OB, ED, and STDs: Gaps Noted!

About this episode

The episode discusses gaps in addressing contraception and STI treatment for adolescents and pregnant women in emergency departments.

Back in June 2024, we highlighted surprising data from JAMA Network Open regarding adolescent care in the ED. Because many adolescents use the ED as their primary care provider, it’s a good opportunity for them to have contraception addressed regardless of why they presented. But that’s not what was happening. That publication from two years ago showed significant gaps in addressing contraception in the ED to pregnancy vulnerable young women, mainly teens. We covered those results back then and said that that would be a wonderful QI project for any resident or medical students to work with their hospital ED to improve that. Well, now a similar publication, looking at a different target- STI empiric treatment among pregnant women in the ED, has been published with that same vibe. Yep, there are BIG discrepancies in what pregnant women are given- or in this case, NOT GIVEN, in the ED compared to their nonpregnant peers. This was published in mid-April 2026. Two big questions remain unanswered in this data. Listen in for details. 1. Gottlieb M, Moyer E, Slocum GW, et al. Sexually Transmitted Infection Treatment Rates Among Pregnant vs Nonpregnant Patients in Emergency Departments…

People in this episode

Host: Dr. Chapa

Topics covered

• adolescent care
• emergency department
• contraception
• STI treatment
• pregnant women
• quality improvement

Keywords

• adolescent care
• emergency department
• contraception
• STI treatment
• pregnant women
• quality improvement
• JAMA Network Open

Mentioned in this episode

Organizations: JAMA Network Open

Books & works: Sexually Transmitted Infection Treatment Rates Among Pregnant vs Nonpregnant Patients in Emergency Departments, Contraception Use and Pregnancy Risk Among Adolescents in Pediatric Emergency Departments

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