American journal of obstetrics and gynecology
-
Prominent racial/ethnic and socioeconomic disparities in rates of unintended pregnancy, abortion, and unintended births exist in the United States. These disparities can contribute to the cycle of disadvantage experienced by specific demographic groups when women are unable to control their fertility as desired. In this review we consider 3 factors that contribute to disparities in family planning outcomes: patient preferences and behaviors, health care system factors, and provider-related factors. Through addressing barriers to access to family planning services, including abortion and contraception, and working to ensure that all women receive patient-centered reproductive health care, health care providers and policy makers can substantially improve the ability of women from all racial/ethnic and socioeconomic backgrounds to make informed decisions about their fertility.
-
Am. J. Obstet. Gynecol. · Mar 2010
Social disparity and the use of intrapartum epidural analgesia in a publicly funded health care system.
We sought to examine the difference in use of labor epidural analgesia among women from different neighborhood socioeconomic groups. ⋯ The use of labor epidural analgesia is decreased with decreasing neighborhood economic and education levels.
-
Am. J. Obstet. Gynecol. · Mar 2010
Anterior abdominal wall nerve and vessel anatomy: clinical implications for gynecologic surgery.
We sought to describe relationships of clinically relevant nerves and vessels of the anterior abdominal wall. ⋯ Risk of anterior abdominal wall nerve and vessel injury is minimized when lateral trocars are placed superior to the ASISs and >6 cm from midline and low transverse fascial incisions are not extended beyond the lateral borders of the rectus muscles.