Incidents of violence and disruption reported by the National Abortion Federation's Canadian members in 2017
: To explore violence and disruption events reported by Canadian facilities providing abortion care in 2017, when only three provinces had passed safe access zone legislation. (Source: Contraception)
Source: Contraception - September 26, 2021 Category: OBGYN Authors: Kathryn J. LaRoche, Amelia Martzke, Jill Doctoroff, E. Goldberg, Angel M. Foster Tags: Brief Research Article Source Type: research

Abortion as Obtainable: Insights into how Pregnant People in the United States Who Considered Abortion Understand Abortion Availability
In the United States, restrictive abortion policies are concentrated in a subset of states. Little research has examined how people who consider abortion make sense of abortion obtainability and the extent of regulation of abortion care in their state. (Source: Contraception)
Source: Contraception - September 26, 2021 Category: OBGYN Authors: Katrina Kimport, Krystale Littlejohn Source Type: research

Barriers to abortion care and incidence of attempted self-managed abortion among individuals searching Google for abortion care: A national prospective study
Studies on self-managed abortion conducted at abortion clinics may exclude those facing greatest barriers to care. We aimed to assess association of attempted self-managed abortion with reported barriers to abortion care. (Source: Contraception)
Source: Contraception - September 21, 2021 Category: OBGYN Authors: Ushma D Upadhyay, Alice F. Cartwright, Daniel Grossman Source Type: research

Mail-order pharmacy dispensing of mifepristone for medication abortion after in-person clinical assessment
To estimate the effectiveness, acceptability, and feasibility of medication abortion with mifepristone dispensed by a mail-order pharmacy after in-person clinical assessment. (Source: Contraception)
Source: Contraception - September 20, 2021 Category: OBGYN Authors: Daniel Grossman, Sarah Raifman, Natalie Morris, Andrea Arena, Lela Bachrach, Jessica Beaman, M. Antonia Biggs, Curtiss Hannum, Stephanie Ho, Eleanor B. Schwarz, Marji Gold Tags: Original Research Article Source Type: research

Ectopic Pregnancy Prevention: Further Evidence of Benefits of Prescription Contraceptives
To estimate the incidence of ectopic pregnancy (EP) associated with prescription contraceptive use. (Source: Contraception)
Source: Contraception - September 18, 2021 Category: OBGYN Authors: Tina Raine-Bennett, Michael J. Fassett, Malini Chandra, Mary Anne Armstrong, Jiaxiao M. Shi, Vicki Y. Chiu, Amy Alabaster, Stacey Alexeeff, Fagen Xie, Theresa M. Im, Alex Asiimwe, Federica Pisa, Darios Getahun Source Type: research

“We're called upon to be nonjudgmental”: A qualitative exploration of United States medical students’ discussions of abortion as a reflection of their professionalism
We examined the extent to which United States (US) medical students’ discussion of abortion highlights their professionalism according to the six American Association of Medical Colleges (AAMC) professionalism competencies. (Source: Contraception)
Source: Contraception - September 13, 2021 Category: OBGYN Authors: Allison Alden Merz, Elizabeth Janiak, Mugdha Mokashi, Rebecca Allen, Courtney Jackson, Lori Berkowitz, Jody Steinauer, Deborah Bartz Source Type: research

The Effects of Offering Immediate Postpartum Placement of IUDs and Implants to Pregnant Patients with Heart Disease
To evaluate the effects of offering immediate postpartum long-acting reversible contraception to pregnant patients with heart disease. (Source: Contraception)
Source: Contraception - September 13, 2021 Category: OBGYN Authors: Rachel G. Sinkey, Christina T. Blanchard, Julia Maier, Alexia Novara, Sara E. Mazzoni, Alice R. Goepfert, Margaret Boozer, Indranee Rajapreyar, Marc Cribbs, Jeff M. Szychowski, Alan T.N. Tita Tags: Original Research Article Source Type: research

