Clinical
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Interpregnancy Interval Outcomes in Group Prenatal Care vs. Traditional Care
This study demonstrated that, when compared to women receiving conventional prenatal care, CenteringPregnancy care was associated with a substantial decrease in interpregnancy intervals at ≤ 6 and ≤ 12 months and a remarkable increase in postpartum long-acting reversible contraception uptake.
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Labor Epidural Analgesia Is Not Associated with Autism Spectrum Disorder or ADHD in Offspring
Use of epidural analgesia by pregnant women in labor was not associated with an increased risk of autism spectrum disorder or attention-deficit/hyperactivity disorder in the resulting children after controlling for confounding factors, including familial risks.
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Increasing Incidence of Stage IV Cervical Cancer
This study examined the incidence of stage IV cervical cancer in the United States between 2001 and 2018. Rates were highest among Black women, but the annual rate of increase was highest among white women in the South aged 40-44 years. Compared with Black women, white women also had lower rates of guideline-adherent cervical cancer screening, and white teens had lower rates of human papillomavirus vaccination.
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Extended Use of Intrauterine Devices: New Data
In this prospective cohort study, 362 participants started year 6 of the device and 223 women completed eight years of 52-mg levonorgestrel intrauterine device use. For years 6-8, the three-year Pearl Index (95% confidence interval) was 0.28 (0.03-1.00), with a three-year cumulative failure rate of 0.68% (0.17-2.71).
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National Survey Reveals Critical Need for Patient-Centered Counseling
Contraceptive Technology Update asked a Veterans Affairs researcher about her new study involving data on women veterans and contraceptive counseling.
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Patients Report Positive Experiences with Self-Removal of IUDs
Self-removal of IUDs appears to be popular among many people and may empower women, but research indicates successful self-removal is not guaranteed.
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Crisis Pregnancy Centers Often Deliver Coercive, Inaccurate Information
People seeking help with a pregnancy decision may see ads for a free pregnancy test and ultrasound and believe they are visiting a medical clinic, where all of their options will be explored. Instead, they will soon discover that they are visiting a center with no licensed medical providers that is designed to convince them not to seek an abortion.
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Bias-Free Reproductive Health Counseling Can Improve Patient Autonomy
Counseling patients on their contraception choices has always been difficult, but the stakes are higher now in the post-Roe era. New research about provider bias and empowering women to make their own decisions suggests ways to improve contraception counseling.
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Cultural Humility and Other Training for Contraceptive Care Providers
Reproductive health providers might believe they provide unbiased contraceptive counseling, but research shows that this is not always the case. A recent study revealed that providers who said they embraced patient-centered care had used negotiating, withholding information, and delaying tactics to prevent patients from removing an IUD early.
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Suggestions for Teaching Staff How to Counsel Without Bias, Persuasion
Research helps inform training tactics for reproductive health staff on providing contraceptive counseling in a way that patients perceive is unbiased and with cultural humility. These methods can establish trust with patients and improve contraceptive care.