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خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
نسخه الکترونیک
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Approach to initiating reproductive goals counseling discussion

Approach to initiating reproductive goals counseling discussion
Approach Questions Advantages Limitations
Reproductive life plan[1]
  • Do you have children now?
  • Do you want to have (more) children?
  • How many (more) children would you like to have and when?
  • For those with defined plan, allows for provision of preconception care as appropriate
  • Does not account for how people develop and modify their reproductive goals over time
  • Does not acknowledge that unintended pregnancy may be welcomed
  • Not ideal for indentifying current contraceptive needs
One key question[2]
  • Would you like to become pregnant in the next year?
  • Limits time frame under consideration
  • Allows women to be unsure about plans
  • Not ideal for identifying current contraceptive needs
Screen women for need for contraceptive counseling
  • Would you like to discuss contraception or pregnancy prevention?
  • Identifies women's current contraceptive needs
  • When used alone, does not address need for preconception counseling
PATH questions[3]
  • Do you think you might like to have (more) children at some point?
  • If women are considering future parenthood: When do you think that might be?
  • How important is it to you to prevent pregnancy (until then)?
  • Can open conversation about preconception care when appropriate
  • Provides information about preferences related to contraceptive effectiveness
  • Is not focused on current need for contraception
PATH: Parenthood/pregnancy attitude, timing, and how important is pregnancy prevention.
References:
  1. Johnson K, Posner SF, Biermann J, et al. Recommendations to improve preconception health and health care--United States. A report of the CDC/ATSDR Preconception Care Work Group and the Select Panel on Preconception Care. MMWR Recomm Rep 2006; 55:1.
  2. Bellanca HK, Hunter MS. ONE KEY QUESTION: Preventive reproductive health is part of high quality primary care. Contraception 2013; 88:3.
  3. Callegari LS, Aiken AR, Dehlendorf C, et al. Addressing potential pitfalls of reproductive life planning with patient-centered counseling. Am J Obstet Gynecol 2017; 216:129.
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