Reproductive health issues are an important aspect of caring for patients with chronic kidney disease; however, it is unclear how frequent these conversations take place during a clinic visit. Discussions about pregnancy, fertility, and contraception will shape family planning and impact renal disease management. The goal of this study was to determine the frequency of contraception and pregnancy counseling in nephrology clinic visit using chart review of the electronic medical records. Sixty percent of the 125 female patients ( n=74) seen in a general nephrology clinic received reproductive health counseling. Of the 125 patient charts reviewed, 30 received comprehensive counseling (24%), 44 received intermediate counseling (35.2%), and 51 received no counseling (40.8%). Patient factors including age, race, and severity of renal disease did not impact of counseling in this study. Dialysis patients were disproportionately not counseled. Continued discussions about women’s health issues continue to be a pivotal part of caring for patients with chronic kidney disease.
Dr. Okundaye is a native from Wisconsin, born in Chicago IL to immigrant parents from Nigeria. She attended Wake Forest University in Winston-Salem, NC under the "Joseph G. Gordon" Scholarship", where she studied Biology and Chemistry. She earned her medical degree from University of Wisconsin School of Medicine and Public Health in 2015 and then completed her internal medicine residency training at Loyola University, Chicago, IL where she was appointed a research scholar and developed a curriculum for medical student education. This year Dr. Okundaye finished her nephrology fellowship at Stanford University for advanced clinical and research training in kidney disease. Her area of interest is women's health with focus on fertility, pregnancy, and contraception. She has authored research manuscripts, case reports, book chapter and presented her research at numerous conferences including at the International Society of Nephrology Frontiers Meeting in Tokyo, Japan. Dr. Okundaye has hosted and produced a health radio show and a community health podcast in order to expand her outreach to those seeking answers to health problems. In 2019, she developed the Ivie O. Appiah Medical Arts Institute that produced a short film about the kidney patient experience. The Institute is currently developing future projects in film and media. Dr. Okundaye was also featured on the cover of Women magazine where her story was showcased in the article "Queen for a Day" in the October 2019 issue. For. Ultimately, she hopes to empower people to be their own health advocates.
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