Paul D. Blumenthal

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Paul D. Blumenthal (born March 1, 1952) is an American physician, researcher, cervical cancer prevention advocate, and abortion provider who is certified in obstetrics and gynecology. He is known for his cervical cancer, abortion, and contraception research. He is also known for his commitment to international women’s health—evidenced by his contribution to public health initiatives in over 30 countries.

Contents

Early life and personal life

Blumenthal was born and raised in Chicago, Illinois, US. He now resides between Palo Alto, California, and Santa Fe, New Mexico. He is married to Lynne Gaffikin and has one son.

Education

Following high school, Blumenthal attended Tel Aviv University (1969–1970), completing his undergraduate education in 1972 at the University of Illinois cum laude with a Bachelor of Arts in history.

Career

Blumenthal is professor of obstetrics and gynecology at Stanford University School of Medicine. [1] He is the chief of the Stanford Gynecology Service and directors of the Division of Family Planning Services and Research at Stanford. Blumenthal founded and directs SPIRES, the Stanford Program for International Reproductive Education and Services. SPIRES provides quality assurance evaluation services and training to family planning focused NGOs and programs around the globe. For over 30 years, Blumenthal has been an advisor to several domestic and international agencies, such as Gynuity Health Projects, [2] Ipas, Pathfinder, Family Health International 360, Path, JHPIEGO Corporation, Planned Parenthood, and the World Health Organization, and served as the Special Advisor to Ministry of Health and Family Planning of the Republic of Madagascar. He is the Global Medical Director for Population Services International.

As global medical director at Population Services International (PSI), Blumenthal is responsible for overseeing PSI’s quality assurance activities, specific to sexual and reproductive health. He is the inventor of the dedicated post-partum intrauterine device (PPIUD) inserter, developed in partnership with PSI. [3]

Blumenthal also teaches a course called Perspectives on the Abortion Experience in Western Fiction to undergraduate students at Stanford University.

Early career timeline

Research

Blumenthal’s research ranges from cervical cancer screening to contraception access to simplifying abortion in over 20 countries. Thematically, Blumenthal’s research aims to increase access to health care for women in low-resource settings and simplifying the medical process.

Cervical cancer

An author of several peer-reviewed publications on cervical cancer, Blumenthal has significantly contributed to screening and prevention of cancer. [6] Notably, he investigated and implemented a simplified means of screening or detecting cervical cancer in low-resource settings. [7]

Contraception

Blumenthal has conducted research with many diverse contraceptive methods, most notably, has greatly contributed to long-acting reversible contraception (LARC) literature. He invented a specialized inserter for immediate post-partum intrauterine device (PPIUD) provision. [8] Currently, the dedicated inserter is used in over 10 countries and Blumenthal is working to expand its use in additional countries. Alike his previous research endeavors, the purpose of this inserter is to expand access and simplify methodology.

Abortion

Specifically, Blumenthal is committed to simplifying the medication abortion process through the development and testing of multilevel pregnancy tests (MLPTs). [9] Additionally, Blumenthal has contributed to a number of research protocols seeking to simplify and improve surgical abortion in the first and second trimester through investigation of different pain control, cervical preparation, and surgical techniques.

Awards and honors

Related Research Articles

Abortion is the termination of a pregnancy by removal or expulsion of an embryo or fetus. An abortion that occurs without intervention is known as a miscarriage or "spontaneous abortion"; these occur in approximately 30% to 40% of all pregnancies. When deliberate steps are taken to end a pregnancy, it is called an induced abortion, or less frequently "induced miscarriage". The unmodified word abortion generally refers to an induced abortion. The most common reason women give for having an abortion is for birth-timing and limiting family size. Other reasons reported include maternal health, an inability to afford a child, domestic violence, lack of support, feeling they are too young, wishing to complete education or advance a career, and not being able or willing to raise a child conceived as a result of rape or incest.

Dilationand curettage (D&C) refers to the dilation of the cervix and surgical removal of part of the lining of the uterus or contents of the uterus by scraping and scooping (curettage). It is a gynecologic procedure used for diagnostic and therapeutic purposes, and is the most commonly used method for first-trimester miscarriage or abortion.

<span class="mw-page-title-main">Copper IUD</span> Birth control and emergency contraceptive device

A copper intrauterine device (IUD), also known as an intrauterine coil or copper coil or non-hormonal IUD, is a type of intrauterine device which contains copper. It is used for birth control and emergency contraception within five days of unprotected sex. It is one of the most effective forms of birth control with a one-year failure rate around 0.7%. The device is placed in the uterus and lasts up to twelve years. It may be used by women of all ages regardless of whether or not they have had children. Following removal, fertility quickly returns.