Same-day mifepristone prior to second-trimester induction termination with misoprostol: A retrospective cohort study
: To evaluate whether same-day administration of mifepristone and misoprostol, compared with misoprostol alone, reduces the duration of second-trimester induction of labor for termination of pregnancy or increases the rate of fetal expulsion within 24 hours. (Source: Contraception)
Source: Contraception - September 13, 2021 Category: OBGYN Authors: Rosemary L. Shay, Lyndsey S. Benson, Erica M. Lokken, Elizabeth A. Micks Source Type: research

Promoting Teen-to-Teen Contraceptive Communication with the SpeakOut Intervention, a Cluster Randomized Trial
To improve teen contraceptive use, the SpeakOut intervention combines structured counseling, online resources, and text reminders to encourage teens to share their experiences using intrauterine contraception (IUC) or an implant with peers. (Source: Contraception)
Source: Contraception - September 11, 2021 Category: OBGYN Authors: Kathleen P. Tebb, Christine Dehlendorf, Felicia Rodriguez, Margaret Fix, Daniel J Tancredi, Reiley Reed, Claire D. Brindis, Eleanor Bimla Schwarz Source Type: research

Accuracy of anemia screening by point-of-care hemoglobin testing in patients seeking abortion
Accurate and timely diagnosis of anemia in pregnancy is necessary for safe management of abortion care. Screening for anemia in abortion care is often accomplished using commercially-available point-of-care tests from capillary blood, but the validity of this test has not been investigated in the context of abortion care. We sought to determine the accuracy of a capillary hemoglobin (Hb) among pregnant patients seeking induced abortion. (Source: Contraception)
Source: Contraception - September 10, 2021 Category: OBGYN Authors: Katherine E. Shapiro, Irina A Buhimschi, Jonah Fleisher Tags: Original Research Article Source Type: research

Oral abstracts
The objective of this study was to compare procedural intervention rates following two protocols of third stage labor management after induction termination. (Source: Contraception)
Source: Contraception - September 7, 2021 Category: OBGYN Authors: SR Wright, J Reid, V Cortessis, M Natavio, BT Nguyen, N Bender Source Type: research

Oral abstracts
Objectives: Family planning clinics are well-suited to offer HIV pre-exposure prophylaxis (PrEP) care as a part of a sexually transmitted infection (STI) prevention strategy. We sought to evaluate implementation outcomes of a PrEP care strategy in a hospital-based academic abortion practice. (Source: Contraception)
Source: Contraception - September 7, 2021 Category: OBGYN Authors: S Sonalkar, J Fishman, C Kete, A McAllister, A Frarey, WR Short, CA Schreiber, A Teitelman Source Type: research

Oral abstracts
Objectives: To examine whether peripartum contraceptive care quality improvement efforts are addressing or perpetuating reproductive health injustices. (Source: Contraception)
Source: Contraception - September 7, 2021 Category: OBGYN Authors: M Moniz, K Spector-Bagdady, J Perritt, MI Rodriguez, M Heisler, M Wetmore, C Loder, LH Harris Source Type: research

Oral abstracts
Objectives: Research on how major disruptive events – pandemics, wars, and economic recessions – influence people's pregnancy intentions and fertility yields mixed findings. Experts have speculated about the impact of the COVID-19 pandemic on pregnancy desires, but existing research has major limitations, including being cross-sectional, relying on people's perceptions of their preference changes (rather than documenting actual changes), and lacking valid measures. (Source: Contraception)
Source: Contraception - September 7, 2021 Category: OBGYN Authors: CH Rocca, M Parra, I Munoz, DG Foster, WJ Boscardin, L Ralph Source Type: research

Oral abstracts
Objectives: Widespread misinformation has contributed to belief that abortion has substantial risks, despite the known safety of medication and aspiration abortion. Information is lacking on which complications concern the public most. Our objective was to better understand public perception of short and long-term risks of abortion. (Source: Contraception)
Source: Contraception - September 7, 2021 Category: OBGYN Authors: SR Chaiken, M Schenck, BG Darney, L Han Source Type: research

