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Importance Coronavirus disease 2019 (COVID-19) has changed practice patterns resulting in same-day discharge after most urogynecologic surgical procedures. Objective We aimed to determine if COVID-19 practice patterns changed patients' voiding trial (VT) results after surgery. Study Design This is a retrospective cohort study of women undergoing urogynecologic surgery at an academic tertiary care center. We compared patients who had surgery between January 1, 2019, and February 28, 2020, (pre-COVID, discharged on postoperative day [POD] 1) with those who underwent surgery between January 1, 2021, and February 28, 2022, (during COVID, discharged on POD 0 or POD 1). Demographics, surgical characteristics, and VT results were compared using nonparametric tests. A logistic regression was performed to adjust for confounders. P value <0.05 was considered statistically significant. Results A total of 237 patients were included. Patients were mostly White, older than 65 years (interquartile range, 56–73 years), and had a median parity of 2 (interquartile range, 2–3). Approximately 31% of patients in the pre-COVID group failed their VT, whereas 38% in the during-COVID group failed (P = 0.275). Moreover, 40.5% of women discharged the day of surgery failed their VT (P = 0.172). Compared with the pre-COVID group, more patients in the during-COVID group and those discharged on POD 0 contacted their surgeons with questions postoperatively (20.5% vs 35.0% and 35.4%, P = 0.014 and 0.022, respectively). Rates of urinary tract infection were similar by period and discharge day (P > 0.05). There was no statistical association between day of discharge or the COVID-19 pandemic and VT results. Conclusions Neither day of discharge nor the presence of the COVID-19 pandemic had a significant effect on postoperative outcomes, including urinary retention, after urogynecologic surgery. Same-day discharge is appropriate for most patients.

INTRODUCTION: Limited data exist regarding the type of support patients need when experiencing early pregnancy loss (EPL). The objective of this study is to explore how patients emotionally cope with EPL and to assess whether there is interest in a peer EPL doula program with a self-compassion component. METHODS:We conducted semistructured interviews with 21 patients who had experienced EPL in the past 2 years. We evaluated the kinds of support that patients felt were most helpful, interest in a possible peer EPL doula intervention, and concerns or suggestions for the creation of such a program. Content analysis was utilized to process the data and identify themes.

A better understanding of the unique risks for survivors of violence experiencing homelessness could enable more effective intervention methods. The aim of this study was to quantify the risks of death and re-injury for unhoused survivors of violent injuries. This retrospective study included a cohort of patients presenting to the Boston Medical Center Emergency Department between 2009 and 2018 with a violent penetrating injury. Cox proportional hazards regression models were used to estimate hazard ratios (HR) and 95% confidence intervals (95% CI) for the risks of all-cause mortality and violent reinjury within 3 years of the index injury. Of the 2330 patients included for analysis, 415 (17.8%) were unhoused at the time of index injury. Within 3 years of surviving the index injury, unhoused patients were more likely than housed patients to be violently reinjured by all causes (HR = 1.39, 95%CI = 1.06–1.83, p = 0.02), by stab wound (HR = 2.34, 95%CI = 1.33–4.11, p = 0.0003), and by assault (HR = 1.52, 95%CI = 1.05–2.21, p = 0.03). Housed and unhoused patients were equally likely to die within 3 years of their index injury; however, unhoused patients were at greater risk of dying by homicide (HR = 2.89, 95%CI = 1.34–6.25, p = 0.006) or by a drug/alcohol overdose (HR = 2.86, 95%CI = 1.17–6.94, p = 0.02). In addition to the already high risks that all survivors of violence have for recurrent injuries, unhoused survivors of violence are at even greater risk for violent reinjury and death, and fatal drug/alcohol overdose. Securing stable housing for survivors of violence experiencing homelessness, and connecting them with addiction treatment, is essential for mitigating these risks.