Aileen M. Gariepy

Knowledge, attitudes, and practices regarding conception and fertility: a population-based survey among reproductive-age United States women

OBJECTIVE To assess overall knowledge, attitudes, and practices related to conception and fertility among reproductive-age women in the United States. DESIGN Online survey of a cross-sectional sample of 1,000 women. SETTING United States, March 2013. PATIENT(S) Women aged 18-40 years. INTERVENTION(S) None. MAIN OUTCOME MEASURE(S) Knowledge, attitudes, and practices regarding selected topics in reproductive health. RESULT(S) Forty percent of women across all age groups expressed concerns about their ability to conceive. Yet one-third of women were unaware of adverse implications of sexually transmitted infections, obesity, or irregular menses for procreative success, and one-fifth were unaware of the effects of aging. Approximately 40% were unfamiliar with the ovulatory cycle. Overall, younger women (18-24 years) demonstrated less knowledge regarding conception, fertility, and ovulation, whereas older women tended to believe in common myths and misconceptions. Respondents in all age groups identified womens health care providers (75%) and Web sites (40%) as top sources of reproductive health-related information; however, engagement with providers on specific factors affecting fertility is sparse. CONCLUSION(S) Knowledge regarding ovulation, fertility, and conception is limited among this sample of reproductive-age US women. Future initiatives should prioritize improved provider engagement and accurate information dissemination in Web-based venues.

The impact of out-of-pocket expense on IUD utilization among women with private insurance.

BACKGROUND The study was conducted to evaluate the impact of out-of-pocket expense on intrauterine device (IUD) utilization among women with private insurance. STUDY DESIGN We reviewed the records of all women with private insurance who requested an IUD for contraception from an urban academic gynecology practice from May 2007 through April 2008. For each patient, we determined the out-of-pocket expense that would be incurred and whether she ultimately had an IUD placed. The total charge for placement of a copper or levonorgestrel IUD (including the device) was

Revisiting Essure — Toward Safe and Effective Sterilization

815. RESULTS Ninety-five women requested an IUD during the study period. The distribution of out-of-pocket expense was bimodal: less than

Pravastatin does not prevent antiphospholipid antibody-mediated changes in human first trimester trophoblast function

50 for 35 (37%) women and greater than

Reliability of laparoscopic compared with hysteroscopic sterilization at 1 year: a decision analysis.

500 for 52 (55%) women. Intrauterine device insertion occurred in 24 (25%) women, 19 of whom had an out-of-pocket expense less than

Vitamin D Reverses aPL‐induced Inflammation and LMWH‐induced sFlt‐1 Release by Human Trophoblast

50. In univariate and multivariable analysis, women with insurance coverage that resulted in less than

Wide Variation Found In Hospital Facility Costs For Maternity Stays Involving Low-Risk Childbirth

50 out-of-pocket expense for the IUD were more likely to have an IUD placed than women required to pay

Transvaginal administration of intraamniotic digoxin prior to dilation and evacuation

50 or more (adjusted odds ratio=11.4, 95% confidence interval=3.6-36.6). CONCLUSIONS Women requesting an IUD for contraception are significantly more likely to have an IUD placed when out-of-pocket expense is less than

Cost-effectiveness of immediate compared with delayed postpartum etonogestrel implant insertion.

50.

Are pregnancy planning and timing associated with preterm or small for gestational age births

Essure, a female-sterilization device, is being reevaluated by an FDA panel 13 years after its original approval. Would concerns about its safety and effectiveness have been addressed earlier with better research and result dissemination?