Oral abstracts
Objectives: To assess the impact of first-person abortion video stories on community-level abortion stigma among US adults. (Source: Contraception)
Source: Contraception - September 7, 2021 Category: OBGYN Authors: AS Cutler, LS Lundsberg, MA White, NL Stanwood, AM Gariepy Source Type: research

Oral abstracts
Objectives: To describe participants ’ process and experience with finding and undergoing a medication abortion by mail with TelAbortion. Findings will be used to understand how to improve this model of care for patients. (Source: Contraception)
Source: Contraception - September 7, 2021 Category: OBGYN Authors: CA Kerestes, R Delafield, J Elia, E Chong, B Kaneshiro, R Soon Source Type: research

Oral abstracts
Objectives: Most polling items that assess abortion labels present pro-life and pro-choice as mutually exclusive options. Yet, some studies suggest a proportion of people identify with both terms, leading to questions about whether there are comprehension challenges associated with this measure. As such, we assessed if and why people may identify as both pro-life and pro-choice. (Source: Contraception)
Source: Contraception - September 7, 2021 Category: OBGYN Authors: KN Jozkowski, KL LaRoche, BL Crawford, F Jackson, RC Turner, W-J Lo Source Type: research

Oral abstracts
Objectives: To explore the relationship of patients ’ self-identified race/ethnicity with perceived race/ethnicity-based discrimination during abortion care. (Source: Contraception)
Source: Contraception - September 7, 2021 Category: OBGYN Authors: GA Aguilar, LS Lundsberg, SD Baer, CA Kennedy, NL Stanwood, AM Gariepy Source Type: research

Oral abstracts
Objectives: Given the legacy of racialized medical mistreatment of Black people, and the paucity of scholarship in this area, our objective is to explore patient-physician mistrust within the abortion care setting. (Source: Contraception)
Source: Contraception - September 7, 2021 Category: OBGYN Authors: T Odum, K Rivlin, A Norris Turner, D Bessett, A Norris, J Brenner-Levoy, Z Muzyczka Source Type: research

Oral abstracts
Objectives: To compare overall continuation rates, discontinuation rates for specific reasons, and product satisfaction with two copper IUDs in nulliparous women. (Source: Contraception)
Source: Contraception - September 7, 2021 Category: OBGYN Authors: D Hubacher, PM Casta ño, AB Goldberg, KO White, BA Chen, AL Nelson, P-L Chen, I Dayananda, JL Kerns, SB Teal Source Type: research

Oral abstracts
Objectives: Scholars are increasingly paying attention to the sexual acceptability of contraception, or how methods impact individuals ’ sex lives and wellbeing. However, we need more information regarding how acceptability may relate to contraceptive “dealbreakers”—or, characteristics that lead women to categorically refuse certain methods. (Source: Contraception)
Source: Contraception - September 7, 2021 Category: OBGYN Authors: C Dalessandro, R Thorpe, JN Sanders Source Type: research

Poster abstracts
Objectives: To evaluate self-reported outcomes and adverse events following a self-managed medication abortion using misoprostol-alone. (Source: Contraception)
Source: Contraception - September 7, 2021 Category: OBGYN Authors: DM Johnson, MG Michels-Gualtieri, R Gomperts, ARA Aiken Source Type: research

Poster abstracts
Objectives: To estimate feasibility, acceptability, and effectiveness of medication abortion with mifepristone dispensed by mail-order pharmacy. (Source: Contraception)
Source: Contraception - September 7, 2021 Category: OBGYN Authors: D Grossman, S Raifman, N Morris, A Arena, LR Bachrach, J Beaman, MA Biggs, C Hannum, S Ho, EB Schwarz, M Gold Source Type: research

