Lauren Cosgriff, Melissa Plummer, Gabrielle Concepcion, Antoinette A. Danvers
{"title":"Outcomes for Women Denied Postpartum Tubal Ligation During the Initial COVID-19 Surge","authors":"Lauren Cosgriff, Melissa Plummer, Gabrielle Concepcion, Antoinette A. Danvers","doi":"10.1089/whr.2023.0142","DOIUrl":"https://doi.org/10.1089/whr.2023.0142","url":null,"abstract":"Objective: To evaluate the utilization and outcomes of postpartum long-acting reversible contraception (PPLARC) following unmet postpartum bilateral tubal ligation (PPBTL) requests during a time in which elective surgeries were canceled due to the initial COVID-19 surge. Methods: We conducted a mixed-methods study using an embedded design. Using a retrospective cohort design, we collected data from patients seeking PPBTL following vaginal delivery between March 15, 2020, and June 20, 2020; this reflects a time period during which elective surgery was canceled thus making PPBTL unavailable. We recorded demographic data, method of contraception at time of discharge and 18 months postpartum, and incidence of interval pregnancy at 18 months postpartum. Additionally, we conducted five semistructured interviews to gain deeper insights into patient experiences with PPLARC as a bridge method. Results: Forty-five patients had unfilled PPBTL requests with follow-up data available for 35. The median age was 34 years. Ten (22%) accepted PPLARC as a bridge to interval bilateral tubal ligation (BTL). At the 18-month mark, only 1 out of 7 (14.3%) PPLARC users had undergone an interval BTL procedure, compared to 11 out of 28 (39.3%) nonusers. None of the PPLARC users experienced pregnancies, while 6 out of 28 (21.6%) nonusers became pregnant. Qualitative interviews underscored themes such as inadequate counseling preparation for unmet PPBTL requests and persistent barriers to BTL access. Conclusions: Raising awareness of unmet PPBTL risks may drive greater adoption of PPLARC as a bridge method. While not a substitution for PPTBL, PPLARC provides a reliable form of interval contraception for patients seeking to delay pregnancy. It is essential to recognize that patient security with PPLARC's contraceptive efficacy may introduce delays in achieving the desired interval sterilization. Enhancing antenatal counseling on contraception options and providing transparency regarding barriers to sterilization could mitigate the challenges associated with unmet PPBTL requests.","PeriodicalId":509978,"journal":{"name":"Women's Health Reports","volume":"237 ","pages":"352 - 357"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140760448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jie Zhong, Y. Lanier, Audrey Lyndon, Trace S. Kershaw
{"title":"Factors Associated with Family Functioning During Pregnancy by Adolescent and Young Adult Women","authors":"Jie Zhong, Y. Lanier, Audrey Lyndon, Trace S. Kershaw","doi":"10.1089/whr.2023.0083","DOIUrl":"https://doi.org/10.1089/whr.2023.0083","url":null,"abstract":"Introduction: Pregnancy represents a stressful period for both women and their families. Whether the family maintains functioning during pregnancy could have significant implications on maternal and child health. In this study, we explored individual- and family-level factors associated with family functioning in adolescent and young adult mothers. Methods: This study was a secondary analysis of 295 young mothers, ages between 15 and 21 years. Multivariate logistic regression models were conducted to estimate adjusted odds ratios of exploratory factors on the risk of being in high family functioning group. The parent study was approved by the Institutional Review Boards at Yale University. Results: The mean score of family functioning was 5.14 out of 7. With the inclusion of individual-level factors (Model 1), significant associations were observed between high family functioning and having ever attended religious services (OR = 2.22, 95% CI: 1.20–4.09), low perceived discrimination (OR = 3.04, 95% CI: 1.60–5.75), and high perceived social support (OR = 3.74, 95% CI: 2.01–6.95). After including both individual- and family-level factors (Model 2), results identified significant associations between high family functioning and annual household income>$15,000 (OR = 9.82, 95% CI: 1.67–57.67, p = 0.011) and no experience of violence from any family members (OR = 4.94, 95% CI: 1.50–16.21, p = 0.008). Discussion: The models of care should be structured to support the continuity of maternity care in which health care providers have the opportunity to discover and utilize each family's strengths to provide the optimal caring experience for young mothers and their families as a unit.","PeriodicalId":509978,"journal":{"name":"Women's Health Reports","volume":"58 ","pages":"324 - 333"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140761857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Donatella Caserta, F. Costanzi, M. P. De Marco, A. Besharat, Christian Napoli, Maria Rosaria Aromatario, Stefano Palomba
{"title":"Bloodless Gynecological Surgery in Blood Products Refusing Patients: Experience of a Single Institution","authors":"Donatella Caserta, F. Costanzi, M. P. De Marco, A. Besharat, Christian Napoli, Maria Rosaria Aromatario, Stefano Palomba","doi":"10.1089/whr.2023.0156","DOIUrl":"https://doi.org/10.1089/whr.2023.0156","url":null,"abstract":"Propose: This pilot study aimed to apply the central tenets of bloodless surgery and to analyze the effectiveness of specific preoperative, intraoperative, and postoperative strategies to minimize the risk for blood transfusion after gynecological surgery in a specific group of patients who refused blood products. Methods: A total of 83 patients undergoing gynecological surgery were included in the study. Forty-two patients received preoperatively oral iron, acid folic, and vitamin B12 supplementation in the 30 days before surgery, and 41 patients did not receive therapy. Results: No significant differences were found when comparing the two study groups. The implementation of all procedures to maintain a bloodless surgery has been helpful, in association with the other available procedures, in achieving optimal management and maintenance of hemoglobin levels, even in the most critical situations. Conclusion: In conclusion, implementing the bloodless approach as much as possible could guarantee the patient better and safer clinical and care management. Furthermore, well-designed research is required to clarify further the effects of bloodless surgery in gynecological patients.","PeriodicalId":509978,"journal":{"name":"Women's Health Reports","volume":"9 3","pages":"346 - 351"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140766787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kim Templeton, Mary Zimmerman, Dorothy Hughes, Sarah Adkins
{"title":"Response to Bakus et al. re: “Correlations Between Department and Training Program Online Presence and Women in Orthopedic Surgery Training”","authors":"Kim Templeton, Mary Zimmerman, Dorothy Hughes, Sarah Adkins","doi":"10.1089/whr.2024.0002","DOIUrl":"https://doi.org/10.1089/whr.2024.0002","url":null,"abstract":"","PeriodicalId":509978,"journal":{"name":"Women's Health Reports","volume":"33 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139871421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Diana J. Burgess, E. H. Hagel Campbell, M. Branson, Collin Calvert, R. Evans, Kelli D. Allen, A. Bangerter, Lee J. S. Cross, Mary A. Driscoll, Sierra Hennessy, John Ferguson, Jessica Friedman, Marianne S. Matthias, Laura A Meis, Melissa A. Polusny, Stephanie L. Taylor, Brent C. Taylor
{"title":"Exploring Gender Differences in Veterans in a Secondary Analysis of a Randomized Controlled Trial of Mindfulness for Chronic Pain","authors":"Diana J. Burgess, E. H. Hagel Campbell, M. Branson, Collin Calvert, R. Evans, Kelli D. Allen, A. Bangerter, Lee J. S. Cross, Mary A. Driscoll, Sierra Hennessy, John Ferguson, Jessica Friedman, Marianne S. Matthias, Laura A Meis, Melissa A. Polusny, Stephanie L. Taylor, Brent C. Taylor","doi":"10.1089/whr.2023.0086","DOIUrl":"https://doi.org/10.1089/whr.2023.0086","url":null,"abstract":"","PeriodicalId":509978,"journal":{"name":"Women's Health Reports","volume":"337 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139823384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Karen Bethel, R. Warwar, S. Thakore, Emily G. Hurley
