Objectives: Early abortion increasingly is provided in the primary care setting, allowing improved access, continuity of care, and contraception, if desired. We aimed in this retrospective chart review to describe postabortion contraception provision in a family medicine office.
Methods: Participants were those patients who obtained an induced abortion during an 11-year period at a family medicine office.
Objectives: To explore the prevalence of intrauterine device self-removal practices before and during the COVID-19 pandemic among family planning clinics.
Study Design: This is a secondary analysis of data from a descriptive, longitudinal study using a clinic-based convenience sample from the Abortion Clinical Research Network assessing baseline and pandemic-adaptive family planning practices.
Results: Of the 63 sites that provided contraception, 5 (7.
This case demonstrates a successful dilation and evacuation (D&E) at 21 weeks gestation for a patient with abdominal cerclage without initial advanced dilation. We followed a 2-day protocol with placement of 5 laminaria and mifepristone for cervical preparation without complication.
View Article and Find Full Text PDFObjective: Some intrauterine devices (IUD) users self-remove their IUDs, and these experiences are not well understood. This study examines what IUD users post in internet forums about their experience, as well as advice and questions shared among IUD users about self-removal.
Study Design: This study uses qualitative analysis of internet health and parenting forum postings about IUD self-removal identified from an internet search engine.
Objective: The perspectives and experiences of intrauterine device (IUD) users who consider IUD self-removal are largely unknown. This study describes the reasons for IUD self-removal as documented in internet forums by IUD users discussing self-removal.
Study Design: This qualitative study used an internet search strategy to document IUD users' reasons for self-removal in the United States.
Objective: This study describes access and barriers to intrauterine device (IUD) removal appointments in 10 mid-sized cities in the United States.
Study Design: This mystery caller study utilized a sampling frame of health centers in 10 mid-sized cities gathered from 3 search engines. We gathered data about the timing of the next available appointment, the requirements for additional appointments prior to IUD removal, and the out-of-pocket cost.
Patients commonly present with unintended pregnancy in the primary care setting, and 1 in 4 women has an abortion in her lifetime. Early abortion services can be safely provided in the primary care setting. Abortion options provided in primary care settings include both medication abortion and early uterine aspiration abortion.
View Article and Find Full Text PDFObjective: This study describes the perspectives of patients and providers about intrauterine device (IUD) self-removal.
Study Design: This qualitative study is a subanalysis of two datasets from a single project, which included semistructured individual interviews with 15 patients and 12 physicians. We derived the data for this analysis from portions of the interviews pertaining to IUD self-removal and provider removal.
Objective: This study describes the perceptions and experiences of family physicians when women request early intrauterine device (IUD) removal.
Study Design: This qualitative study included semistructured individual interviews with 12 physicians who encountered patients seeking early IUD removal. We identified eligible participants via chart review.
Objective: The objective of this study is to describe the thoughts and experiences of women who report discussing intrauterine device (IUD) removal within 9 months of insertion.
Study Design: This is a qualitative study, consisting of semistructured individual interviews with 16 women who considered early elective IUD removal. We identified eligible participants via chart review.