Poster abstracts
Objectives: We perform transvaginal intrafetal lidocaine injections to induce fetal demise at the time of dilator placement prior to induced abortion. We evaluated this method's efficacy by injection location, lidocaine dose, and other factors. (Source: Contraception)
Source: Contraception - September 7, 2021 Category: OBGYN Authors: CN Goldfarb, SL Rubin, J Kuperstock, A Picciotto, MF Reeves Source Type: research

Poster abstracts
Objectives: Canada was positioned to transition to telemedicine abortion care during the COVID-19 pandemic because REMs-like mifepristone restrictions were removed previously. We sought to characterize the impact of the pandemic response on Canadian clinical practice and abortion care access from the provider perspective. (Source: Contraception)
Source: Contraception - September 7, 2021 Category: OBGYN Authors: K Wahl, M Ennis, D Jeong, K Knight, R Renner, S Munro, S Dunn, E Guilbert, WV Norman Source Type: research

Poster abstracts
Objectives: Research on misoprostol-alone outside of the clinic setting has found higher levels of abortion completion (95-96%) than established in randomized clinical trials (85%). With less opportunity for surgical intervention and a longer time period to assess completion, studies of misoprostol-alone outside of the clinic context offer an opportunity for a more complete understanding of the effectiveness of misoprostol-alone. To further evaluate effectiveness in out-of-clinic contexts, we undertook a prospective study of the effectiveness of self-managed abortion with misoprostol-alone. (Source: Contraception)
Source: Contraception - September 7, 2021 Category: OBGYN Authors: H Moseson, R Jayaweera, C Bercu, S Carbone, I Egwuatu, B Grosso, IA Kristianingrum, R Motana, S Nmezi, R Zurbriggen, C Gerdts Source Type: research

Poster abstracts
Objectives: To examine how the COVID-19 pandemic impacted abortion care-seeking experiences for people requesting abortion appointments in Washington, DC, Maryland, and Virginia (DMV). (Source: Contraception)
Source: Contraception - September 7, 2021 Category: OBGYN Authors: JL Dozier, C Sufrin, BO Berger, A Burke, SO Bell Source Type: research

Poster abstracts
In this study, we examine the association between sexual orientation and time to abortion clinic contact as well as the association between sexual orientation and time to abortion procedure. (Source: Contraception)
Source: Contraception - September 7, 2021 Category: OBGYN Authors: Z Muzyczka, J Brenner-Levoy, A Norris Turner, A Norris, D Bessett Source Type: research

Poster abstracts
Objectives: Self-managed abortion (SMA, ending one's pregnancy without medical assistance) is criminalized in some states, with some imprisoned for it. We sought to explore the attitudes of people living in these states about legality and criminalization of SMA. (Source: Contraception)
Source: Contraception - September 7, 2021 Category: OBGYN Authors: C Ahlbach, R Schroeder, MA Biggs, L Freedman Source Type: research

Poster abstracts
Objectives: Most research on cost-related abortion barriers relies on clinic-based samples, which likely misses people who never make it through the doors of a clinic. We set out to assess financial obstacles among anonymous posters to a social media site as they were considering abortion. (Source: Contraception)
Source: Contraception - September 7, 2021 Category: OBGYN Authors: JA Higgins, M Lands, T Valley, E Carpenter, L Jacques Source Type: research

Poster abstracts
The objective of this study was to explore 2019 Canadian STMA/TTMA provision and the role of mifepristone from a physician perspective. (Source: Contraception)
Source: Contraception - September 7, 2021 Category: OBGYN Authors: R Renner, M Ennis, A Albert, G Roy, C Styffe, J Barrett Source Type: research

Poster abstracts
This study assesses AL women's self-reported agreement with laws banning abortions prior to and during the debate. Changes in AL women's agreement with abortion bans are compared to those of women in South Carolina (SC), a conservative Southern state that did not pass a law restricting abortion in 2019. (Source: Contraception)
Source: Contraception - September 7, 2021 Category: OBGYN Authors: MG Smith, K Surles, J Lee, NL Hale, AJ Khoury Source Type: research

