Using patient engagement in the design and rationale of a trial for women with depression in obstetrics and gynecology practices.

Introduction: Significant health disparities exist among socioeconomically disadvantaged women, who experience elevated rates of depression and increased risk for poor depression treatment engagement and outcomes. We aimed to use stakeholder input to develop innovative methods for a comparative effectiveness trial to address the needs of socioeconomically disadvantaged women with depression in women's health practices.

Methods: Using a community advisory board, focus groups, and individual patient input, we determined the feasibility and acceptability of an electronic psychosocial screening and referral tool; developed and finalized a prioritization tool for women with depression; and piloted the prioritization tool.

Incidental cystotomy at the time of a hysterectomy.

Objectives: : To evaluate risk factors for incidental cystotomy at the time of a hysterectomy.

Methods: : All hysterectomies performed between January 1, 2000 and May 31, 2004 were reviewed. Demographic and operative data were abstracted from medical records.

Risk factors for the development of vesicovaginal fistula after incidental cystotomy at the time of a benign hysterectomy.

Objective: We sought to evaluate risk factors for vesicovaginal fistula (VVF) after incidental cystotomy during benign hysterectomies.

Study Design: All benign hysterectomies between January 2000 and May 2004 were reviewed. Demographic and operative data were abstracted.

Peripartum contraceptive attitudes and practices.

During pregnancy and the postpartum period, women may be more receptive to different methods of contraception for postpartum use. Few studies have focused on the peripartum population. In this study, currently pregnant and postpartum women were surveyed about their attitudes toward contraception, particularly in relation to the index pregnancy.