The study objective was to qualitatively explore experiences and perceptions of a reproductive life planning (RLP) class among women experiencing incarceration. Twelve focus groups were conducted with a total of 59 women, aged 19–44 (median age of 27). Interview transcripts were analyzed using thematic content analysis methodology. Focus group analysis revealed four primary themes: (a) The RLP class was perceived as acceptable by women in a jail setting, (b) jail provides specific opportunities for an RLP class, (c) receptivity to the RLP class was influenced by an ambivalent attitude toward pregnancy, and (d) women want to learn about the range of contraceptive options by an instructor who is competent and empathic. The jail setting is an acceptable and valuable location for educating women about reproductive life planning. With basic needs met and negative distractions removed, the RLP class prompts women to reflect on previous and future reproductive choices.
Over the past decade, telehealth provision of care has become increasingly common. This shift away from in-person clinics may impact the experience of medical learners and the preceptors who train them. This study aimed to measure and compare obstetrics and gynecology resident physicians’ perceived quality of educational feedback during telemedicine compared to in-person clinical encounters. This prospective observational study recruited residents enrolled in a family planning clinical rotation at an academic residency program. After every in-person and telemedicine clinic session from January 2021 to February 2022, participating residents were sent a link to a 3 min survey via text message. Ordinal regression modeling was used to compare Likert responses between the telehealth and in-person clinical settings. All nine residents enrolled in the clinical rotation chose to participate in this study and responded to 114 of 132 survey prompts (86%). Participants positively rated the feedback they received during all clinic sessions. When comparing the two clinic experiences, there was no statistically significant difference in perceived quality of feedback or satisfaction with feedback. Residents’ perception of educational feedback during telemedicine clinic is at least similar for most measures and superior for contraception counseling when compared to an in-person clinic.
1 December 2021 in Obstetrical & Gynecological Survey
(Abstracted from Am J Obstet Gynecol 2021;225:157.e1–157.e9) The perception exists among patients and their health care providers that impaired fertility and infection can be caused by intrauterine device (IUD), despite a retrospective cohort study evaluating IUD use and subsequent infertility finding of no significant association. This prospective cohort study aimed to evaluate the association of IUD use as well as past sexually transmitted infection (STI) and time to conception in a cohort of women discontinuing contraceptive IUD to attempt conception.