SUMMARY POINTS

SKILL

  • Establish rapport with each patient, use open-ended questions, ask patients what matters most to them about a method, and provide access to the range of methods.
  • Invest in the patient’s experience, rather than in a particular contraceptive method or outcome. You will learn from both patients and colleagues as you proceed through training.
  • Consider the quality of your counseling from the patient’s point of view. For example, new data shows that patients are more likely to be satisfied with counseling and to continue using their selected method if they felt their provider:
    • Respected them as a person
    • Let them say what matters about their method
    • Took their preferences seriously
    • And gave them enough information to make a decision (Dehlendorf 2018).
  • Improve access by minimizing unnecessary visits to obtain contraception.
  • Ensure that patients have the right to prompt LARC removal for any reason, without judgement or resistance from their provider.

SAFETY

  • Determine contraceptive safety for patients with obstetric or medical conditions utilizing the frequently updated evidence in the Medical Eligibility Criteria for Contraceptive Use.
  • Understand the risks and side effects associated with both contraception and pregnancy to accurately inform patients.

ROLE

  • Ensure that you offer all methods as part of routine contraceptive counseling for all interested patients, including nulliparous patients and adolescents.
  • Keep in mind that many patients seeking abortion services will not desire contraceptive counseling or feel pressured by it on the day of abortion. Respect if they prefer to wait.
  • Offer all patients condoms to reduce STI risk and emergency contraception, regardless of contraceptive method chosen.
  • Provide patients with instructions for home care, medications, contraception, warning signs, and emergency contact information to help minimize patient stress, phone calls, and need for a follow-up appointment following routine aspiration.

License

EARLY ABORTION TRAINING CURRICULUM Copyright © 2020 by UCSF Bixby Center for Global Reproductive Health. All Rights Reserved.