<span class="mw-page-title-main">Emergency contraception</span> Birth control measures taken after sexual intercourse

Emergency contraception (EC) is a birth control measure, used after sexual intercourse to prevent pregnancy.

Obstetrics and gynaecology is the medical specialty that encompasses the two subspecialties of obstetrics and gynaecology. The specialization is an important part of care for women's health.

<span class="mw-page-title-main">Misoprostol</span> Medication to induce abortion and treat ulcers

Misoprostol is a synthetic prostaglandin medication used to prevent and treat stomach and duodenal ulcers, induce labor, cause an abortion, and treat postpartum bleeding due to poor contraction of the uterus. It is taken by mouth when used to prevent gastric ulcers in people taking nonsteroidal anti-inflammatory drugs (NSAID). For abortions it is used by itself or in conjunction with mifepristone or methotrexate. By itself, effectiveness for abortion is between 66% and 90%. For labor induction or abortion, it is taken by mouth, dissolved in the mouth, or placed in the vagina. For postpartum bleeding it may also be used rectally.

Dilation and evacuation (D&E) is the dilation of the cervix and surgical evacuation of the uterus after the first trimester of pregnancy. It is a method of abortion as well as a common procedure used after miscarriage to remove all pregnancy tissue.

<span class="mw-page-title-main">Self-induced abortion</span> Abortion performed by a pregnant person themselves outside the recognized medical system

A self-induced abortion is an abortion performed by the pregnant woman herself, or with the help of other, non-medical assistance. Although the term includes abortions induced outside of a clinical setting with legal, sometimes over-the-counter medication, it also refers to efforts to terminate a pregnancy through alternative, potentially more dangerous methods. Such practices may present a threat to the health of women.

<span class="mw-page-title-main">Hormonal intrauterine device</span> Intrauterine device

A hormonal intrauterine device (IUD), also known as an intrauterine system (IUS) with progestogen and sold under the brand name Mirena among others, is an intrauterine device that releases a progestogenic hormonal agent such as levonorgestrel into the uterus. It is used for birth control, heavy menstrual periods, and to prevent excessive build of the lining of the uterus in those on estrogen replacement therapy. It is one of the most effective forms of birth control with a one-year failure rate around 0.2%. The device is placed in the uterus and lasts three to eight years. Fertility often returns quickly following removal.

<span class="mw-page-title-main">International Federation of Gynaecology and Obstetrics</span> Professional medical organization

The International Federation of Gynaecology and Obstetrics, usually just FIGO ("fee'go") as the acronym of its French name Fédération Internationale de Gynécologie et d'Obstétrique, is a worldwide non-governmental organisation representing obstetricians and gynaecologists in over one hundred territories. It was founded on 26 July 1954 in Geneva, Switzerland, to "promote the well-being of women and to raise the standard of practice in obstetrics and gynaecology". Membership is currently composed of 132 professional societies of obstetricians and gynaecologists worldwide.

<span class="mw-page-title-main">Reproductive medicine</span> Branch of medicine

Reproductive medicine is a branch of medicine concerning the male and female reproductive systems. It encompasses a variety of reproductive conditions, their prevention and assessment, as well as their subsequent treatment and prognosis.

<span class="mw-page-title-main">Osmotic dilator</span> Medical device to dilate the uterine cervix

Osmotic dilators are medical implements used to dilate the uterine cervix by swelling as they absorb fluid from surrounding tissue. They may be composed of natural or synthetic materials. A laminaria stick or tent is a thin rod made of the stems of dried Laminaria, a genus of kelp. Laminaria sticks can be generated from Laminaria japonica and Laminaria digitata. Synthetic osmotic dilators are commonly referred to by their brand names, such as Dilapan. Dilapan-S are composed of polyacrylonitrile, a plastic polymer. The hygroscopic nature of the polymer causes the dilator to absorb fluid and expand.

<span class="mw-page-title-main">Birth control</span> Method of preventing human pregnancy

Birth control, also known as contraception, anticonception, and fertility control, is the use of methods or devices to prevent unintended pregnancy. Birth control has been used since ancient times, but effective and safe methods of birth control only became available in the 20th century. Planning, making available, and using human birth control is called family planning. Some cultures limit or discourage access to birth control because they consider it to be morally, religiously, or politically undesirable.

