Specialties - Southern Medical Association

SMJ Article | Original Article

Perceived Barriers to Contraceptive Access and Acceptance among Reproductive-Age Women Receiving Opioid Agonist Therapy in Northeast Tennessee

Objectives: Women with substance use disorders experience unique challenges to contraceptive obtainment and user-dependent method adherence, contributing to higher than average rates of unintended pregnancy. This study estimated the prevalence of barriers to contraception and their associations with contraceptive use and unwanted pregnancies among women receiving opioid agonist therapy (OAT)...

Posted in: Obstetrics and Gynecology16 Family Planning & Reproductive Health6

SMJ Article | Acknowledgment

CME Article: Adherence to Guideline-Based Antibiotic Prophylaxis in Gynecology among Alabama Providers

Objectives: Surgical site infection (SSI) is a preventable cause of postoperative morbidity. The appropriate use of perioperative antibiotics for prevention of SSIs is a well-established quality metric. Little is known about the adherence to guidelines-based antibiotic prophylaxis among Alabama obstetricians and gynecologists. Our aims were to determine their adherence to...

Posted in: Obstetrics and Gynecology16

SMJ Article | Original Article

High Prevalence of Buprenorphine in Prenatal Drug Screens in an Appalachian City

Objectives: To define the magnitude of buprenorphine presence in the urine drug screens of pregnant women and to assess the presence of illicit buprenorphine use versus the presence of prescribed buprenorphine use.Methods: Initial prenatal drug screen results for all pregnant patients in our practice for a 1-year period were analyzed...

Posted in: Obstetrics and Gynecology16 Pregnancy3

SMJ Article | Original Article

Uterine Corpus Malignancies in Appalachia Kentucky: Incidence, Survival, and Related Health Disparities

Objectives: Uterine cancer is the nation’s most common gynecologic malignancy, but it is understudied in the geographically and socioeconomically diverse state of Kentucky (KY). Our aim was to assess the frequency, distribution, and survival of uterine corpus malignancies in KY, and specifically the differences between Appalachia (AP) and non-Appalachia (NAP)...

Posted in: Gynecologic Cancer2 Uterine Disorders1

SMJ Article | Original Article

When to Worry about Cancer: Concurrent Carcinoma and Recurrence in Borderline Ovarian Tumors

Objectives: The objectives of this study were to identify and assess the factors associated with concurrent carcinoma and recurrence in women with epithelial borderline ovarian tumors.Methods: The cancer and pathology databases at a tertiary care academic cancer center were queried for all borderline ovarian tumors from 2005 to 2015. Cases...

Posted in: Medical Oncology7 Ovarian Disorders And Female Reproductive Health1 Gynecologic Cancer2 Ovarian Disorders1

SMJ Article | Original Article

Role of Physician Gender in the Modern Practice of Obstetrics and Gynecology: Do Obstetrician-Gynecologists Perceive Discrimination from their Sex?

Objectives: It is unclear whether obstetrician-gynecologists (OBGYNs) experience gender discrimination as a result of patient and organizational gender preferences. Our objective was to evaluate whether the gender preference for OBGYNs resulted in perceptions of discrimination by the physician while simultaneously assessing their patients’ views for choosing their OBGYN.Methods: A survey...

Posted in: Obstetrics and Gynecology16

SMJ Article | Original Article

Healthcare Access, Pregnancy Intention, and Contraceptive Practices Among Reproductive-Aged Women Receiving Opioid Agonist Therapy in Northeast Tennessee

Objectives: Women with substance use disorders often experience unique challenges to obtaining contraception and adhering to user-dependent methods. As a result, this at-risk population of women tends to have higher than average rates of unintended pregnancy. The objective of this study was to describe contraceptive use, pregnancy intentions, and adequacy...

Posted in: Obstetrics and Gynecology16 Family Planning & Reproductive Health6

SMJ Article | Original Article

Contraceptive Methods and the Impact of Menstruation on Daily Functioning in Women with Sickle Cell Disease

Objectives: Women with sickle cell disease (SCD) are living longer as a result of advances in the care of their underlying disease. With the population growing of women living with SCD, reproductive health issues in this population have become an emphasized area of medical care. We sought to describe current...

Posted in: Hematology7 Menopause: Management, Risks, & Benefits of Therapy1 Family Planning & Reproductive Health6

SMJ Article | Original Article

Improving Documentation of Obstetric Anal Sphincter Injuries (OASIS) Using a Standardized Electronic Template at Two University-Affiliated Institutions

Objectives: Adequate repair is vital to reduce the long-term sequelae of obstetric anal sphincter injuries (OASIS). Sufficient documentation is necessary to reflect the quality of care provided, to guide future management, and to reduce medicolegal liability. With the advent of electronic health records, proper methods of documentation can be more...

Posted in: Obstetrics and Gynecology16

SMJ Article | Original Article

Advanced Prescription of Emergency Contraceptive Pills Among Adolescents and Young Adults

Objective: To examine healthcare providers’ adherence to professional recommendations for advanced prescription of emergency contraceptive pills (ECPs). Methods: We conducted a retrospective chart review of 432 visits by 282 unique nonpregnant women 14 to 25 years of age seen at an obstetrics and gynecology teaching clinic to determine the percentage...

Posted in: Family Planning & Reproductive Health6

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