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rameet singh

Rebecca H Allen, Rameet Singh
Satisfactory pain control for women undergoing surgical abortion is important for patient comfort and satisfaction. Clinicians ought to be aware of the safety and efficacy of different pain control regimens. This document will focus on nonpharmacologic modalities to reduce pain and pharmacologic interventions up to the level of minimal sedation. For surgical abortion without intravenous medications, a multimodal approach to pain control may combine a dedicated emotional-support person, visual or auditory distraction, administration of local anesthesia to the cervix with buffered lidocaine and a preoperative nonsteroidal anti-inflammatory drug...
January 31, 2018: Contraception
Shannon L Carr, Rameet H Singh, Andrew L Sussman, Rebecca G Rogers, Brenda Pereda, Eve Espey
OBJECTIVE: To describe women's pain and experiences with immediate postpartum intrauterine device (IUD) insertion (IPPI) following vaginal delivery using a ring forceps insertion technique. STUDY DESIGN: This observational mixed-methods study included women who underwent successful IPPI using ring forceps, with and without epidural analgesia. To describe women's pain during the procedure, we recruited women during antenatal care and at the time of admission for delivery until we collected at least 30 sets of pain scores at two time points (preprocedure and immediately postprocedure) in both groups using two instruments: 100-mm visual analogue scale (VAS) and a 4-point Likert verbal rating scale (VRS) (0=none, 1=mild, 2=moderate, 3=severe)...
March 2018: Contraception
David K Turok, Lawrence Leeman, Jessica N Sanders, Lauren Thaxton, Jennifer L Eggebroten, Nicole Yonke, Holly Bullock, Rameet Singh, Lori M Gawron, Eve Espey
BACKGROUND: Immediate postpartum levonorgestrel intrauterine device insertion is increasing in frequency in the United States, but few studies have investigated the effect of early placement on breast-feeding outcomes. OBJECTIVE: This study examined the effect of immediate vs delayed postpartum levonorgestrel intrauterine device insertion on breast-feeding outcomes. STUDY DESIGN: We conducted this noninferiority randomized controlled trial at the University of Utah and the University of New Mexico Health Sciences Centers from February 2014 through March 2016...
December 2017: American Journal of Obstetrics and Gynecology
Rameet H Singh, Maria Montoya, Eve Espey, Lawrence Leeman
OBJECTIVE: The objective of the study was to compare nitrous oxide with oxygen (N2 O/O2 ) to oral hydrocodone/acetaminophen and lorazepam for analgesia during first-trimester surgical abortion. STUDY DESIGN: This double-blind randomized trial assigned women undergoing first-trimester surgical abortion at<11 weeks' gestation to inhaled N2 O/O2 vs. oral sedation for pain management. The N2 O/O2 group received up to 70:30 ratio during the procedure and placebo pills preprocedure; the oral group received inhaled oxygen during the procedure and oral hydrocodone/acetaminophen 5 mg/325 mg and lorazepam 1 mg preprocedure...
August 2017: Contraception
Emily N Schneider, Regan Riley, Eve Espey, Shiraz I Mishra, Rameet H Singh
OBJECTIVES: To evaluate whether inhaled nitrous oxide with oxygen (N2O/O2) is associated with less pain compared to oral sedation for pain management during in-office hysteroscopic sterilization. STUDY DESIGN: This double blinded randomized controlled trial enrolled women undergoing in-office hysteroscopic sterilization. All participants received pre-procedure intramuscular ketorolac and a standardized paracervical block. The intervention group also received N2O/O2 via a nasal mask titrated to a maximum 70%:30% mixture by a nurse during the procedure and placebo pills pre-procedure and the active control group received inhaled O2 during the procedure and 5/325 mg hydrocodone/acetaminophen and 1 mg lorazepam pre-procedure...
March 2017: Contraception
Meredith Barlow, Eve Espey, Lawrence Leeman, Ariel Scott, Tony Ogburn, Rameet Singh
OBJECTIVE: To evaluate the perceived quality of and satisfaction with sex education among University of New Mexico (UNM) college students. STUDY DESIGN: Survey methods utilized with 18-21- year-old UNM freshmen and sophomores who graduated from a New Mexico high school. The survey included questions about type of sex education, satisfaction with sex education (on a 5-point Likert scale), and impact on sexual decision-making and was emailed to participants. RESULTS: A total of 9,866 surveys were emailed; 2,441 were returned (response rate = 24...
