Kavita S Arora
Datos Biográficos
| ID | 1735658 |
|---|---|
| NOMBRE | Kavita S Arora |
| NOMBRES | Kavita S |
| APELLIDO | Arora |
| FIRMA | ARORA K S |
| AFILIACIONES | University of North Carolina at Chapel Hill |
| ORCID | 0000-0002-9912-9466 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 24 |
| TOTAL DE CITAS | 1 |
| TOTAL COMO AUTOR | 24 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2014 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 1 |
Postpartum Intrauterine Device Removal and Access to Removal in the 18 Months Following an Intervention in Tanzania, Sri Lanka, and Nepal
Family planning programs in the Global South promote long‐acting reversible contraception (LARC), but research suggests that women face barriers to LARC discontinuation, inhibiting their reproductive autonomy. Scholars have called for improved data visibility around LARC removal access. We use data from the Postpartum Intrauterine Device (PPIUD) Study, a randomized trial of a PPIUD intervention conducted in Nepal, Sri Lanka, and Tanzania from 201…
“I Feel Like there’s a Politician in the Room”
State-level abortion bans enacted after Dobbs v. Jackson may have a deleterious impact on the health of women and may increase maternal morbidity and mortality. In obstetrics-gynecology, strong patient–physician relationships, which are built via patient-centered care strategies, are associated with better pregnancy-related outcomes. Abortion bans may limit physicians’ ability to utilize these strategies by restricting care that can legally be pr…
Association Between Preterm Birth and Fulfillment of Desired Permanent Contraception
Obstetrician-Gynecologist Perspectives and Counseling Practices on the U.S. Medicaid Waiting Period for Permanent Contraception
Long-Acting Reversible Contraception (Larc) Removal and Birth Intendedness
Patient Perspectives on Clinician Support When Pursuing Permanent Contraception in the United States
Background Given the history of coercion in the provision of sterilization, it is important that patients who desire permanent contraception receive patient‐centered care that respects their preferences. Recent literature examining the provision of postpartum permanent contraception has not explored whether patients who desire permanent contraception feel supported by their clinical teams. Methods We interviewed patients from four medical centers…
Medical uncertainty in the shadow of Dobbs
Recent changes to United States medical practice following the U.S. Supreme Court's decision in Dobbs v Jackson Woman's Health Organization have led to new forms of medical uncertainty arising from the interpretation and implementation of state law. Post-Dobbs legal restrictions are particularly challenging because they entail multiple forms of uncertainty that intensify when combined, with risks to pregnant patients and to the clinicians who car…
Sources of moral distress among obstetrician-gynecologists after Dobbs
Since the US Supreme Court's 2022 decision in Dobbs v Jackson Women's Health Organization, 18 states have enacted functional bans on abortion, yet little is known about how these laws contribute to workplace stress and its sequelae among clinicians. The purpose of this study was to characterize sources of moral distress—which occurs when a clinician knows the right course of clinical action but is barred from taking that action by external constr…
Fulfillment of Permanent Contraception among Patients with Cesarean Delivery in a Multi-Site Cohort
Uncertainty in Postpartum Permanent Contraception Decision-Making
Exploring adolescent‐facing US clinicians' perceptions of their contraceptive counseling and use of shared decision‐making
Clinicians in this study frequently engaged in non-patient-centered techniques during contraceptive counseling with adolescents. These findings can inform practice recommendations to support clinicians in providing high-quality contraceptive counseling using shared decision-making
Ethics of a Mandatory Waiting Period for Female Sterilization
Due to a history of coerced sterilization, a federal Medicaid sterilization policy mandates that a specific consent form be signed by a patient at least thirty days prior to when the patient undergoes sterilization. However, in contemporary obstetrical practice, the Medicaid sterilization policy serves as a policy‐level barrier to autonomously desired care. We review the clinical and ethical implications of the current Medicaid sterilization poli…
Ethical challenges for women’s healthcare highlighted by the Covid-19 pandemic
Healthcare policies developed during the COVID-19 pandemic to safeguard community health have the potential to disadvantage women in three areas. First, protocols for deferral of elective surgery may assign a lower priority to important reproductive outcomes. Second, policies regarding the prevention and treatment of COVID-19 may not capture the complexity of the considerations related to pregnancy. Third, policies formulated to reduce infectious…
Changes in Rates of Inpatient Postpartum Long-Acting Reversible Contraception and Sterilization in the USA, 2012–2016
Implicit Bias in Counseling for Permanent Contraception
We provide an overview of the causes, manifestations, and potential mitigating steps regarding implicit bias in counseling for permanent contraception. The historical context of sterilization abuses and the implications of these on society's notions of fitness for parenthood are reviewed. We present contemporary examples of contraceptive coercion and discuss the impact of implicit bias from health care providers. Finally, we outline steps for ens…
Association between neighborhood disadvantage and fulfillment of desired postpartum sterilization
