Blog

Jul 21

Contraceptive Pearl: Contraception During COVID-19: Non-Coercive Contraceptive Counseling

Coercive contraceptive practices have a long history in the United States, beginning in the era of slavery and extending to forced sterilizations as recent as 2010. Forced contraception has targeted primarily low-income, incarcerated, disabled, Indigenous, Black, and Latinx people. Knowing this horrific history, how can we adjust our contraceptive counseling to avoid any semblance bias…

May 20

Contraceptive Pearl: Contraception During COVID-19: Post-Placental IUD Insertion

An intrauterine device (IUD) can be inserted immediately postpartum, minutes after delivery of the placenta. Post-placental IUD insertion is simple and safe, with a low rate of complications. This video demonstrates the procedure. Pregnant patients who choose an IUD can get one without experiencing the risk of an extra office visit during the COVID-19 epidemic. The risk…

May 19

Ectopic Pregnancy: Diagnosis and Management

Hendriks, E, Rosenberg, R, Prine L. Am. Fam Physician. 2020 May 15;101(10)599-606. Link: https://www.aafp.org/afp/2020/0515/p599.html Abstract Ectopic pregnancy occurs when a fertilized ovum implants outside of the uterine cavity. In the United States, the estimated prevalence of ectopic pregnancy is 1% to 2%, and ruptured ectopic pregnancy accounts for 2.7% of pregnancy-related deaths. Risk factors include…

Apr 21

Contraceptive Pearl: Contraception During COVID-19: Self-Administered Progestin Injection: Depo SubQ

Depot medroxyprogesterone acetate (DMPA) can be prescribed as a subcutaneous injection that patients give themselves at home. The self-administered version helps patients avoid the need for office visits during the COVID-19 pandemic. This method, also known as Depo SubQ, contains the same hormone, works in the same way, and has the same medical eligibility criteria…

Feb 18

Contraceptive Pearl: Contraceptive Counseling Through the Lens of Reproductive Justice

Contraceptive counseling is an art. We adapt and improve as we learn from our patients and our colleagues. The SisterSong Women of Color Reproductive Justice Collective defines reproductive justice as the “human right to maintain personal bodily autonomy, have children, not have children, and parent the children we have in safe and sustainable communities.” The United States…