March 2016: Journal of Reproductive Medicine
Rameet H Singh, Neha Bhardwaj, Rebecca G Rogers, Clifford R Qualls, Eve Espey, Lawrence Michael Leeman
INTRODUCTION: To describe contraceptive method adherence at 12 months postpartum in an ethnically diverse primiparous population. METHODS: Primiparous women delivering at greater than 35 weeks of gestation with the nurse-midwifery service at an academic center were followed for 12 months postpartum. Women's self-reported contraceptive choice was collected immediately postpartum and continuation was queried at 1.5, 6, and 12 months. Ethnicity was self-identified...
May 2015: Obstetrics and Gynecology
Rameet H Singh, Lauren D Thaxton, Shannon Carr, Lawrence Michael Leeman, Emily Schneider, Eve Espey
INTRODUCTION: Intrauterine device (IUD) insertion is a painful procedure, particularly for nulliparous women. Interventions to reduce IUD insertion pain have not been identified. Nitrous oxide administered with oxygen is a safe analgesic with minimal side effects. We compared IUD insertion pain reported by nulliparous women randomized to 50/50 nitrous oxide with oxygen versus oxygen alone. METHODS: This double-blind, randomized controlled trial enrolled nulliparous women ages 13-45 years desiring IUD insertion...
May 2015: Obstetrics and Gynecology
Rameet H Singh, Eve Espey, Shannon Carr, Brenda Pereda, Tony Ogburn, Lawrence Leeman
OBJECTIVE: The objective was to determine feasibility of a study comparing mean pain scores between women randomized to nitrous oxide/oxygen (NO) versus oxygen+oral analgesics for trimester surgical abortion. STUDY DESIGN: Pilot randomized controlled trial comparing NO (n=10) versus oxygen+oral analgesics (n=10). Feasibility of subject recruitment, and pain and satisfaction scores on a visual analog scale were evaluated. RESULTS: Fifty-seven percent of eligible women participated...
February 2015: Contraception
Rameet H Singh, Rebecca G Rogers, Lawrence Leeman, Noelle Borders, Jessica Highfill, Eve Espey
OBJECTIVE: The objective of the study was to determine if postpartum contraceptive choices by primiparous women differ by ethnicity. STUDY DESIGN: Retrospective nested cohort study analyzing women's characteristics and contraceptive choice. RESULTS: Of 652 participants, 312 (47.8%) were Hispanic, 287 (44.0%) were non-Hispanic white, and 53 (8.1%) were American Indian (AI). In multivariate analysis, depot medroxyprogesterone acetate (DMPA) and intrauterine device (IUD)/implant choice was related to AI [DMPA: odds ratio (OR) 15...
June 2014: Contraception
Eve Espey, Rameet H Singh, Lawrence Leeman, Tony Ogburn, Kylie Fowler, Heather Greene
OBJECTIVE: To examine the effects of preprocedure misoprostol on intrauterine device (IUD) placement in nulliparous women. STUDY DESIGN: In this randomized controlled double-blind trial at the University of New Mexico reproductive health clinic, nulliparous women requesting an IUD were randomized to 400 mcg of buccal misoprostol or placebo 2-8 hours before insertion. Primary outcomes included pain on a 10-cm visual analog scale and women's perception of the value of delaying insertion for an effective medication...
March 2014: American Journal of Obstetrics and Gynecology
Rameet H Singh, Jonathan M Zenilman, Kathryn M Brown, Tessa Madden, Charlotte Gaydos, Khalil G Ghanem
OBJECTIVE: We evaluated agreement in diagnoses for bacterial vaginosis (BV), Trichomonas vaginalis (TV) and vulvovaginal candidiasis (VVC) between clinicians examining the patient and performing diagnostic tests versus a clinician with access only to the patient's history and diagnostic findings from self-obtained vaginal swabs (SOVS). DESIGN: Women presenting with vaginal discharge to a sexually transmitted infections clinic provided SOVS for evaluation and completed the study and qualitative questionnaires...