{"title":"The Effect of Baseline Ovarian Cyst on Pregnancy Outcomes in Ovulation Induction/Intrauterine Insemination Cycles","authors":"Karen Bethel, R. Warwar, S. Thakore, Emily G. Hurley","doi":"10.1089/whr.2023.0124","DOIUrl":"https://doi.org/10.1089/whr.2023.0124","url":null,"abstract":"","PeriodicalId":509978,"journal":{"name":"Women's Health Reports","volume":"77 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139825465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Melissa N. Slavin, Brooke S. West, Deanna Schreiber-Gregory, Frances R. Levin, Gina Wingood, Steve Martino, Golfo Tzilos Wernette, Chermaine Black, N. El-Bassel
{"title":"Correlates of Unmet Need for Modern Contraception Among Reproductive-Aged Women Involved in New York City Criminal Legal Systems","authors":"Melissa N. Slavin, Brooke S. West, Deanna Schreiber-Gregory, Frances R. Levin, Gina Wingood, Steve Martino, Golfo Tzilos Wernette, Chermaine Black, N. El-Bassel","doi":"10.1089/whr.2023.0177","DOIUrl":"https://doi.org/10.1089/whr.2023.0177","url":null,"abstract":"Introduction: The population of women involved in criminal legal systems (WICL), a majority of whom are reproductive-aged, has risen steadily in the United States. They contend with numerous barriers to sexual and reproductive health services resulting in high rates of unmet need for contraception and unintended pregnancy. Materials and Methods: This study included 132 non-pregnancy seeking reproductive-aged WICL enrolled in the baseline assessment of the HIV prevention intervention, “Women on the Road to Health” (WORTH). A multivariate generalized linear logistic regression model with robust estimation examined effects of past 6-month intimate partner violence (IPV; sexual and physical/injurious), past 3-month substance use (binge drinking, cannabis, other illegal drug use), and lifetime mental health diagnoses (anxiety, depression, bipolar disorder) on women's unmet need for modern contraception, adjusting for significant demographic and socioeconomic factors. Results: Women who were younger in age (odds ratio [OR]: 0.74; 95% confidence interval [CI]: 0.63–0.88) and reporting lifetime diagnoses of anxiety disorders (OR: 13.64; 95% CI: 2.71–68.34) were significantly more likely to meet the criteria for unmet need for modern contraception. Women with a regular gynecologist (OR: 0.11; 95% CI: 0.01–0.86) reporting lifetime diagnoses of bipolar disorder and past 6-month sexual IPV histories (OR: 0.04; 95% CI: 0.002–0.86) were significantly less likely to meet the criteria for unmet need for modern contraception. Conclusions: Distinct mental health diagnoses and experiences of IPV may uniquely impact unmet need for modern contraception among WICL. These findings emphasize the need for a more nuanced comprehension of these relationships to deliver comprehensive and holistic health services that address the intersecting needs of this population. Trial registration: ClinicalTrials.gov NCT01784809. Registered 6 February 2013.","PeriodicalId":509978,"journal":{"name":"Women's Health Reports","volume":"7 12","pages":"132 - 142"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139966305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Karen Bethel, R. Warwar, S. Thakore, Emily G. Hurley
{"title":"The Effect of Baseline Ovarian Cyst on Pregnancy Outcomes in Ovulation Induction/Intrauterine Insemination Cycles","authors":"Karen Bethel, R. Warwar, S. Thakore, Emily G. Hurley","doi":"10.1089/whr.2023.0124","DOIUrl":"https://doi.org/10.1089/whr.2023.0124","url":null,"abstract":"","PeriodicalId":509978,"journal":{"name":"Women's Health Reports","volume":"14 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139885545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kim Templeton, Mary Zimmerman, Dorothy Hughes, Sarah Adkins
{"title":"Response to Bakus et al. re: “Correlations Between Department and Training Program Online Presence and Women in Orthopedic Surgery Training”","authors":"Kim Templeton, Mary Zimmerman, Dorothy Hughes, Sarah Adkins","doi":"10.1089/whr.2024.0002","DOIUrl":"https://doi.org/10.1089/whr.2024.0002","url":null,"abstract":"","PeriodicalId":509978,"journal":{"name":"Women's Health Reports","volume":"34 28","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139811698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}