The University of Tennessee Graduate School of Medicine, Knoxville



The Department of Obstetrics and Gynecology

Nikki B. Zite, MD, MPH

Professor
Vice Chair, Education and Advocacy
Obstetrics and Gynecology

Research Focus

Through a grant from the National Institute of Health, in cooperation with a research team at the University of Pittsburgh and the University of California-San Francisco, Drs. Zite and Maples are working on creating a web-based decision aid that will help women to understand permanent contraception and determine if it is the right option for them. Research previously completed at UTMC demonstrates that Medicaid Title XIX forms created to protect women from coercive practices in the 1970's actually do not help women understand or obtain desired sterilization procedures. A formal trial testing the tool will be initiated at UTMC in the near future.

Additionally, since 2016 the National Institute of Reproductive Health has funded a team from UTMC, Vanderbilt University and a Reproductive Justice organization in Memphis, SisterReach. The goal of this collaborative is to increase access to Long Acting Reversible Contraception in the Immediate Post-Partum Period. In 2017 the team was successful in advocating TennCare and their associated MCO's to allow their recipients to obtain these safe and effective contraceptive methods while they were in the hospital for a delivery. Dr. Zite works to expand access to more women in Tennessee by working with the Tennessee Initiative for Perinatal Quality Care (TIPQC) on a statewide quality improvement project. Short term follow-up has demonstrated improved contraceptive access with comprehensive patient-centered counseling. Dr. Zite and colleagues are monitoring outcomes in order to evaluate short interval pregnancy rates, teen pregnancy rates, undesired pregnancy rates, and potentially pregnancies in women that suffer from substance use disorder.

In addition, Dr. Zite and a team including Drs. Maples and Fortner are working with a researcher from the UTK Department of Public Health on a study designed to determine if walking after meals can improve blood sugar in gestational diabetics and they are creating a large database for future work related to our inductions of labor.

Education

Residency
Obstetrics and Gynecology, University of Tennessee, Memphis, Tennessee, 1998-2002

Graduate School
Masters in Public Health, University of Illionois School of Public Health, Chicago, Illinois, 2002-2003

Fellowship
Family Planning and Contraception, University of Illinois, Chicago, Illinois, 2002-2004

Certification

American Board of Obstetrics & Gynecology

Current Publications

Piazza A, Schwirian K, Scott F, Wilson MD, Zite NB, Creinin MD.
Women's preferences for permanent contraception method and willingness to be randomized for a hypothetical trial. Contraception. 2019 Jan;99(1):56-60. Epub 2018 Sep 26.

Natavio MF, Cortessis VK, Zite NB, Ciesielski K, Eggers H, Brown N, Segall-Gutierrez P.
The use of a low-literacy version of the Medicaid sterilization consent form to assess sterilization-related knowledge in Spanish-speaking women: Results from a randomized controlled trial. Contraception. 2018 Jun;97(6):546-551. Epub 2018 Mar 26.

Evans ML, Espey E, Ogburn T, Zite NB.
Use of long-acting reversible contraception by obstetrics and gynecology residents: An examination of access for all women. Obstetrics and Gynecology. 2018 Mar;131(3):538-541.

Towers CV, Yates A, Zite N, Smith C, Chernicky L, Howard B.
Incidence of fever in labor and risk of neonatal sepsis. American Journal of Obstetrics and Gynecology. 2017 Jun;216(6):596.e1-596.e5. Epub 2017 Feb 16.

Zite NB, Espey E.
Office endometrial biopsy. CREOG surgical curriculum module 2017. The Council on Resident Education in Obstetrics and Gynecology of the American College of Obstetricians and Gynecologists. http://m.acog.org/About-ACOG/ACOG-Departments/CREOG. Accessed March, 2017.

Zite NB, Espey E, Burke A.
Intrauterine device insertion. CREOG surgical curriculum module 2017. The Council on Resident Education in Obstetrics and Gynecology of the American College of Obstetricians and Gynecologists. http://m.acog.org/About-ACOG/ACOG-Departments/CREOG. Accessed March, 2017.

Current Presentations

Riedinger CJ, Tinius RA, Blankenship MM, Zite NB, Maples JM. Among women in a rural setting, overweight women are most likely to exceed recommended gestational weight gain. Presented at American College of Obstetrics and Gynecology Districts IV, VII & XI Annual Meeting; 2019 Sep 27-29; New Orleans, LA.

