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Intrauterine Drug Delivery Systems01:21

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Controlled-release systems for intravaginal and intrauterine drug delivery have been developed primarily for the administration of contraceptive steroid hormones. These delivery routes circumvent first-pass hepatic metabolism, thereby enhancing bioavailability and allowing for reduced systemic dosages compared to oral administration. Such approaches contribute to improved therapeutic efficacy and patient compliance, particularly in long-term contraceptive regimens.Intravaginal Drug Delivery...

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Intrauterine Device Insertion Practices Among Obstetrician-Gynecologists in Rhode Island.

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Few obstetrician/gynecologists (OB/GYNs) in Rhode Island offer single-visit intrauterine device (IUD) insertion. This limits patient access to convenient IUD placement, with scheduling and insurance posing significant barriers.

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Area of Science:

  • Reproductive Health
  • Gynecology
  • Public Health

Background:

  • Intrauterine devices (IUDs) are highly effective, long-acting reversible contraceptives.
  • Single-visit IUD insertion can improve access and patient satisfaction.
  • Current protocols for single-visit IUD insertion among OB/GYNs are not well-documented in Rhode Island.

Purpose of the Study:

  • To evaluate obstetrician/gynecologist (OB/GYN) protocols for single-visit intrauterine device (IUD) insertion in Rhode Island.
  • To identify barriers to the implementation of single-visit IUD insertion protocols.

Main Methods:

  • An online cross-sectional survey was distributed to OB/GYNs in Rhode Island.
  • The survey assessed current practices and protocols regarding IUD insertion.
  • The primary outcome measured was the proportion of OB/GYNs providing single-visit IUDs.

Main Results:

  • The response rate was 70% (80/114 OB/GYNs).
  • Only 42% of OB/GYNs reported willingness to provide a single-visit IUD, and only 22% reported this is typical in their practice.
  • Barriers included scheduling constraints and insurance/billing issues. Bias was noted, with more OB/GYNs willing to offer IUDs to Black patients than White patients.

Conclusions:

  • Access to single-visit IUD insertion by OB/GYNs in Rhode Island is limited.
  • Systemic barriers and potential implicit bias hinder widespread adoption of single-visit IUD protocols.
  • Further research and interventions are needed to improve access to convenient IUD services.