Developing a Reproductive Life Plan

Files, Julia A.; Frey, Keith A.; David, Paru S.; Hunt, Katherine S.; Noble, Brie N.; Mayer, Anita P.

doi:10.1111/j.1542-2011.2011.00048.x

Cited by 34 publications

(37 citation statements)

References 32 publications

(56 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We expect findings from this study could also be of global interest. A specially designed booklet, such as the one we developed for this study, or an educational hand-out (Files et al , 2011), is easy to adapt to other populations and can be used by health care providers with limited time for consultations (Dunlop et al , 2007). However, the implementation of the RLP concept and the effect needs to be confirmed through further studies and we are now expanding our project to other parts in Sweden.…”

Section: Discussionmentioning

confidence: 99%

Midwives' adoption of the reproductive life plan in contraceptive counselling: a mixed methods study

et al. 2015

View full text Add to dashboard Cite

STUDY QUESTIONHow is the reproductive life plan (RLP) adopted in midwifery contraceptive counselling?SUMMARY ANSWERA majority of midwives adopted the RLP in their counselling, had predominantly positive experiences and considered it a feasible tool for promoting reproductive health.WHAT IS KNOWN ALREADYThe RLP is a health-promoting tool recommended by the Centers for Disease Control and Prevention in the USA for improving preconception health. It was recently used in a clinical setting in Sweden and was found to increase women's knowledge about fertility and to influence women's wishes to have their last child earlier in life.STUDY DESIGN, SIZE, DURATIONAn exploratory mixed methods study among 68 midwives who provided contraceptive counselling in primary health care to at least 20 women each during the study period. Midwives received an introduction and materials for using the RLP in contraceptive counselling. Three months later, in the spring of 2014, they were invited to complete a questionnaire and participate in a focus group interview about their adoption of the RLP.PARTICIPANTS/MATERIALS, SETTING, METHODSData collection was through a questionnaire (n = 53 out of 68; participation rate 78%) and five focus group interviews (n = 22). Participants included both younger and older midwives with longer and shorter experiences of contraceptive counselling in public and private health care in one Swedish county. Quantitative data were analysed for differences between users and non-users, and qualitative data were analysed by qualitative content analysis to explore the midwives experiences and opinions of using the RLP.MAIN RESULTS AND THE ROLE OF CHANCESixty-eight per cent of midwives had used the RLP in their contraceptive counselling. Four categories emerged through the focus group interviews: (i) A predominantly positive experience; (ii) The RLP—a health-promoting tool; (iii) individual and societal factors influence the RLP counselling; and (4) long-term implementation comprises opportunities, risks and needs. The most common reason for not using the RLP was lack of information.LIMITATIONS, REASONS FOR CAUTIONThere was general lack of experience of using the RLP with women from different cultural backgrounds, with non-Swedish speaking women and, when a partner was present. Due to the non-random sample, the limited knowledge about non-responders and a short follow-up period, results apply to short-term implementations and might not fully apply to long-term implementation.WIDER IMPLICATIONS OF THE FINDINGSThe use of RLP in contraceptive counselling appears a feasible way of promoting reproductive health. Results from the USA and Sweden indicate it is a promising tool for midwives and other health professionals involved in reproductive counselling, which deserves to be explored in other nations.STUDY FUNDING/COMPETING INTEREST(S)Grants were received from the Medical Faculty at Uppsala University and the European Society of Contraception and Reproductive Health. There are no competing interests.TRIAL REGISTRATION NU...

show abstract

Section: Discussionmentioning

confidence: 99%

Midwives' adoption of the reproductive life plan in contraceptive counselling: a mixed methods study

et al. 2015

View full text Add to dashboard Cite

show abstract

“…Condoms reduce transmission of HIV, syphilis, and sexually transmitted infections in women at risk and can be used as a secondary contraceptive method to decrease the likelihood of pregnancy 2 . Contraceptive counseling is imperative before and after AEDs become part of the woman's medication regimen and should be initiated at the onset of puberty 1,3,8,13,18 . In addition, preconception counseling should be provided for women with epilepsy in order to take steps to reduce health risks and improve pregnancy outcomes 13 …”

Section: Discussionmentioning

confidence: 99%

Contraception and Antiepileptic Drugs

Guillemette¹,

Yount²

2012

J Midwife Womens Health

View full text Add to dashboard Cite

Epilepsy is a neurologic condition that affects women and women's choices in many areas of their lives. Some antiepileptic drugs (AEDs) used in the treatment of epilepsy can interact with hormonal contraceptives. The result can be decreased effectiveness in the contraceptive with the possibility of unintended pregnancy, or decreased effectiveness of the AED that can result in seizure activity. This article provides information about concurrent AED and contraceptive use to assist health care providers in guiding women with epilepsy to make the best contraceptive choices based on their reproductive life plans.

show abstract

“…Files et al. () suggested that essential elements include (a) the desire for children, (b) the age of the woman and her partner, (c) maternal health status, (d) desired number and spacing of children, and (e) examination of a woman's risk tolerance, life context, and family history. While all of these components are of obvious utility in making reproductive decisions, most of the scenarios presented in the article best pertain to educated middle and upper class women.…”

Section: Current Policy Around Preconception Care: the Cdc's Initiativementioning

confidence: 99%

“…The article goes on to suggest that the provider assess “readiness for conception” by asking “Do you have plans for conceiving a child in the next 1 to 5 years”? (Files et al., , p. 470) There is an algorithm to direct the discussion based on the age of the woman (25 and older or younger than 25) and whether she has plans for childbearing in the next 5 years (to view the full article and algorithm, go to http://onlinelibrary.wiley.com/doi/10.1111/j.1542--2011.2011.00048.x/full). This approach could work well for some women, but as we have noted, many women are ambivalent about pregnancy and providers need to be prepared to help women who may not have reproductive goals.…”

Section: Current Policy Around Preconception Care: the Cdc's Initiativementioning

confidence: 99%

The challenge of preconception counseling: Using reproductive life planning in primary care

Coffey¹,

Shorten²

2014

Journal of the American Association of Nurse Practitioners

View full text Add to dashboard Cite

Purpose A case study is used to explore barriers and challenges in the delivery of preconception care, and to highlight the future role of reproductive life planning in primary practice settings. Data sources Peer‐reviewed journal articles and clinical practice guidelines pertaining to preconception care. Conclusions Because of the high rate of unintended pregnancy, preconception care should be incorporated into routine primary care for women of reproductive age. Reproductive life plans are tools that help formalize contraceptive and preconception care for women across the life span. They may prove particularly useful for women with chronic diseases and for young, low‐income, and minority women. Implications for practice With their emphasis on holistic care and patient education, nurse practitioners are well suited to incorporate elements of preconception care into the routine care they provide patients. Clinicians can modify reproductive life plans to fit the unique needs of an individual, patient population, or clinical practice.

show abstract

Developing a Reproductive Life Plan

Cited by 34 publications

References 32 publications

Midwives' adoption of the reproductive life plan in contraceptive counselling: a mixed methods study

Midwives' adoption of the reproductive life plan in contraceptive counselling: a mixed methods study

Contraception and Antiepileptic Drugs

The challenge of preconception counseling: Using reproductive life planning in primary care

Contact Info

Product

Resources

About