- Uterine Myomas and Treatments
- Endometriosis Research and Treatment
- Gynecological conditions and treatments
- Maternal and fetal healthcare
- Reproductive Health and Contraception
- Maternal and Perinatal Health Interventions
- COVID-19 Impact on Reproduction
- Opioid Use Disorder Treatment
- Emergency and Acute Care Studies
- Endometrial and Cervical Cancer Treatments
- Prenatal Substance Exposure Effects
- COVID-19 and healthcare impacts
- Ectopic Pregnancy Diagnosis and Management
- Reproductive System and Pregnancy
- Global Maternal and Child Health
- Maternal Mental Health During Pregnancy and Postpartum
- Cardiac, Anesthesia and Surgical Outcomes
- Anesthesia and Pain Management
- Adolescent Sexual and Reproductive Health
- Menstrual Health and Disorders
- Ethics in Clinical Research
- Trauma and Emergency Care Studies
- Healthcare Policy and Management
- Reproductive Health and Technologies
- Delphi Technique in Research
University of Massachusetts Chan Medical School
2022-2025
Women & Infants Hospital of Rhode Island
2010-2024
Brown University
2015-2024
Island Institute
2011-2023
UMass Memorial Medical Center
2023
Memorial Medical Center
2023
Agency for Healthcare Research and Quality
2022
University of Michigan
2008-2022
Providence College
2006-2021
National Center on Birth Defects and Developmental Disabilities
2020
To assess whether coronavirus disease 2019 (COVID-19) vaccination is associated with changes in cycle or menses length those receiving as compared an unvaccinated cohort.We analyzed prospectively tracked menstrual data using the application "Natural Cycles." We included U.S. residents aged 18-45 years normal lengths (24-38 days) for three consecutive cycles before first vaccine dose followed by vaccine-dose (cycles 4-6) or, if unvaccinated, six over a similar time period. calculated mean...
Objectives To identify whether covid-19 vaccines are associated with menstrual changes in order to address concerns about cycle disruptions after vaccination. Design Global, retrospective cohort study of prospectively collected data. Setting International users the tracking application, Natural Cycles. Participants 19 622 individuals aged 18-45 years lengths 24-38 days and consecutive data for at least three cycles before one covid (vaccinated group; n=14 936), those four over a similar time...
Abstract Objective To assess whether coronavirus disease 2019 (COVID‐19) vaccination impacts menstrual bleeding quantity. Design Retrospective cohort. Setting Five global regions. Population Vaccinated and unvaccinated individuals with regular cycles using the digital fertility‐awareness application Natural Cycles°. Methods We used prospectively collected cycle data, multivariable longitudinal Poisson generalised estimating equation (GEE) models multinomial logistic regression to calculate...
Traditionally, research on abnormal uterine bleeding (AUB) focused measured menstrual blood loss. However, the main burden of this symptom from patient perspective is its impact quality life. Better describing demographic characteristics, life, and utilization medical care women with AUB could assist health resource planning for population. We analyzed data Medical Expenditures Panel Survey 2002 to 2010. was identified by International Classification Diseases, ninth edition (ICD-9) code...
Background People who have or had the potential to menstruate (PPM) with inherited bleeding disorders (BD) face particular challenges receiving appropriate diagnosis and care participating in research. As part of an initiative create a National Research Blueprint for future decades research, Hemophilia Foundation (NHF) American Thrombosis Hemostasis Network conducted extensive all-stakeholder consultations identify priorities PPM BDs those them.Research design methods Working group (WG) 4...
To describe obstetrician-gynecologists' (ob-gyns) knowledge and prescribing practices regarding opioid analgesics.We conducted a cross-sectional survey of national sample American College Obstetricians Gynecologists Fellows Junior who are part the Collaborative Ambulatory Research Network. We used sequential mixed-method approach. collected data on typical practices, including number, type, indication for prescriptions. determined adherence to four recommended practices: 1) screening...
Introduction: Most estimates of the prevalence and types postpartum complications are based on hospital readmissions. However, using readmissions (which occurs in only 1%–2% women) is problematic as it fails to include women with assessed office or emergency department (ED). We utilized data from a cohort evaluated an ED setting better characterize experienced by period. Materials Methods: performed retrospective analysis all visits at tertiary care women's over 6 months. described...
OBJECTIVE: To assess whether menstrual cycle timing (follicular or luteal phase) of coronavirus disease 2019 (COVID-19) vaccine administration is associated with length changes. METHODS: We used prospectively collected (2021–2022) tracking data from 19,497 reproductive-aged users the application “Natural Cycles.” identified was delivered in follicular phase and also included an unvaccinated control group. Our primary outcome adjusted within-individual change (in days) average three cycles...
Objectives of this article are: (1) to explore the effects on women's lives by heavy or irregular menstrual bleeding; and (2) examine whether aspects most affected bleeding were adequately addressed questions that are frequently used in clinical encounters available questionnaires. We conducted four focus group sessions with a total 25 English-speaking women who had reported abnormal uterine bleeding. Discussions included open-ended pertained bleeding, life settings about quality life....
Background: Electronic cigarettes (e-cigarettes) are increasing in popularity the United States. Prior prevalence estimates of e-cigarette use pregnancy range from 1% to 15%. Materials and Methods: We assessed conventional cigarette during preconception or a large sample racially/ethnically diverse, low-income pregnant women via telephone survey (2015–2018) compared sociodemographic characteristics mental health conditions. Results: Of 1365 surveyed, 54 (4.0%) reported (regardless other...
Menstruation is a personal and cultural experience with financial health implications. historically has been managed disposable commodities, including tampons pads. New technologies, underwear menstrual cups discs, have emerged to address diverse needs such as prioritization of sustainability, discretion, inclusivity. technologies are not routinely integrated into history taking or validated questionnaires, which currently rely on traditional tampon pad use for identifying individuals heavy...
Objective To develop a core outcome set for heavy menstrual bleeding (HMB). Design Core (COS) development methodology described by the COMET initiative. Setting University hospital gynaecology department, online international survey and web-based consensus meetings. Population or sample An collaboration of stakeholders (clinicians, patients, academics, guideline developers) from 20 countries 6 continents. Methods Phase 1: Systematic review previously reported outcomes to identify potential...