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Open Access Publications from the University of California
Cover page of “I work with what I have”: Managing Medication Abortion and Miscarriage in the Unhoused Community

“I work with what I have”: Managing Medication Abortion and Miscarriage in the Unhoused Community

(2024)

To provide better support to houseless individuals’experiences with MAB.

  • 1 supplemental PDF
Cover page of Demographics of U.S. Medical Students retaining, gaining, or losing interest in OB-GYN

Demographics of U.S. Medical Students retaining, gaining, or losing interest in OB-GYN

(2024)

To describe the race and ethnicity, gender, and financial status of students who remain interested in (retention), become interested in (recruitment), or lose interest in (attrition) OBGYN from matriculation to graduation.

Cover page of Improving Utilization and Quality of Survivorship Care for Patients with Gynecological Malignancies

Improving Utilization and Quality of Survivorship Care for Patients with Gynecological Malignancies

(2023)

After patients end their cancer treatmentand have no evidence of disease, theyenter survivorship portion of their care.

Survivorship programs provide thefollowing services: psychosocial support,nutrition, medication side-effects, geneticcounseling, and fertility concerns throughthe use of treatment summaries andsurvivorship care plans. Patients continue to face difficulty in accessing services.

Objectives: To increase enrollment insurvivorship program.

Cover page of Outcomes of 8-Hour Observation for Dilation and Evacuation at 22 Weeks or Greater

Outcomes of 8-Hour Observation for Dilation and Evacuation at 22 Weeks or Greater

(2023)

Second trimester abortion is associated with higherrates of complications compared to first trimesterabortion. Common complications for second trimester abortioninclude uterine perforation, uterine rupture andhemorrhage.

Standardized interventions for second trimestermedical terminations have not decreased rates ofpostoperative dilation and curettage (D&C) or othercomplications.

Little is known about the frequency or timing ofspecific complications during second trimestertermination of pregnancy.

Current standardized intervention at UC Davis fortermination of pregnancies 22 weeks gestational ageor more requires patients to be observed in the post-anesthesia care unit (PACU) for 8 hours post-operation.

This project aims to evaluate the timing and rates ofcomplications to determine the effectiveness as well aspossible revisions that can be made to the institutionalpostoperative monitoring after dilation and evacuationat 22 weeks gestational age (GA) or further at UC Davis.

  • 1 supplemental PDF
Cover page of Outcomes and risk of complications for patients undergoing dilation and evacuation for intrauterine fetal demise

Outcomes and risk of complications for patients undergoing dilation and evacuation for intrauterine fetal demise

(2023)

Dilation and evacuation (D&E) is safer and more effective than labor induction for uterine evacuation of patients withsecond-trimester intrauterine fetal demise (IUFD). Patients with IUFD are at higher risk of complications, including hemorrhage and disseminated intravascularcoagulation (DIC), compared to patients undergoing D&E for other indications.

We aimed to describe outcomes, rates of complications, and associated risk factors for patients undergoing D&E for IUFD at our institution.

  • 1 supplemental PDF
Cover page of Developing a Pathway for URM Students: Are We Helping?

Developing a Pathway for URM Students: Are We Helping?

(2023)

The UCSF/Kaiser Permanente UndergraduateResearch Internship (URI) is an eight-week pathway program aimed to support underrepresented minority (URM) students through opportunities for clinical shadowing, research, and mentorship.Our objective is to study the impact of URI onparticipants’ self-efficacy and professionaloutcomes.

Cover page of Placental mass in association with neonatal mosaic trisomy 21: genetic makeup consistent with acardiac amorphous twin

Placental mass in association with neonatal mosaic trisomy 21: genetic makeup consistent with acardiac amorphous twin

(2023)

Placental teratomas thought to arisefrom germ cells migrating into extraplacental membranes. Historically, placental teratomas were differentiated from acardiac amorphoustwins by presence of multiple tissuetypes, but lack of axial organization andumbilical cord. New evidence - previously documented placental teratomas may insteadrepresent acardiac amorphous twin given similar pattern of short tandem repeat (STR) polymorphic loci between placental masses (thought to be teratoma) and adjacent normalplacental tissue.

Cover page of Adverse Outcomes of Second Trimester Dilation and Evacuation in Patients with Prior Cesarean Delivery

Adverse Outcomes of Second Trimester Dilation and Evacuation in Patients with Prior Cesarean Delivery

(2023)

Prior Cesarean delivery (CD) has beenshown to increase the overall complication risk in second trimester dilation and evacuation (D&E) procedures; however, little data existsabout frequency of specific risks. The objective is to determine the proportion of patients with prior CD that experienced adverse outcomes associated with D&Eprocedures.