posttests assessed HPV knowledge and intention to get vaccinated. Chief endpoints are difference between preand-postintervention proportion intending to get vaccinated and rate of making vaccine appointments on exiting intervention.RESULTS: Forty-nine (84%) attended their assigned intervention. Postintervention increase in intention to vaccinate was statistically significant in Group 3 (3-11; P5.033), in Group 2+3 (6-17; P5.022), and for the entire population (9-21; P5.028), but was not significant in Groups 1, 2, or 1+2 (Fig. 1). Rates of making a vaccine appointment immediately postintervention were: 9% (1/11) for Group 1, 40% (6/15) for Group 2, 17% (4/23) for Group 3, 26% (10/38) for Group 2+3, and 22% (11/49) for the total (Fig. 2). CONCLUSIONS:A 20-minute presentation by a gynecologic oncologist±interactive patient with cancer, increased college females' intent to vaccinate by 281% and yielded a 26% postintervention appointment rate. We will follow up with vaccination rates after 1 year.

Magnesium is well known in the world of obstetrics for many important uses. It has been utilized in treating pre-eclampsia, eclampsia, and preventing preterm labor, though it has been found recently that prolonged magnesium administration in pregnant women may result in adverse outcomes to fetal bone metabolism, resulting in a new FDA warning [1]. Outside of obstetrics, magnesium is recommended for treating the arrhythmias torsades de pointes and rapid atrial fibrillation, treating severe acute asthma, improving migraine symptoms, and for treating dyspepsia and constipation [2]. Many women in our modern society are magnesium deficient due to low dietary intake, and low dietary magnesium intake resulting in hypomagnesaemia has recently been shown to have many deleterious effects. Magnesium's uses are wide-reaching, touching many areas of women's health and gynecology from pre-menstrual syndrome to menopause, PCOS to endometriosis, and beyond.

Objective: This is a prospective observational cohort study with the objective of assessing adherence to the American College of Obstetricians and Gynecologists guidelines regarding the first prenatal visit and determining what patient and provider factors are associated with high adherence in a faculty obstetric clinic at an academic medical center. Methods: The American College of Obstetricians and Gynecologists guidelines recommend addressing 72 topics early in prenatal care. A research assistant observed the first prenatal encounter and noted which topics were discussed during the visit. Patient and clinic characteristics were also collected. The primary outcome was the percentage of topics covered at each visit. After analyzing all encounters, patient encounters that scored above the median score were compared with encounters scoring below the median using bivariate comparisons with respect to patient and clinic characteristics. A multivariable Poisson regression model with robust error variance was performed on characteristics with a p value of ⩽0.2. Results: Fifty-one patient encounters met inclusion criteria and the median score for topics covered was 74%. Patients with chronic disease were more likely to have a higher percentage of topics covered (odds ratio 1.67, 95% confidence interval: 0.91–3.09). Patients who completed a prenatal questionnaire were also more likely to have a higher percentage (odds ratio 2.28, 95% confidence interval: 1.00–5.15) as well as patients who had nurse-led education integrated into their visit during (odds ratio 1.82, 95% confidence interval: 1.19–2.78). Patient satisfaction had no correlation with the number of topics covered. Conclusion: The number of topics to cover at the first prenatal visit has expanded creating challenges for patients and providers. Integration of prenatal questionnaires and nurse-led education has the potential to address gaps in antenatal care.

No abstract

No abstract