In 2014, the CDC released guidance on providing Quality Family Planning Services (QFP). This is the third document in a series that gives providers clear guidance on how to provide contraception and family planning services in an evidence-based manner. Part of QFP suggests that providers should be discussing a woman’s reproductive life plan with her at each visit. This is also supported by Georgia Medicaid. At the time, no one had investigated use of a reproductive life plan with an adolescent patient.
We expanded our patient screener in the Teen Clinic to include questions about a reproductive life plan. This year, we collected teens’ answers to these questions as well as contraceptive behaviors and other influences. Nearly 90 percent of the 247 participants wanted to get pregnant in 3 or more years, or never. Those who wanted to have a pregnancy in greater than 3 years, or never, were more likely to have used contraception prior to the visit and were more likely to use moderately or highly effective contraception after the visit. However, 15% of teens who did not want a pregnancy for at least 3 years left the clinic with no method, or condoms alone, suggesting opportunities for directed patient-centered counseling using the Reproductive Life Plan.
The findings from this project were presented at the North American Society for Pediatric and Adolescent Gynecology (NASPAG) and the Emory University School of Medicine Discovery Fair; a paper has been submitted for publication.