Pediatrician Utilization of a Reproductive Life Plan Tool at the Well-Baby Visit: A Pilot Project
Objective: To test the feasibility and acceptability of using a simplified Reproductive Life Plan Tool (RLPT) with postpartum women during routine infant care by pediatricians.
Methods: Pediatric resident physicians used the RLPT with mothers of infants under 17 weeks during WBVs. The RLPT prompted physicians to ask general questions about women’s contraceptive needs and offer referral services for mothers who desire contraception services. Residents participated in a focus group and on-line survey to assess their acceptance and perceived feasibility of using the RLPT during routine well-baby care.
Results: Residents completed 50 RLPTs. On the post-intervention survey (n = 14), 92.9% of physicians reported comfort in using the RLPT, 71.4% reported that the tool was easily understood; however, findings were split regarding ease of implementing RLPT in regular practice. During the focus groups (n = 18) residents reported comfort implementing the intervention and acceptance of the RLPT for discussing contraception. Concerns included limited time during WBV and use of the tool potentially detracting focus away from infant.
Conclusions: Findings indicate that use of the RLPT is generally feasible during routine infant care and acceptable to physicians with recognition of challenges in implementation. Discussion of contraception by pediatricians may improve uptake of postpartum contraception.
Learning Areas:Administer health education strategies, interventions and programs
Implementation of health education strategies, interventions and programs
Provision of health care to the public
Public health or related research
Social and behavioral sciences
Describe the role of using a Reproductive Life Plan Tool in assisting women with contraceptive decision-making and birth spacing. Explain the pros/cons of pediatricians utilizing a Reproductive Life Plan Tool with postpartum women at their child’s Well-Baby Visit.
Keyword(s): Contraception, Perinatal Health
Qualified on the content I am responsible for because: I am a Co-Principal investigator on this state funded study focusing on co-locating postpartum family planning with well baby care.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.