Maples JM, Riedinger CJ, Heidel RE, Zite NB, Tinius RA. Metabolic flexibility is a predictor of adherence to National Academy of Medicine guidelines for gestational weight gain. Presented at American College of Obstetrics and Gynecology Districts IV, VII & XI Annual Meeting; 2019 Sep 27-29; New Orleans, LA.

Altizer E, Maples JM, Zite NB, Perry J, Tinius RA. Time spent in sedentary behavior and moderate intensity physical activity are independently correlated with insulin resistance and triglycerides during the third trimester of pregnancy. Presented at American College of Obstetrics and Gynecology Districts IV, VII & XI Annual Meeting; 2019 Sep 27-29; New Orleans, LA.

Zite NB, Ling V, Levi E, Harrington A, Rivas S, Dalton VK, Smith RM, Moniz MH. Implementation of inpatient postpartum long-acting reversible contraception program: A multi-site analysis of hospital costs. Presented at Academy Health Annual Research Meeting; 2019 Jun 2-4; Washington, D.C., VA.

Zite NB, Maples J, Evans M, Espey E, Ogburn T, Vetrici M. Impact of Ryan Residency Training on number of LARCs inserted during Ob/Gyn residency training. Presented at The American College of Obstetricians and Gynecologists Annual Clinical and Scientific Meeting; 2019 May 3-6; Nashville, TN.

Zite NB, Monaco A, Lacy M. Initiating and monitoring a postpartum contraceptive program. Presented at The American College of Obstetricians and Gynecologists Annual Clinical and Scientific Meeting; 2019 May 3-6; Nashville, TN.

Monaco A, Rangnekar N, Hamm ME, Maples J, Borrero S, Zite N. Provider perspectives on sterilization: The complexities and challenges of sterilization counseling. Presented at The American College of Obstetricians and Gynecologists Annual Clinical and Scientific Meeting; 2019 May 3-5; Nashville, TN.

Wentworth S, Lacy M, Zite NB. Improving follow up compliance after immediate postpartum intrauterine device placement. Presented at Tennessee Initiative for Perinatal Quality Care; 2019 Mar 4-5; Franklin, TN.

Bachman L, Lacy M, Maples J, Zite NB. Increasing placement among eligible women desiring immediate postpartum LARC at the University of Tennessee Medical Center Knoxville. Presented at Tennessee Initiative for Perinatal Quality Care; 2019 Mar 4-5; Franklin, TN.

Monaco A, Lacy M, Heidel R, Zite NB. Initiating and monitoring a postpartum contraceptive program. Presented at Tennessee Initiative for Perinatal Quality Care; 2019 Mar 4-5; Franklin, TN.

Zite NB, Baird S, Lacy M. Postpartum long acting reversible contraception. Presented at Tennessee Initiative for Perinatal Quality Care; 2019 Mar 4-5; Franklin, TN.

Schablik J, Lacy M, Maples J, Zite NB. Prenatal LARC planning: A need for patient postpartum follow-up compliance. Presented at Tennessee Initiative for Perinatal Quality Care; 2019 Mar 4-5; Franklin, TN.

Lacy M, Maples J, Zite NB. Reducing billing barriers to immediate postpartum LARC after policy change in Tennessee. Presented at Tennessee Initiative for Perinatal Quality Care; 2019 Mar 4-5; Franklin, TN.

Zite NB. Patient centered counseling. Presented at Regional LARC Symposium; 2018 Nov 2; Chattanooga, TN.

Zite NB. The public health impact of LARC access. Presented at Regional LARC Symposium; 2018 Nov 2; Chattanooga, TN.

van Nes J, Atchley K, Heidel RE, Chuang A, Lewis J, Zite NB. Characteristics of physicians obtaining an MBA. Presented at American College of Obstetrics and Gynecology District V & VII Annual Meeting; 2018 Sep 21-23; Kansas City, MO.

Zite NB. Long acting reversible contraceptives. Presented at Tennessee State Pediatric Conference; 2018 Sep 15; Franklin, TN.

Zite NB, Evans M, Espey E, Ogburn T. Barriers to LARC training in OB-GYN residencies Presented at American College of Obstetricians and Gynecologists Annual Clinical and Scientific Meeting; 2018 Apr 27-30; Austin, TX.

