SUMMARY POINTS

SKILL

 

  • Facilitate informed, patient-centered choice in contraceptive care by establishing rapport, eliciting your patient’s preferences and values, and involving them in decision support.
  • Provide patients with instructions for home care, medications, contraception, warning signs, and emergency contact information help minimize patient stress, phone calls, and need for a follow-up appointment following routine aspiration.

 

SAFETY

 

  • Utilize the Medical Eligibility Criteria for Contraceptive Use (USMEC or WHO MEC for international learners) to determine contraceptive safety for patients with certain medical conditions or characteristics (such as post partum).
  • Understand the risks and side effects associated with both contraception and pregnancy to accurately inform patients.

 

ROLE

 

  • Empower each patient to find the contraceptive method that works best for them, considering the aspects of contraception that are important to them (i.e. regular bleeding pattern, privacy, or very effective against pregnancy, etc).
  • Ensure that you offer or refer for highly effective methods as part of routine contraceptive care for all interested and appropriate candidates, including nulliparous patients and adolescents.
  • Offer contraception in anticipation or on the day of uterine aspiration, although respect if patients prefer to wait.
  • Consider offering all patients, regardless of contraceptive choice, condoms to reduce STI risk and emergency contraception.

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