Integrating reproductive planning with primary health care: An exploration among low-income, minority women and men

Dunlop, Anne L.; Logue, Kristi M.; Miranda, Maria Cecilia; Narayan, Divya A.

doi:10.1016/j.srhc.2010.01.001

Cited by 44 publications

(26 citation statements)

References 20 publications

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“…The results revealed that 26% of the men and women were at risk for an unintended pregnancy based on inconsistent contraception use. Nevertheless, 95% of women and 61% of men reported that the assessment was important to them and provided an opportunity to access birth control and counseling about risk behaviors (48). These results substantiate the need to include men in PCC.…”

Section: Effects Of Substance Use On Reproductive Healthmentioning

confidence: 60%

Substance Use and Preconception Care: A Review of the Literature

Ricks¹,

Comer²,

Liu³

et al. 2017

IJWHR

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Section: Effects Of Substance Use On Reproductive Healthmentioning

confidence: 60%

Substance Use and Preconception Care: A Review of the Literature

Ricks¹,

Comer²,

Liu³

et al. 2017

IJWHR

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“…A study using reproductive life planning with low-income African-American and Hispanic women and men in publicly funded clinics in the US found this approach to be well acceptable among the target group (9). When tested by physicians at a family health centre in the US targeting women with diabetes, hypertension, and obesity, a RLP intervention was shown to increase women’s knowledge about reproductive health.…”

Section: Introductionmentioning

confidence: 99%

Using the Reproductive Life Plan in contraceptive counselling

Tydén

Verbiest

Achterberg

et al. 2016

Upsala Journal of Medical Sciences

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Having children or not is one of the most important decisions that a person will make in his or her lifetime. The Reproductive Life Plan (RLP) is a protocol that aims to encourage both women and men to reflect on their reproductive intentions and to find strategies for successful family planning, for example to have the wanted number of children and to avoid unwanted pregnancies as well as ill-health that may threaten reproduction. The RLP was developed in an American context for promotion of reproductive health in a life cycle perspective. Few studies have systematically evaluated the effectiveness of using an RLP protocol in clinical practice. This article describes the application of using the RLP protocol in contraceptive counselling in Sweden.

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“…The Centers for Disease Control and Prevention has recommended the RLP as a tool to increase preconception health and decrease both unintended pregnancies and adverse pregnancy outcomes, and emphasizes the importance of integrating reproductive health in primary health care (Centers for Disease Control and Prevention, 2006). Several descriptions of the RLP are available in the literature (Moos, 2003; Sanders, 2009; Malnory and Johnson, 2011; Barry, 2011) and one study demonstrates that assessment of RLP in primary care is appreciated by exposed patients (Dunlop et al ., 2010). In spite of this, no previous study has systematically evaluated the effectiveness of using an RLP protocol in clinical practice.…”

Section: Introductionmentioning

confidence: 99%

Introducing reproductive life plan-based information in contraceptive counselling: an RCT

et al. 2013

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STUDY QUESTIONCan reproductive life plan (RLP)-based information in contraceptive counselling before pregnancy increase women's knowledge of reproduction, and of the importance of folic acid intake in particular?SUMMARY ANSWERThe RLP-based information increased women's knowledge of reproduction including knowledge of folic acid intake.WHAT IS KNOWN ALREADYMany women have insufficient knowledge of reproduction, including a health-promoting lifestyle prior to conception, and highly educated women in particular postpone childbearing until an age when their fertile capacity has started to decrease.STUDY DESIGN, SIZE, DURATIONThe study was an randomized controlled trial with one intervention group (IG) and two control groups (CG1, CG2). A sample size calculation indicated that 82 women per group would be adequate. Recruitment took place during 3 months in 2012 and 299 women were included. The women were randomized in blocks of three. All groups received standard care (contraceptive counselling, Chlamydia testing, cervical screening). In addition, women in the IG were given oral and written RLP-based information about reproduction.PARTICIPANTS/MATERIALS, SETTING, METHODSA total of 299 out of 338 (88%) Swedish-speaking women visiting a Student Health Centre were included (mean age 23 years); response rate was 88%. Before the counselling, women in the IG and the CG1 completed a baseline questionnaire, including questions about lifestyle changes in connection to pregnancy planning, family planning intentions and knowledge of reproduction (e.g. the fecundity of an ovum). At follow-up 2 months after inclusion, a structured telephone interview was performed in all groups (n = 262, 88% participation rate).MAIN RESULTS AND THE ROLE OF CHANCEThere was no difference between the groups regarding the mean knowledge score at baseline. The IG scored higher at follow-up than at baseline (P < 0.001); the mean increased from 6.4 to 9.0 out of a maximum 20 points. The women in the CG1 scored no differently at follow-up than at baseline. The difference in the knowledge score between the IG and the two CGs was significant (P < 0.001), whereas no difference was shown between the two CGs. There was no difference between the groups at baseline regarding how many women could mention folic acid intake among the things to do when planning to get pregnant. At follow-up, 22% in the IG, 3% in CG1 and 1% in CG2 mentioned folic acid intake (P < 0.001). At follow-up, more women in the IG also wished to have their last child earlier in life (P < 0.001) than at baseline, while there was no difference in the CG1.LIMITATIONS, REASONS FOR CAUTIONAs the study sample consisted of university students, it is possible that the effect of the intervention was connected to a high level of education and conclusions for all women of reproductive age should be drawn with caution.WIDER IMPLICATIONS OF THE FINDINGSThe provision of RLP-based information seems to be a feasible tool for promoting reproductive health.STUDY FUNDING/COMPETING INTEREST(S)Study funding was re...

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Integrating reproductive planning with primary health care: An exploration among low-income, minority women and men

Cited by 44 publications

References 20 publications

Substance Use and Preconception Care: A Review of the Literature

Substance Use and Preconception Care: A Review of the Literature

Using the Reproductive Life Plan in contraceptive counselling

Introducing reproductive life plan-based information in contraceptive counselling: an RCT

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