Rachel B Rapkin

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Transobturator midurethral slings were introduced to avoid retropubic complications such as bladder, urethra, bowel, and major vessel injuries. However, complications are not completely eliminated. We present a urethral injury presenting with urge predominant mixed incontinence. The sling was removed transvaginally. Urethral injuries are now less common(More)
OBJECTIVE To compare contraceptive knowledge and use among women seeking emergency contraception (EC) before and after an inner-city clinic began providing structured counseling and offering same-day intrauterine device (IUD) or implant placement to all women seeking EC. STUDY DESIGN For 8 months before and 21 months after this change in clinic policy,(More)
OBJECTIVE To evaluate self-administration of vaginal lidocaine gel to decrease pain with intrauterine device (IUD) insertion in nulliparous women. METHODS In this randomized, double-blind, placebo-controlled trial, women self-administered 2% lidocaine or placebo vaginal gel 5 minutes before IUD insertion. The primary outcome was change in pain from(More)
BACKGROUND When used within 5 days of unprotected sex, emergency contraception (EC) can reduce the risk of pregnancy. Our objective was to explore how often women seeking clinic-based pregnancy testing who do not desire pregnancy might benefit from EC and examine variables associated with patients asking for EC when use is indicated. STUDY DESIGN Women(More)
INTRODUCTION Neural tube defects are the second most common congenital anomaly in the United States, although their incidence may be decreased by periconception folic acid supplementation. A new oral contraceptive containing drospirenone and ethinyl estradiol plus levomefolate calcium was formulated to decrease the risk of neural tube defects in pregnancies(More)
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