Living in an area with increased neighborhood disadvantage is associated with worse outcomes in terms of desired postpartum sterilization, especially for patients with Medicaid insurance. While revising the Medicaid sterilization policy is important, addressing social determinants of health may also play a powerful role in reducing inequities in fulfillment of postpartum sterilization
Impact of Medical Students on Patient Satisfaction of Pregnant Women in Labor and Delivery Triage
When may government interfere with religious practices to protect the health and safety of children
Should Clinicians Challenge Faith-Based Institutional Values Conflicting with Their Own
Catholic health care organizations generally prohibit their employees from prescribing contraceptives for the purpose of birth control. This restriction might go against a clinician's own beliefs and the explicit wishes of a patient. In this case, Dr. N is being asked by a patient, Ms. K, to code oral contraception as treatment for acne, a noncontraceptive benefit of birth control pills, although both parties know Ms. K's primary desire is to pre…
Balancing Demand for Universally Improved Health Outcomes with Need for a Local Standard of Care
The United States, along with other resource-rich countries, leads global health care by advancing medical care through randomized controlled trials (RCTs). While most medical research is conducted in these resource-rich areas, RCTs, including replications of previous trials, are additionally carried out in low- and middle-income countries. On the basis of positive findings from several RCTs conducted in high-income countries, the Antenatal Corti…
Punishment of Minor Female Genital Ritual Procedures
Female genital alteration ( FGA ) is any cutting, removal or destruction of any part of the external female genitalia. Various FGA practices are common throughout the world. While most frequent in Africa and Asia, transglobal migration has brought ritual FGA to Western nations. All forms of FGA are generally considered undesirable for medical and ethical reasons when performed on minors. One ritual FGA procedure is the vulvar nick ( VN ). This is…
Righting anachronistic exclusions
Recently, the FDA announced that it would soon lift the long-standing lifetime ban on blood donation by men who have sex with men (MSM). Re-examining blood donation by MSM, it is clear that there are several ethical goods that must be balanced. Through balancing the primary duty to safety with the imperatives to craft a policy that is formally equal, upholds the public's trust, and is non-discriminatory, an ethical blood donation deferral guideli…
Eliminating Perinatal HIV Transmission in the United States
Fetal Pain Legislation
Fetal pain legislation attempts to subvert women's autonomy at the expense of ethical practice and women's health
Righting anachronistic exclusions
Recently, the FDA announced that it would soon lift the long-standing lifetime ban on blood donation by men who have sex with men (MSM). Re-examining blood donation by MSM, it is clear that there are several ethical goods that must be balanced. Through balancing the primary duty to safety with the imperatives to craft a policy that is formally equal, upholds the public's trust, and is non-discriminatory, an ethical blood donation deferral guideli…
Fetal Pain Legislation
Fetal pain legislation attempts to subvert women's autonomy at the expense of ethical practice and women's health
Eliminating Perinatal HIV Transmission in the United States
Punishment of Minor Female Genital Ritual Procedures
Female genital alteration ( FGA ) is any cutting, removal or destruction of any part of the external female genitalia. Various FGA practices are common throughout the world. While most frequent in Africa and Asia, transglobal migration has brought ritual FGA to Western nations. All forms of FGA are generally considered undesirable for medical and ethical reasons when performed on minors. One ritual FGA procedure is the vulvar nick ( VN ). This is…
Righting anachronistic exclusions
Recently, the FDA announced that it would soon lift the long-standing lifetime ban on blood donation by men who have sex with men (MSM). Re-examining blood donation by MSM, it is clear that there are several ethical goods that must be balanced. Through balancing the primary duty to safety with the imperatives to craft a policy that is formally equal, upholds the public's trust, and is non-discriminatory, an ethical blood donation deferral guideli…
When may government interfere with religious practices to protect the health and safety of children
Should Clinicians Challenge Faith-Based Institutional Values Conflicting with Their Own
Catholic health care organizations generally prohibit their employees from prescribing contraceptives for the purpose of birth control. This restriction might go against a clinician's own beliefs and the explicit wishes of a patient. In this case, Dr. N is being asked by a patient, Ms. K, to code oral contraception as treatment for acne, a noncontraceptive benefit of birth control pills, although both parties know Ms. K's primary desire is to pre…
Balancing Demand for Universally Improved Health Outcomes with Need for a Local Standard of Care
The United States, along with other resource-rich countries, leads global health care by advancing medical care through randomized controlled trials (RCTs). While most medical research is conducted in these resource-rich areas, RCTs, including replications of previous trials, are additionally carried out in low- and middle-income countries. On the basis of positive findings from several RCTs conducted in high-income countries, the Antenatal Corti…
Impact of Medical Students on Patient Satisfaction of Pregnant Women in Labor and Delivery Triage
Implicit Bias in Counseling for Permanent Contraception
