Facilitators and Barriers to Implementation of Long-Acting Reversible Contraceptive Services for Adolescent Girls and Young Women in Gaborone, Botswana.

Study Objective: Botswana has a high pregnancy rate among adolescent girls and young women (AGYW). Long-acting reversible contraceptive (LARC) use among AGYW in Botswana is low, despite its high effectiveness for preventing pregnancy. Using an implementation science framework, we assessed barriers and facilitators to LARC implementation among AGYW in Botswana.

Preconception and Interconception Pediatric Primary Care Utilization of Pregnant and Parenting Teens.

Purpose: Gaps in preventive care may contribute to adverse outcomes among pregnant teens. This study quantified teen preventive care utilization before and after pregnancy.

Methods: A continuous retrospective cohort identified 150 teens with a positive pregnancy test (July 2015 to May 2017) at two pediatric primary care sites.

Clinical, Hormonal, and Metabolic Parameters in Women with Subclinical Hypothyroidism and Polycystic Ovary Syndrome: A Cross-Sectional Study.

Background: Polycystic ovary syndrome (PCOS) is the most common endocrinopathy in reproductive age women, yet its clinical presentation shares similarities with several other endocrine disorders such as thyroid disease. Hence, the objective of this study was to further evaluate this association by investigating the clinical, hormonal, and metabolic parameters between subclinical hypothyroidism (SCH) and PCOS.

Methods: This is a cross-sectional study conducted in a tertiary care clinic at Cleveland, Ohio, USA.

Surgical anatomy of supraumbilical port placement: implications for robotic and advanced laparoscopic surgery.

Objective: To describe the surgical anatomy of the supraumbilical region and to provide guidelines for insertion technique.

Design: Educational video.

Setting: Tertiary university hospital.

Standardization of laparoscopic pelvic examination: a proposal of a novel system.

Objective. Laparoscopic pelvic assessment is often performed in a nonstandardized fashion depending on the surgeon's discretion. Reporting anatomic findings is inconsistent and lesions in atypical locations may be missed.

Accessory and cavitated uterine mass with functional endometrium in an adolescent: diagnosis and laparoscopic excision technique.

Study Objective: Accessory and cavitated uterine masses (ACUM) with functional endometrium can be treated successfully with laparoscopic excision. The objectives of this report are to illustrate the surgical technique used for the removal of this uterine wall mass and to discuss the patient's clinical course and outcomes.

Design: Surgical technique and description of 1 case.

Standardization of laparoscopic pelvic examination.

Objective: To propose a novel standardized and reproducible system to be used for reporting positive and negative findings during diagnostic and operative laparoscopy based on anatomical landmarks.

Design: Video presentation of clinical article. The video uses animation and surgical cases to demonstrate a systematic examination of the female pelvis based on anatomical landmarks to establish a standardized way of reporting.