The following outline is provided as an overview of and topical guide to obstetrics:

<span class="mw-page-title-main">Intrauterine device</span> Form of birth control involving a device placed in the uterus

An intrauterine device (IUD), also known as intrauterine contraceptive device or coil, is a small, often T-shaped birth control device that is inserted into the uterus to prevent pregnancy. IUDs are one form of long-acting reversible birth control (LARC). One study found that female family planning providers choose LARC methods more often (41.7%) than the general public (12.1%). Among birth control methods, IUDs, along with other contraceptive implants, result in the greatest satisfaction among users.

<span class="mw-page-title-main">Womb veil</span>

The womb veil was a 19th-century American form of barrier contraception consisting of an occlusive pessary, i.e. a device inserted into the vagina to block access of the sperm into the uterus. Made of rubber, it was a forerunner to the modern diaphragm and cervical cap. The name was first used by Edward Bliss Foote in 1863 for the device he designed and marketed. "Womb veil" became the most common 19th-century American term for similar devices, and continued to be used into the early 20th century. Womb veils were among a "range of contraceptive technology of questionable efficacy" available to American women of the 19th century, forms of which began to be advertised in the 1830s and 1840s. They could be bought widely through mail-order catalogues; when induced abortion was criminalized during the 1870s, reliance on birth control increased. Womb veils were touted as a discreet form of contraception, with one catalogue of erotic products from the 1860s promising that they could be "used by the female without danger of detection by the male."

<span class="mw-page-title-main">Ipas (organization)</span>

Ipas is an international, non-governmental organization that seeks to increase access to safe abortions and contraception. To this end the organization informs women how to obtain safe and legal abortions and trains relevant partners in Africa, Asia, and Latin America on how to provide and advocate for these.

Friday OkonofuaFAS is a Nigerian professor of Gynecology and Obstetrics. He is the pioneer Vice Chancellor of Ondo State University of Medical Sciences and founder of Women Health and Action Research Centre, a not-for-profit organization headquartered in Benin City, that focuses on promoting female reproductive research.

Dr. Elizabeth Connell was an American doctor and proponent of women's reproductive health.

<span class="mw-page-title-main">Society of Family Planning</span> International professional organization

The Society of Family Planning (SFP) is an international non-profit professional organization established in 2005 specializing in "abortion and contraception science" composed of physicians, nurses, sociologists, public health practitioners and trainees in these fields. The majority of member physicians include specialists of obstetrics and gynecology, family medicine, and adolescent medicine.

References

  1. "Paul D. Blumenthal, MD, MPH's Profile - Stanford Profiles". stanford.edu.
  2. "Gynuity Health Projects » About » Blumenthal". gynuity.org.
  3. "Paul Blumenthal : PSI". psi.org. 2014-10-12.
  4. Blumenthal, Paul D. (July 1990). "Letter from Africa". Obstetrics & Gynecology. 76 (1): 147.
  5. Blumenthal, Paul D. (2006). "Letter From Madagascar". Obstetrics and Gynecology. 108 (3 Pt 1): 684–6. doi:10.1097/01.AOG.0000233156.28628.1d. PMID   16946231.
  6. "Procedure May Save Women In Third World From Cancer". The New York Times. 25 March 2003.
  7. Gaffikin, Lynne; McGrath, John A.; Arbyn, Marc; Blumenthal, Paul D. (1 January 2007). "Visual inspection with acetic acid as a cervical cancer test: accuracy validated using latent class analysis". BMC Medical Research Methodology. 7: 36. doi: 10.1186/1471-2288-7-36 . PMC   2018715 . PMID   17663796.
  8. Singh, Sharad; Das, Vinita; Agarwal, Anjoo; Dewan, Rupali; Mittal, Pratima; Bhamrah, Renita; Lerma, Klaira; Blumenthal, Paul D. (21 March 2016). "A Dedicated Postpartum Intrauterine Device Inserter: Pilot Experience and Proof of Concept". Global Health: Science and Practice. 4 (1): 132–140. doi:10.9745/GHSP-D-15-00355. PMC   4807754 . PMID   27016549.
  9. Blum, J.; Sheldon, W. R.; Ngoc, N. T.; Winikoff, B.; Nga, N. T.; Martin, R.; Van Thanh, L.; Blumenthal, P. D. (2016). "Randomized trial assessing home use of two pregnancy tests for determining early medical abortion outcomes at 3, 7 and 14 days after mifepristone". Contraception. 94 (2): 115–21. doi: 10.1016/j.contraception.2016.04.001 . PMID   27067706.
  10. "Physicians for Reproductive Health Physician Leadership Award Recipients - Physicians for Reproductive Health". prh.org.
  11. "Paul Blumenthal, MD, MPH". societyfp.org.