Poster abstracts
Objectives: Mifepristone became available for first trimester medical abortion (FTMA) in Canada in 2017. Additionally, regulations allow pharmacies to dispense mifepristone directly to patients, facilitating telemedicine. Our objective was to explore the provision of telemedicine for FTMA in 2019. (Source: Contraception)
Source: Contraception - September 7, 2021 Category: OBGYN Authors: M Ennis, R Renner, WV Norman, S Dunn, H Pymar, C Styffe, E Guilbert Source Type: research

Poster abstracts
Objectives: Social media campaigns have mobilized online audiences to share their abortions to combat stigma. However, the individual impact of and risk entailed by publicly sharing one's experience online are not well-characterized. (Source: Contraception)
Source: Contraception - September 7, 2021 Category: OBGYN Authors: HR Reissner, A McGough, M Ponzio, A Cawley, BT Nguyen Source Type: research

Poster abstracts
Objectives: We sought to describe the travel distance and time, cost, and wait time to first available appointment for North Carolina (NC) students seeking a medication abortion at the closest abortion-providing facility. (Source: Contraception)
Source: Contraception - September 7, 2021 Category: OBGYN Authors: MS Peart, AF Cartwright, A Tadikonda, UD Upadhyay, RK Jones, JH Tang, AG Bryant, JE Morse, GS Stuart Source Type: research

Poster abstracts
Objectives: Despite efforts to maintain accessibility of abortion services during the COVID-19 pandemic in Southwest California, we hypothesized that additional barriers, such as financial hardships, shelter-in-place orders, or confusion about availability of services could impact the gestational age (GA) at which people present for abortion care. (Source: Contraception)
Source: Contraception - September 7, 2021 Category: OBGYN Authors: CM Zachek, S Mody, N Siddiqui, S Sandoval, K Bukowski, M Jacobs, S Averbach Source Type: research

Poster abstracts
Objectives: To explore whether believing abortion is illegal affects trimester of presentation for abortion services. (Source: Contraception)
Source: Contraception - September 7, 2021 Category: OBGYN Authors: A Beckmeyer, J Brenner-Levoy, J Hill, A Norris Turner, A Norris, D Bessett, K Rivlin Source Type: research

Poster abstracts
Objectives: To examine the reliability, readability, completeness, and accuracy of medical abortion websites. (Source: Contraception)
Source: Contraception - September 7, 2021 Category: OBGYN Authors: AA Carletti, SJ DeFreese, MJ Chen, L Han Source Type: research

Poster abstracts
Objectives: Community-based provision of early medical abortion (EMA) was introduced in Ireland in early 2019. Multiple visits are required by law, and a telemedicine option was permitted in the context of the COVID-19 pandemic. We sought to describe Irish General Practitioners ’ (GPs) experiences with EMA provision during the pandemic. (Source: Contraception)
Source: Contraception - September 7, 2021 Category: OBGYN Authors: BM Stifani, M Favier, TM Horgan, M Murphy, NC Benfield, W Chavkin Source Type: research

Poster abstracts
Objectives: To compare effectiveness and safety of cervical preparation with osmotic dilators plus same-day misoprostol or overnight mifepristone prior to dilation and evacuation (D&E). (Source: Contraception)
Source: Contraception - September 7, 2021 Category: OBGYN Authors: SJ Lambert, B Lunde, L Porsch, G Stoffels, L MacIsaac, I Dayananda, MV Dragoman Source Type: research

Poster abstracts
Objectives: Endorsement of legal abortion among US adults ranges from 30-90% depending on the circumstance. Yet, if abortion is made illegal, it follows that there may be criminal sanctions or consequences for abortion patients. Legislation is supposed to reflect the will of the people; thus, it is important to understand attitudes toward abortion legality and potential consequences for illegal abortion. (Source: Contraception)
Source: Contraception - September 7, 2021 Category: OBGYN Authors: BL Crawford, KL LaRoche, KN Jozkowski, M Handley, M Solon, RC Turner, W-J Lo Source Type: research

