Does Age Influence Knowledge and Attitudes about Intrauterine Devices?

Primary objectives: Are there differences in attitudes and beliefs about IUDs based on age? We hypothesized that older women may be more familiar with the negative outcomes of earlier models of the IUD and therefore may hold more negative attitudes toward IUDs.https://jdc.jefferson.edu/cwicposters/1016/thumbnail.jp

Utilization of a multimodal preoperative pain regimen prior to gynecologic oncology exploratory laparotomies

Objective: The aim of this study was to evaluate the use of a combination of non-opioid preoperative pain medications including Tylenol, Lyrica, and Celecoxib (TLC) in patients undergoing gynecologic oncologic exploratory laparotomies. We evaluated postoperative narcotic use in morphine equvalents (ME) as well as pain scores, anti-emetic use, and length of stay.https://jdc.jefferson.edu/patientsafetyposters/1055/thumbnail.jp

Comparison of Breastfeeding among White and African American Patients Delivering at Thomas Jefferson University Hospital

BACKGROUND Maternal breastfeeding has been widely accepted as the gold standard for infant nutrition during the first six months of life.1 Healthy People 2020 goals: – 89.1% initiation of breastfeeding – 60.6% breastfeeding for 6 months – 32.4% breastfeeding for 1 year1 Global promotion of breastfeeding though Baby-Friendly Hospital Initiative – Started by WHO and UNICEF in 1991 to assist hospitals in facilitating and promoting breastfeeding – Provides education and skill building for all levels of staff – Recognizes hospitals providing optimal care for infant nutrition2 While the rates of breastfeeding have increased nationally since 1990, the rates among African American women lag behind those of White and Hispanic women. 3 To determine if patterns at Thomas Jefferson University Hospital (TJUH) mirror national trends, we performed a retrospective chart review to analyze how breastfeeding rates differed between African American and White patients. This will provide a standard against which to measure future breastfeeding rates and trends in this patient population

“It’s persuasion disguised as information” The experiences and adaptations of abortion providers practicing under a new law

Background Abortion laws are proliferating in the United States. From 2011 to 2013, 30 states passed a total of 205 abortion restrictions.1 Increasingly, these laws are focused on abortion providers. Such laws have been criticized by professional organizations including the American College of Obstetricians and Gynecologists,2 but few studies have assessed the impact of these laws on abortion providers. In 2011 North Carolina passed HB 854, the “Women’s Right To Know Act” (WRTK). Similar to laws in 26 other states, WRTK mandates a 24-hour waiting period after counseling before an abortion can be performed. Content of the counseling is partially dictated by the state, and contains scripted statements about the potential harms of abortion and pregnancy alternatives. There are no allowances for discretion in consideration of specific patient circumstances. We performed a qualitative study to investigate the impact of the WRTK Act on abortion providers in North Carolina