May 2013: Sexually Transmitted Infections
Eve Espey, Tony Ogburn, Lawrence Leeman, Rameet Singh, Katie Ostrom, Ronald Schrader
OBJECTIVE: To estimate the effect of progestin-only compared with combined hormonal contraceptive pills on rates of breastfeeding continuation in postpartum women. Secondary outcomes include infant growth parameters, contraceptive method continuation, and patient satisfaction with breastfeeding and contraceptive method. METHODS: Postpartum breastfeeding women who desired oral contraceptives were randomly assigned to progestin-only and combined hormonal contraceptive pills...
January 2012: Obstetrics and Gynecology
Michelle C Fox, Julia Oat-Judge, Kathryn Severson, Roxanne M Jamshidi, Rameet H Singh, Raegan McDonald-Mosley, Anne E Burke
BACKGROUND: We reviewed our experience with intrauterine device (IUD) placement after surgical abortion up to 20 weeks' gestation. STUDY DESIGN: Women presenting for elective abortion between January 2004 and March 2009 who requested an IUD were included in this retrospective review. RESULTS: Of 308 women requesting postabortion IUD placement, 221 (72%) planned insertion at the time of abortion (immediate group) and 87 (28%) planned insertion at their postoperative visit (interval group)...
January 2011: Contraception
Rameet Singh, Jennifer Frost, Beth Jordan, Elisa Wells
No abstract text is available yet for this article.
January 2009: Contraception
Miriam L Cremer, Erica Holland, Maritza Monterroza, Sonia Duran, Rameet Singh, Heather Terbell, Alison Edelman
CONTEXT: To explore the factors that influence rural Salvadoran women to undergo tubal sterilization versus opting for alternative methods of family planning. EVIDENCE ACQUISITION: A moderator fluent in English and Spanish conducted eleven 90-minute focus groups consisting of 5-10 women each. Eligible women in the municipality of San Pedro Perulapan, El Salvador, were identified and recruited by local health workers. Participant demographics and information about family planning decisions were collected through detailed notes and tape-recorded sessions...
2008: Medscape Journal of Medicine
Rameet H Singh, Khalil G Ghanem, Anne E Burke, Mark D Nichols, Kathy Rogers, Paul D Blumenthal
BACKGROUND: The aim of the study was to evaluate pain and predictors of pain in women undergoing electric (EVA) or manual vacuum aspiration (MVA) for first trimester surgical abortions and to examine how perceptions of pain differ among participants, advocates (participant support person) and physicians. STUDY DESIGN: In this randomized controlled study, women presenting for first trimester abortion underwent standardized EVA or MVA. Participants completed questionnaires, visual analog scales (VAS) and Likert scales for pain...
August 2008: Contraception
Rameet H Singh, Emily J Erbelding, Jonathan M Zenilman, Khalil G Ghanem
BACKGROUND: With the advent of molecular techniques, self-collected specimens without a clinician's examination are often adequate to detect common genital infections. OBJECTIVE: To evaluate the additional information that speculum and bimanual examinations provides clinicians in the routine evaluation of genital infections among attendees of a sexually transmitted disease (STD) clinic. METHODS: Cross-sectional study from a database of all visit records to two STD clinics in Baltimore between 1996 and 2002...
June 2007: Sexually Transmitted Infections
Paul D Blumenthal, James Trussell, Rameet H Singh, Amy Guo, Jeffrey Borenstein, Robert W Dubois, Zhimei Liu
OBJECTIVE: This study aims to compare the cost-effectiveness of oral contraceptives (OCs), the levonorgestrel-releasing intrauterine system (LNG-IUS) and surgical management in treating dysfunctional uterine bleeding (DUB) in women not desiring additional children. METHOD: A Markov model was constructed from the perspective of the health services payers for a 5-year period. Treatment costs, DUB treatment success rates and contraception success rates were obtained through a literature review...
September 2006: Contraception
Rameet H Singh, Paul Blumenthal
No abstract text is available yet for this article.
June 2005: Clinical Obstetrics and Gynecology
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