Link to item Cite

Perceived feasibility of a multicomponent prenatal intervention on childhood vaccinations: Findings from a national cross-sectional survey of prenatal care providers, April-June 2022.

Journal Article Int J Gynaecol Obstet · June 2025 BACKGROUND: There are inadequate proactive interventions that take advantage of medical contacts during pregnancy to build confidence in vaccines recommended for children after birth. In addition, prenatal providers' perceptions on implementing such proact ... Full text Link to item Cite

Trail Magic.

Journal Article JAMA · August 27, 2024 Full text Link to item Cite

Best Practices for Writing Letters of Recommendation for Maternal-Fetal Medicine Fellowship: An Empty Scoping Review.

Journal Article Am J Perinatol · June 2024 OBJECTIVES: Though letters of recommendation (LOR) for Maternal-Fetal Medicine (MFM) fellowship are a critical part of application process, little is known regarding best practices for writing them. This scoping review sought to identify published data out ... Full text Link to item Cite

Parenthood and Medical Training: Challenges and Experiences of Physician Moms in the US.

Journal Article Teach Learn Med · 2024 Phenomenon: Balancing the demands of medical training and parenthood is challenging. We explored perceptions of programmatic support, parental leave, breastfeeding, and self-reported biggest challenges among a large cohort of physician mothers in a variety ... Full text Link to item Cite

Evidence Based Management of Labor.

Journal Article Obstet Gynecol Surv · January 2024 IMPORTANCE: Induction of labor (IOL) is a common obstetric intervention. Augmentation of labor and active management of the second stage is frequently required in obstetric practice. However, techniques around labor and induction management vary widely. Ev ... Full text Link to item Cite

An ADaptivE PrenaTal (ADEPT) intervention to increase childhood vaccinations: Protocol for a cluster randomized trial and nested mixed methods evaluation.

Journal Article PLoS One · 2024 BACKGROUND: There is limited evidence to assess if interventions implemented during pregnancy proactively mitigate parental vaccine hesitancy and promote timely vaccination among children after birth. This study protocol describes the evaluation of an ADap ... Full text Link to item Cite

Patient and Surgery Characteristics of Inpatient Hysterectomies Among Transgender Individuals.

Journal Article LGBT Health · October 2023 Purpose: The purpose of this study is to estimate population-based rates of inpatient hysterectomy and accompanying bilateral salpingo-oophorectomy by indication and evaluate surgical patient characteristics by indication, year, patient age, and hospital l ... Full text Link to item Cite

Pregnant individuals' information needs and intention to vaccinate their children with routine and COVID-19 vaccines: Findings from a cross-sectional survey.

Journal Article Int J Gynaecol Obstet · July 2023 OBJECTIVE: The current study assessed pregnant individuals' intention to accept routine and COVID-19 vaccines for their baby after birth, and to identify key demographic (e.g., age) and nondemographic characteristics (e.g., prior birth) associated with vac ... Full text Link to item Cite

The Quality and Content of YouTube Videos About Herpes Simplex Virus (HSV) in Pregnancy

Conference AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY · February 2022 Link to item Cite

Reproductive Considerations for the LGBTQ+ Community.

Journal Article Prim Care · June 2021 Featured Publication When working with LGBTQ+ patients who want to build families, primary care providers play a key role in increasing access to reproductive health care. There is growing demand for assisted reproductive services among LGBTQ+ individuals who do not already ha ... Full text Open Access Link to item Cite

Gabapentin as an adjunct to paracervical block for perioperative pain management for first-trimester uterine aspiration: a randomized controlled trial.

Conference Am J Obstet Gynecol · December 2020 BACKGROUND: Pain management approaches during uterine aspiration vary, which include local anesthetic, oral analgesics, moderate sedation, deep sedation, or a combination of approaches. For local anesthetic approaches specifically, we continue to have subo ... Full text Link to item Cite

Resident Education in Complex Obstetric Procedures: Are We Adequately Preparing Tomorrow's Obstetricians?

Journal Article Am J Perinatol · September 2020 OBJECTIVES: The Accreditation Council for Graduate Medical Education (ACGME) milestones for obstetrics and gynecology (OB/GYN) residents include obstetrical technical skills. We sought to describe resident experience with surgical obstetrics and comfort pe ... Full text Link to item Cite

Pain perception with cervical tenaculum placement during intrauterine device insertion: a randomised controlled trial.

Journal Article BMJ Sex Reprod Health · April 2020 INTRODUCTION: 'Slow' and 'cough' techniques for tenaculum placement are commonly used. This trial sought to determine if one method of placement resulted in less pain for patients. METHODS: This study was a randomised controlled trial of patients presentin ... Full text Link to item Cite

Resident Education in Complex Obstetric Procedures: Are We Adequately Preparing Tomorrow's Obstetricians?

Conference Obstetrics & Gynecology · October 2019 PURPOSE:Describe resident experience with surgical obstetrics and comfort in performing those procedures after graduation. ... Full text Cite

Parenthood and Medical Careers: The Challenges and Experiences of Physician Moms in the US

Conference Obstetrics & Gynecology · October 2019 PURPOSE:This survey study sought to gain a better understanding of the experiences and challenges physician moms face during training and as junior faculty. ... Full text Cite

Gabapentin for Perioperative Pain Management for Uterine Aspiration: A Randomized Controlled Trial.

Journal Article Obstet 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 ... Full text Open Access Link to item Cite

Approaches to Vaginal Bleeding and Contraceptive Counseling in Transgender and Gender Nonbinary Patients.

Journal Article Obstet Gynecol · July 2019 The transgender community has faced a long-standing history of prejudice and discrimination that has negatively affected their health. A lack of health care provider education and comfort with transgender medicine further challenges the ability of this pop ... Full text Link to item Cite

Care and Cancer Screening of the Transgender Population.

Journal Article J Womens Health (Larchmt) · June 2019 As sex and gender are assigned at birth before gender identity development, many individuals experience feelings of discordance between their gender identity and their sex and gender assigned at birth. The transgender community has not been well understood ... Full text Link to item Cite

Contraceptive Management for Women Who Are at High Risk of Thrombosis.

Journal Article Clin Obstet Gynecol · June 2018 Managing contraception for women at high risk for thrombosis poses unique challenges. Combined estrogen and progestin contraceptives increase the risk of both venous and arterial thrombosis. They are contraindicated in women with a history of thrombosis an ... Full text Link to item Cite

Closed-Incision Negative-Pressure Therapy in Obese Patients Undergoing Cesarean Delivery: A Randomized Controlled Trial.

Journal Article AJP Rep · July 2017 Background  Postcesarean wound morbidity is a costly complication of cesarean delivery for which preventative strategies remain understudied. Objective  We compared surgical site occurrences (SSOs) in cesarean patients receiving closed-incision negative-pr ... Full text Open Access Link to item Cite