Poster abstracts
This study explores how Reddit users seek out and share information about purchasing abortion pills online. (Source: Contraception)
Source: Contraception - September 7, 2021 Category: OBGYN Authors: RE Lewis, AJ Messing Source Type: research

Poster abstracts
This study aims to assess the preferred terminology among people presenting for abortions and to explore the pregnancy characteristics associated with these preferences. (Source: Contraception)
Source: Contraception - September 7, 2021 Category: OBGYN Authors: S Kaller, L Ralph, E Wingo, MA Biggs Source Type: research

Poster abstracts
Objectives: Given recent policy changes and a shifting political landscape, providers may be able to offer medication abortion with fewer regulatory barriers in the near future. We sought to examine the associations between patient, provider, clinic, and practice variables and provider interest in medication abortion training. (Source: Contraception)
Source: Contraception - September 7, 2021 Category: OBGYN Authors: L Hasselbacher, A Moore, A Rodriguez-Ortiz, C Tyler, ML Gilliam Source Type: research

Poster abstracts
Objectives: Young people seeking abortion in the US South face unique intersecting structural barriers to abortion access. Abortion funds play a pivotal role in mitigating these barriers. We evaluated the sociodemographic and service use characteristics for cases managed by a regional abortion fund in the US Southeast for callers ages 21 and under. (Source: Contraception)
Source: Contraception - September 7, 2021 Category: OBGYN Authors: K Labgold, Q Tinsley Peterson, O Njoku, W Rice Source Type: research

Poster abstracts
Objectives: Medication abortion follow-up historically requires in-person care with ultrasound or laboratory testing. Beginning March 2020, the University of New Mexico (UNM) changed routine medication abortionfollow-up to two telephone calls 7 and 30 days after mifepristone administration with a home urine pregnancy test (UPT) at day 28. We sought to compare medication abortionlost to follow-up (LTFU) rates before and after this change. (Source: Contraception)
Source: Contraception - September 7, 2021 Category: OBGYN Authors: KC Chong, LY Xiong, TR Peterson, CJ Darley, LG Hofler Source Type: research

Poster abstracts
Objectives: While providing medication abortion in primary care has the potential to expand abortion access and decrease stigma, provision of this care is still largely limited to specialized reproductive health clinics. Family physicians are well-positioned to provide medication abortions given their geographic distribution and long-term relationships with patients but face logistical, institutional, and other structural barriers. Our multidisciplinary research team conducted a qualitative study to understand how communications messaging and strategies could be leveraged to encourage family physicians to overcome these ba...
Source: Contraception - September 7, 2021 Category: OBGYN Authors: S Wulf, A Byrne Fields, C Perez, N Razon, L Maldonado, S McNeil, C Dehlendorf Source Type: research

Poster abstracts
Objectives: Since abortion was legalized throughout the US in 1973, states have passed many restrictive abortion policies, including, in some cases, only permitting obstetrician-gynecologist physicians (Ob-Gyn) to provide abortions. There is no data directly comparing patient safety-related outcomes by physician specialty. To understand if patient safety differs by physician specialty, we compared major and any abortion-related morbidity and adverse events in abortion care provided by physicians of other specialties versus Ob-Gyns. (Source: Contraception)
Source: Contraception - September 7, 2021 Category: OBGYN Authors: DS Patel, SCM Roberts, DL Leslie, G Liu, C Weisman, S Horvath, CH Chuang Source Type: research

Poster abstracts
Objectives: In late March 2020, Texas issued an executive order that was interpreted to prohibit most abortions. We compared Texas residents ’ patterns of out-of-state travel before and during the order. (Source: Contraception)
Source: Contraception - September 7, 2021 Category: OBGYN Authors: K White, G Sierra, E Vizcarra, LG Hofler, N Berglas, D Grossman, SCM Roberts Source Type: research