SMJ Article | Original Article

Open Access: Mediation Analysis of Maternal Smoking, Gestational Age, and Birth Weight on the Texas–Mexico Border

Objectives: Published data on the indirect effect of maternal smoking on birth weight as mediated by gestational age in Hispanic populations are lacking. Our goal was to conduct such a mediation analysis using data from El Paso County, Texas. Methods: El Paso County is located on the US−Mexico border. A...

Posted in: Pregnancy26 Family Planning & Reproductive Health12

SMJ Article | Original Article

Association of Health Insurance with Contraceptive Use and Interpersonal Quality of Contraceptive Care in the Southeast United States

Objectives: Health insurance remains an important dimension of contraceptive access. This study investigated the role of insurance in contraceptive use, access, and quality in South Carolina and Alabama. Methods: The study used a cross-sectional statewide representative survey that assessed reproductive health experiences and contraceptive use among reproductive-age women in South...

Posted in: Family Planning & Reproductive Health12

SMJ Article | Original Article

A Survey of Louisiana Pediatricians’ Approach to Parenting Teens and Adolescent Reproductive Health

Objective: The American Academy of Pediatrics recommends that pediatricians provide a medical home for adolescent parents, and this study sought to determine pediatricians' compliance with this recommendation within the context of other adolescent reproductive health services provided. Methods: An Internet-based survey was administered to Louisiana pediatricians. The survey contained 17...

Posted in: Family Planning & Reproductive Health12

SMJ Article | Original Article

Women’s Health Provider Perspectives on Reproductive Services Provision in the Veterans Health Administration

Objectives: Women veterans are a fast-growing population in the Veterans Health Administration (VHA), and ensuring reproductive service availability is a VHA priority. As such, we sought to explore barriers and facilitators to VHA reproductive service provision across a catchment area from women’s health providers’ perspectives. Methods: We performed a mixed-methods...

Posted in: Family Planning & Reproductive Health12

SMJ Article | Original Article

Contraception Use and Pregnancy Outcomes for Alabama Medicaid Enrollees: A Baseline Analysis Using 2012–2017 Data

Objectives: Access to the full range of contraceptive methods, including long-acting reversible contraception (LARC), is key for preventing unintended pregnancies and improving health outcomes. In 2019, Alabama Medicaid started paying for LARC devices for postpartum women. In anticipation of evaluating the impact of this programmatic change, we conducted a baseline...

Posted in: Obstetrics and Gynecology59 Family Planning & Reproductive Health12

SMJ Article | Original Article

Body Image and Sexual Function Improve after Both Myomectomy and Hysterectomy for Symptomatic Fibroids

Objectives: To determine the factors that influence the choice of myomectomy, uterine fibroid embolization (UFE), or hysterectomy in women with symptomatic uterine fibroids and to assess women’s perception of body image and sexual functioning before and after treatment. Methods: In this prospective observational cohort pilot study, women scheduled to undergo...

Posted in: Family Planning & Reproductive Health12

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 Gynecology59 Family Planning & Reproductive Health12

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 Gynecology59 Family Planning & Reproductive Health12

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: Hematology10 Menopause: Management, Risks, & Benefits of Therapy1 Family Planning & Reproductive Health12

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 Health12

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