Evolutionary Concept Analysis of Reproductive Life Planning

Edmonds, Stephanie W.; Ayres, Lioness

doi:10.1016/j.jogn.2016.07.012

Cited by 13 publications

(18 citation statements)

References 57 publications

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“…Although the prevalence of RC among Latina women is well documented, qualitative data on specific experiences of RC, safety and harm reduction strategies, and care‐seeking patterns is needed to provide practitioners with concrete guidance on how best to support women's reproductive life plans and to address RC. This qualitative exploratory study focuses on listening to the experiences of Latina women seeking services at an urban clinic to offer women's insights on improving recognition of and support for women experiencing RC.…”

Section: Introductionmentioning

confidence: 99%

Experiences of Reproductive Coercion Among Latina Women and Strategies for Minimizing Harm: “The Path Makes Us Strong”

Grace

Alexander

Jeffers

et al. 2020

J Midwife Womens Health

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Introduction Latina women disproportionately report experiencing reproductive coercion (RC), a set of behaviors that interfere with autonomous reproductive decision making. Given RC's associations with intimate partner violence (IPV) and unintended pregnancy, it is critical to identify and address RC to assist women to achieve safety, autonomy, and reproductive life plans. The purpose of this study was to describe and understand the context of RC and the use of RC safety strategies among Latina women receiving services at an urban clinic, through listening to the experiences of the women in their own words. Methods Qualitative descriptive methodology was used. Semistructured interviews were conducted with a purposive sample of 13 Latina women recruited from a Federally Qualified Health Center in the Washington, DC, area. Results Data were organized into 3 a priori categories: (1) RC behaviors, (2) co‐occurrence of RC and IPV, and (3) RC harm reduction strategies. New RC behaviors emerged, and immigration status was used as a method of coercive control. From these a priori categories emerged 4 themes: impact of immigrant and citizenship status, machismo, strength and bravery, and importance of family. Harm reduction strategies included less detectable contraception; some sought community services, but others resorted to deception and stalling as the only tools available to them. Discussion Less detectable methods of contraception remained useful harm reduction strategies for women experiencing RC. Midwives should inquire about method fit and be mindful of honoring the request when patients ask to change methods. Women's strength and resilience emerged as a vital source of power and endurance. This diverse sample and the powerful voices of the women who participated make a significant contribution to the understanding of RC experienced by Latina women in the United States.

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Section: Introductionmentioning

confidence: 99%

Experiences of Reproductive Coercion Among Latina Women and Strategies for Minimizing Harm: “The Path Makes Us Strong”

Grace

Alexander

Jeffers

et al. 2020

J Midwife Womens Health

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“…A Reproductive Life Plan (RLP) reflects an individual's pregnancy intentions in the context of their personal values and life goals [1][2][3]. In 2006, Merry K. Moos suggested a set of questions that healthcare providers could ask individuals or couples to make them reflect on their pregnancy intentions and create a plan (Box 1) [3,4].…”

Section: Introductionmentioning

confidence: 99%

“…The healthcare providers using the RLP have generally been nursemidwives or general practitioners [19,[21][22][23][24][25][26], and the use of it among community health workers has not yet been studied. Further, research on the implementation of reproductive life planning is lacking [2,3,19]. Implementing effective reproductive health tools used by community health workers could have a significant impact in settings where resources are limited and unplanned pregnancies are common.…”

Section: Introductionmentioning

confidence: 99%

Evaluating the implementation of the Reproductive Life Plan in disadvantaged communities: A mixed-methods study using the i-PARIHS framework

et al. 2020

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Introduction The Reproductive Life Plan (RLP) is a clinical tool to help clients find strategies to achieve their reproductive goals. Despite much research on the RLP from high-income countries, it has never been studied in low-or middle income countries. Together with health workers called Mentor Mothers (MMs), we used a context-adapted RLP in disadvantaged areas in Eswatini. Our aim was to evaluate the implementation of the RLP in this setting. Methodology MMs participated in focus group discussions (FGDs, n = 3 MMs n = 29) in January 2018 and at follow-up in May 2018 (n = 4, MMs n = 24). FGDs covered challenges in using the RLP, how to adapt it, and later experiences from using it. We used a deductive qualitative thematic analysis with the integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework, creating themes guided by its four constructs: facilitation, innovation, recipients and context. The MMs also answered a questionnaire to assess the implementation process inspired by normalization process theory. Results The RLP intervention was feasible and acceptable among MMs and fit well with existing practices. The RLP questions were perceived as advantageous since they opened up discussions with clients and enabled reflection. All except one MM (n = 23) agreed or strongly agreed that they valued the effect the RLP has had on their work. Using the RLP, the MMs observed progress in pregnancy planning among their clients and thought it improved the quality of contraceptive counselling. The clients' ability to form and achieve their

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“…The concept of BSR is closely related to reproductive life planning (RLP), a mandated policy for Title X clinics that was initiated by the Centers for Disease Control and Prevention (Edmonds & Ayres, 2017). The impetus of RLP is to structure sexual and reproductive decision making around personal values and goals as a means to decrease the rate of unintended pregnancies and promote the health of women and children.…”

Section: Resultsmentioning

confidence: 99%

“…There are also additional positive consequences beyond protection from biological risk for both RLP and BSR such as empowerment, self-fulfillment, and life satisfaction (Edmonds & Ayres, 2017;Loew et al, n.d.). Integrating the principles of RLP and BSR may create a new, woman-centered approach, that encourages women to be advocates for their own sexual health which could improve sexual and reproductive health outcomes.…”

Section: Resultsmentioning

confidence: 99%

Perspectives of responsible sexual behavior

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Evolutionary Concept Analysis of Reproductive Life Planning

Cited by 13 publications

References 57 publications

Experiences of Reproductive Coercion Among Latina Women and Strategies for Minimizing Harm: “The Path Makes Us Strong”

Experiences of Reproductive Coercion Among Latina Women and Strategies for Minimizing Harm: “The Path Makes Us Strong”

Evaluating the implementation of the Reproductive Life Plan in disadvantaged communities: A mixed-methods study using the i-PARIHS framework

Perspectives of responsible sexual behavior

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