Zite NB. Finding the shoes that fit: Asking the right questions to find the residency program that's right for you Presented at American College of Obstetricians and Gynecologists Annual Clinical and Scientific Meeting; 2018 Apr 27-30; Austin, TX.

Zite NB. Session coordinator for subspecialty society organizations: Introducing the Society of Family Planning Presented at American College of Obstetricians and Gynecologists Annual Clinical and Scientific Meeting; 2018 Apr 27-30; Austin, TX.

Mistry J, Scott C, Young J, Zite NB. Building partnerships between reproductive health and reproductive justice advocacy to advance patient-centered access to LARCs. Presented at American Public Health Association National Meeting; 2017 Nov 4-8; Atlanta, GA.

Trimble H, van Nes J, Roark J, Heidel RE, Reeder C, Klar M, Zite N. A novel method to teach cervical dilation and effacement. Presented at Tennessee Simulation Alliance Annual Conference; 2017 Nov 16-17; Memphis, TN.

Reeder CF, Klar ML, Berendzen JA, van Nes JB, Howard BC, Zite NB. Fire in labor and delivery: Simulation case scenario. Presented at Tennessee Simulation Alliance Annual Conference; 2017 Nov 16-17; Memphis, TN.

Gregory E, Metheny W, Heidel RE, Zite N. Women are underrepresented in national leadership positions in the specialty of obstetrics and gynecology. Presented at Central Association of Obstetricians and Gynecologists 84th Annual Meeting; 2017 Oct 18-21; Scottsdale, AZ.

Piazza A, Schwirian K, Scott F, Zite N, Creinin M. Women's preferences for method of sterilization and willingness to be randomized for a theoretical trial. Presented at North American Forum on Family Planning; 2017 Oct 14-16; Atlanta, GA.

Evans M, Zite NB. Variation in LARC training and contraceptive use: Results from the 2016 CREOG survey. Presented at Council on Resident Education in Obstetrics and Gynecology, Education Retreat; 2017 Aug 3-4; Seattle, WA.

Reeder C, Towers C, Clark C, Chernicky L, Zite N, Fortner K. Rate of histologic chorioamnionitis among parturients with intrapartum fever. Presented at Infectious Diseases Society for Obstetrics and Gynecology; 2017 Aug 10-12; Park City, UT.

Zite NB. Finding the shoes that fit: Asking the right questions to find the residency program that's right for you. Presented at American Congress of Obstetricians and Gynecologists Annual Clinical and Scientific Meeting (Invited Lecture); 2017 May 6-9; San Diego, CA.

Zite NB. Session coordinator for subspecialty society organizations: Introducing the Society of Family Planning. Presented at American Congress of Obstetricians and Gynecologists Annual Clinical and Scientific Meeting (Invited Lecture); 2017 May 6-9; San Diego, CA.

Zite NB. LARC and teens - Modern contraception - Conquering patient & provider fears? Presented at North American Society for Pediatric and Adolescent Gynecology (Invited Lecture); 2017 Apr 20-22; Chicago, IL.

Zite NB. Preventing repeat morbidity. Presented at Tennessee Initiative for Perinatal Quality Care Annual Meeting (Invited Lecture); 2017 Mar 5-7; Nashville, TN.

Zite N, Chuang A, Kimball K. The power of grit: Are you an educational superhero, YET? Presented at Association of Professors of Gynecology and Obstetrics and Council on Resident Education in Obstetrics and Gynecology Annual Meeting (Invited Lecture); 2017 Mar 8-11; Orlando, FL.

van Nes JB, Zite N, Puscheck E. Bringing business to the table: Developing negotiation skills. Presented at Association of Professors of Gynecology and Obstetrics, Martin L. Stone MD, Faculty Deveolopement Seminar; 2017 Jan 7-10; Palm Springs, CA.

Chuang A, Zite N, van Nes JB. Masters of the Ob-Gyn universe: Complementary degrees beyond your M.D., which one and why? Presented at Association of Professors of Gynecology and Obstetrics, Martin L. Stone MD, Faculty Deveolopement Seminar; 2017 Jan 7-10; Palm Springs, CA.

van Nes J, Moore LD, Bell J, Zite N. A novel method for simulating third degree perineal lacerations. Presented at 9th Annual Tennessee Simulation Alliance Conference; 2016 Nov 18-19; Nashville, TN.

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