This study uses data from electronic health records to examine the rate of tubal sterilization requests in 3 periods before and after US Supreme Court’s 2022 Dobbs v Jackson Women’s Health Organization decision, compared with same 2019 2021, at a single institution Michigan.

Phenomenon: Reproductive justice (RJ) is defined by women of color advocates as the right to have children, not children and parent while maintaining reproductive autonomy. In United States, physicians been complicit in multiple historical injustices, involving coercive sterilization thousands people color, low income, disabilities. Currently, injustices continue occur; however, no formal RJ medical education address injustices. The objective this study was engage leading within movement...

Inactivation of the transcription factor/tumor suppressor Krüppel-like factor 6 (KLF6) has been described in prostate cancer (PC). This study investigated prevalence and significance KLF6 exon 2 mutations splice variants (SVs) different stages human PC progression. By using laser-capture microdissection recombinant clone isolation DNA sequences to enhance sensitivity, base changes were found 20 (24.7%) 81 tissues versus 1 (4%) 25 normal (P = 0.02). Of 26 changes, 54% produced nonsynonymous...

Abstract Background Amniotic fluid embolism (AFE) is a rare, life threatening obstetric complication, often associated with severe coagulopathy. Induced abortions are extremely safe procedures however complications including AFE can occur. Case presentation A 29-year-old previously healthy woman, gravida 1 para 0, presented for scheduled second trimester induced abortion via dilation and evacuation at 22-weeks gestation. The case was complicated by suspected profound Viscoelastic...

Although reproductive injustices and health disparities are well-documented in the United States, recent studies have begun to explore care professional's role their perpetuation. We hypothesized that obstetrics gynecology residents would observe during training. Thus, using a national survey, we asked share clinical cases which discrimination, bias, inequity, or injustice was involved patient's queried preparedness respond. Through qualitative analysis, found respondents shared involving...

Ensuring patient satisfaction is crucial in obstetrics and gynecology (OB/GYN) care. This study aimed to assess experiences with respectful culturally competent care an institution's OB/GYN clinics following the initiation of diversity, equity, inclusion programming. A survey was conducted from September 2021 February 2022 among patients who had completed outpatient visits, focusing on staff provider cultural competency, treatment discussion, clinic accommodations, comfort during sensitive...

Objective: The purpose of this study was to develop a survey tool capture inappropriate, disrespectful, and coercive (IDC) interactions with healthcare providers among diverse sample university students. Participants: Participants were students at one large Midwestern public university. Methods: An exploratory qualitative approach used create IDC interactions. Results: In Phase I, 9 focus group discussions (FGDs) 3 individual interviews conducted total 38 participants. II, 18 participants...

INTRODUCTION: Ensuring patient satisfaction remains an important objective for obstetrics and gynecology care. To address a research gap in this field, we aimed to assess with culturally competent respectful care our clinics after initiation of diversity, equity, inclusion programming. METHODS: From September 2021 February 2022, surveyed outpatient ob-gyn visitors about their experiences, using 21-item survey that assessed cultural competency, treatment discussions, clinic accommodations,...

INTRODUCTION: Medical students often encounter ethical dilemmas in obstetrics and gynecology clinical training, yet receive limited directed education to help them interpret process these situations. We sought explore students’ described experience with complexities identify sources of conflict inform training improvements. METHODS: From 2019 2022, medical who submitted an essay assignment describe dilemma encountered during their clerkship were invited share work the study team. performed...

Inappropriate, disrespectful, or coercive health care (IDCH) is associated with patient age and sexual orientation gender identity (SOGI) can impact healthcare engagement outcomes. Emerging adulthood a critical period for establishing trust in care, yet little known about university students' IDCH experiences. This study assessed the prevalence identified IDCH-SOGI associations student sample.

Discrimination has historically contributed to coercive contraceptive in the United States. We investigated associations between perceived discrimination, or perception of unequal treatment everyday life, and method use among U.S. women. analyzed population-based data from a 2013 study women who were premenopausal, age 18–50, sexually active with male partner last year not attempting pregnancy. Perceived discrimination was measured using Everyday Scale. Contraceptive categorized into five...

Background The objective of this study was to identify evidence effectiveness community health promotion actions aimed at children and youths. Methods A literature review conducted following the manual ‘Aufbereitung von Evidenz zu Gesundheitsforderung’ (eng. ‘processing promotion’) by Haas et al. 2013. Methods combined approaches …

e15191 Background: Inactivation of KLF6 by mutations and alternative splicing has been implicated in PC. However, there are significant discrepancies among human PC studies concerning the prevalence significance mutations, splice variants (SVs) not established. The objective this study was to assess role progression. Methods: Human specimens were obtained from tissue banks three institutions. Representative epithelium 74 frozen [25 primary hormone-naïve (HN) PCs, 21 hormone-deprived (HD) 6...

INTRODUCTION: Patient race, class and ethnicity influence physician recommendations for contraception. Moreover, patient’s perceived discrimination has been linked to health outcomes healthcare utilization. We investigated associations between patients’ contraceptive method use in premenopausal, sexually active U.S. women. METHODS: used population-based data from the 2013 Women’s Health Care Experiences Preferences study of 18-55 year olds. The survey included items measuring history social...

INTRODUCTION: Hospitals across the country are implementing immediate postpartum long-acting reversible contraceptive (LARC) programs. Our objective was to qualitatively evaluate representative services through lens of clinical ethics. METHODS: We conducted a multiple case study using literature review identify academic hospitals providing LARC. in-person, semi-structured interviews with 66 key informants 11 facilities. Two authors independently analyzed data framework analysis based on...