20 results match your criteria: "DuPont Clinic[Affiliation]"

Objective: To compare patient acceptability of inducing foetal demise procedures between intracardiac lidocaine and intra-amniotic digoxin administration prior to second trimester medical abortion.

Methods: We enrolled a prospective cohort of women who received either intra-cardiac lidocaine or intra-amniotic digoxin during second trimester medical abortion at later gestation (20-28 weeks) at our centre between April 2023 and March 2024. Data were collected prospectively using a structured questionnaire.

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This document serves as a revision to the Society of Family Planning's 2010 guidelines, integrating literature on new techniques and research and addressing the clinical, medical, and sociolegal questions surrounding the induction of fetal asystole. Insufficient evidence exists to recommend routine induction of fetal asystole before previable medication and procedural abortion. However, at periviable gestations and after fetal viability, inducing fetal asystole before abortion prevents the infrequent but serious occurrence of unanticipated expulsion of a fetus with cardiorespiratory activity (Best Practice).

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This document serves as a revision to the Society of Family Planning's 2010 guidelines, integrating literature on new techniques and research and addressing the clinical, medical, and sociolegal questions surrounding the induction of fetal asystole. Insufficient evidence exists to recommend routine induction of fetal asystole before previable medication and procedural abortion. However, at periviable gestations and after fetal viability, inducing fetal asystole before abortion prevents the infrequent but serious occurrence of unanticipated expulsion of a fetus with cardiorespiratory activity (Best Practice).

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Pregnancy after Tubal Sterilization in the United States, 2002 to 2015.

NEJM Evid

September 2024

DuPont Clinic and Department of Population, Family, and Reproductive Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore.

Article Synopsis
  • Tubal sterilization is the leading contraceptive method in the U.S., and this study investigates the rates of pregnancy following the procedure using data from the National Survey of Family Growth over various years.
  • Results indicate that 2.9 to 5.2% of participants reported pregnancies after tubal sterilization, with lower rates associated with postpartum procedures compared to interval procedures, although this was not consistent in all analyses.
  • The study found that older age at the time of sterilization decreased the likelihood of pregnancy, while factors such as race/ethnicity, education, and Medicaid funding did not have consistent impacts on post-sterilization pregnancy rates.
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Patient Preferences for Immediate Compared With Delayed Postpartum Intrauterine Device Placement.

Obstet Gynecol

September 2024

Department of Obstetrics and Gynecology, NYU Grossman School of Medicine, New York, New York; the Division of Complex Family Planning, Department of Obstetrics and Gynecology, and the Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, and the Center for Health Equity Research and Promotion, Philadelphia VA Medical Center, Philadelphia, Pennsylvania; and the DuPont Clinic, Washington, DC.

Objective: To use choice-based conjoint survey methodology to evaluate patient values and decision making regarding immediate compared with delayed placement of postpartum intrauterine devices (IUDs).

Methods: We conducted a cross-sectional study in which we surveyed 200 nonpregnant, parous patients. Participants chose between hypothetical postpartum IUDs varying in multiple attributes (hormonal or nonhormonal IUD type, placement timing, 1-year efficacy, expulsion risk, risk of lost strings, and malposition risk).

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Objectives: To compare one-day versus two-day mifepristone-misoprostol interval in late second trimester medication abortion.

Study Design: This retrospective cohort study was conducted at St. Paul's Hospital Millennium Medical College, in Ethiopia.

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Cabergoline for Lactation Inhibition After Second-Trimester Abortion or Pregnancy Loss: A Randomized Controlled Trial.

Obstet Gynecol

June 2023

Department of Obstetrics and Gynecology, Family Planning Services and Research Section, Stanford University School of Medicine, Palo Alto, California; and DuPont Clinic, Washington, DC.

Objective: To assess cabergoline's efficacy at decreasing breast symptoms after second-trimester abortion or pregnancy loss.

Methods: This was a double-blinded, block-randomized superiority trial comparing cabergoline 1 mg once to placebo for preventing bothersome breast engorgement after second-trimester uterine evacuation. We enrolled pregnant people at 18-28 weeks of gestation who were English- or Spanish-speaking and without contraindication to the study drug.

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Objectives: To assess the analgesic efficacy of preoperative gabapentin among patients undergoing dilation and evacuation (D&E) with moderate sedation.

Study Design: We conducted a randomized, controlled, double-blind trial among patients undergoing same-day D&E at 14 to 19 weeks gestation under moderate sedation. We randomized participants 1:1 to gabapentin 600 mg or placebo after cervical preparation at least 1 hour prior to D&E.

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Introduction: We sought to assess the efficacy of transabdominal intrafetal lidocaine to achieve fetal demise before pregnancy termination.

Methods: This study was a retrospective cohort analysis of patients undergoing transabdominal intrafetal lidocaine injections prior to abortion procedures after 24 weeks from January 2018 to June 2020 at DuPont Clinic, an outpatient obstetrics and gynaecology clinic in Washington, DC, USA. We recorded data on maternal factors, gestational age, time of injection and fetal asystole, and injection dose and location.

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Article Synopsis
  • The study aimed to compare the effectiveness and side effects of using misoprostol alone versus with hygroscopic dilators for cervical preparation prior to dilation and evacuation (D&E) before 20 weeks of pregnancy.
  • A total of 163 women were randomized, with results showing that the use of hygroscopic dilators increased overall procedure time by 3.2 minutes but did not significantly shorten the actual D&E time.
  • Additionally, women taking buccal misoprostol experienced fewer chills compared to those taking vaginal misoprostol, suggesting a preference for buccal administration due to fewer side effects.
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This article has been withdrawn at the request of the author(s) and/or editor. The Publisher apologizes for any inconvenience this may cause. The full Elsevier Policy on Article Withdrawal can be found at https://www.

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