We provide an overview of the causes, manifestations, and potential mitigating steps regarding implicit bias in counseling for permanent contraception. The historical context of sterilization abuses and the implications of these on society's notions of fitness for parenthood are reviewed. We present contemporary examples of contraceptive coercion and discuss the impact of implicit bias from health care providers. Finally, we outline steps for ens…
Association between neighborhood disadvantage and fulfillment of desired postpartum sterilization
Living in an area with increased neighborhood disadvantage is associated with worse outcomes in terms of desired postpartum sterilization, especially for patients with Medicaid insurance. While revising the Medicaid sterilization policy is important, addressing social determinants of health may also play a powerful role in reducing inequities in fulfillment of postpartum sterilization
Ethical challenges for women’s healthcare highlighted by the Covid-19 pandemic
Healthcare policies developed during the COVID-19 pandemic to safeguard community health have the potential to disadvantage women in three areas. First, protocols for deferral of elective surgery may assign a lower priority to important reproductive outcomes. Second, policies regarding the prevention and treatment of COVID-19 may not capture the complexity of the considerations related to pregnancy. Third, policies formulated to reduce infectious…
Changes in Rates of Inpatient Postpartum Long-Acting Reversible Contraception and Sterilization in the USA, 2012–2016
Ethics of a Mandatory Waiting Period for Female Sterilization
Due to a history of coerced sterilization, a federal Medicaid sterilization policy mandates that a specific consent form be signed by a patient at least thirty days prior to when the patient undergoes sterilization. However, in contemporary obstetrical practice, the Medicaid sterilization policy serves as a policy‐level barrier to autonomously desired care. We review the clinical and ethical implications of the current Medicaid sterilization poli…
Sources of moral distress among obstetrician-gynecologists after Dobbs
Since the US Supreme Court's 2022 decision in Dobbs v Jackson Women's Health Organization, 18 states have enacted functional bans on abortion, yet little is known about how these laws contribute to workplace stress and its sequelae among clinicians. The purpose of this study was to characterize sources of moral distress—which occurs when a clinician knows the right course of clinical action but is barred from taking that action by external constr…
Fulfillment of Permanent Contraception among Patients with Cesarean Delivery in a Multi-Site Cohort
Uncertainty in Postpartum Permanent Contraception Decision-Making
Exploring adolescent‐facing US clinicians' perceptions of their contraceptive counseling and use of shared decision‐making
Clinicians in this study frequently engaged in non-patient-centered techniques during contraceptive counseling with adolescents. These findings can inform practice recommendations to support clinicians in providing high-quality contraceptive counseling using shared decision-making
“I Feel Like there’s a Politician in the Room”
State-level abortion bans enacted after Dobbs v. Jackson may have a deleterious impact on the health of women and may increase maternal morbidity and mortality. In obstetrics-gynecology, strong patient–physician relationships, which are built via patient-centered care strategies, are associated with better pregnancy-related outcomes. Abortion bans may limit physicians’ ability to utilize these strategies by restricting care that can legally be pr…
Association Between Preterm Birth and Fulfillment of Desired Permanent Contraception
Obstetrician-Gynecologist Perspectives and Counseling Practices on the U.S. Medicaid Waiting Period for Permanent Contraception
Long-Acting Reversible Contraception (Larc) Removal and Birth Intendedness
Patient Perspectives on Clinician Support When Pursuing Permanent Contraception in the United States
Background Given the history of coercion in the provision of sterilization, it is important that patients who desire permanent contraception receive patient‐centered care that respects their preferences. Recent literature examining the provision of postpartum permanent contraception has not explored whether patients who desire permanent contraception feel supported by their clinical teams. Methods We interviewed patients from four medical centers…
Medical uncertainty in the shadow of Dobbs
Recent changes to United States medical practice following the U.S. Supreme Court's decision in Dobbs v Jackson Woman's Health Organization have led to new forms of medical uncertainty arising from the interpretation and implementation of state law. Post-Dobbs legal restrictions are particularly challenging because they entail multiple forms of uncertainty that intensify when combined, with risks to pregnant patients and to the clinicians who car…
Postpartum Intrauterine Device Removal and Access to Removal in the 18 Months Following an Intervention in Tanzania, Sri Lanka, and Nepal
Family planning programs in the Global South promote long‐acting reversible contraception (LARC), but research suggests that women face barriers to LARC discontinuation, inhibiting their reproductive autonomy. Scholars have called for improved data visibility around LARC removal access. We use data from the Postpartum Intrauterine Device (PPIUD) Study, a randomized trial of a PPIUD intervention conducted in Nepal, Sri Lanka, and Tanzania from 201…
Medicine (22 obras) · Family medicine (13 obras) · Reproductive Health and Contraception (13 obras) · Maternal and Perinatal Health Interventions (9 obras) · Health care (8 obras) · Nursing (8 obras) · Political science (8 obras) · Psychology (8 obras) · Environmental health (7 obras) · Family planning (7 obras)