Now is the chance: patient-provider communication about unplanned pregnancy during the first prenatal visit.


Meiksin, R; Chang, JC; Bhargava, T; Arnold, R; Dado, D; Frankel, R; Rodriguez, KL; Ling, B; Zickmund, S; (2010) Now is the chance: patient-provider communication about unplanned pregnancy during the first prenatal visit. Patient education and counseling, 81 (3). pp. 462-7. ISSN 0738-3991 DOI: https://doi.org/10.1016/j.pec.2010.09.002

Full text not available from this repository. (Request a copy)

Abstract

Unplanned pregnancy is associated with psychosocial stress, post-partum depression, and future unplanned pregnancies. Our study describes how topics related to unplanned pregnancy were addressed with patients during the first prenatal visit. We audio-recorded and transcribed initial prenatal visits between 48 patients and 16 providers from a clinic serving racially diverse, lower-socio-economic patients. We conducted a fine-grained thematic analysis of cases in which the patient's pregnancy was unplanned. Of the 48 patients, 35 (73%) had unplanned pregnancies. Twenty-nine visits for unplanned pregnancies (83%) included discussion of the patient's feelings about the pregnancy. Approximately half (51%) of the visits touched on partner or other types of social support. Six patients (17%) were offered referrals to counseling or social services. Only four visits (11%) touched on future birth control options. Most initial prenatal visits for unplanned pregnancies included discussion of patient feelings about the pregnancy. However, opportunities to discuss future birth control and for more in-depth follow-up regarding social support and psychological risks associated with unplanned pregnancy were typically missed. Obstetrics care providers should be cautious about making assumptions and should consider discussing pregnancy circumstances and psychosocial issues in more depth when treating patients facing unplanned pregnancy.

Item Type: Article
Faculty and Department: Faculty of Public Health and Policy > Dept of Social and Environmental Health Research
PubMed ID: 20884161
Web of Science ID: 286295400023
URI: http://researchonline.lshtm.ac.uk/id/eprint/2090658

Statistics


Download activity - last 12 months
Downloads since deposit
0Downloads
275Hits
Accesses by country - last 12 months
Accesses by referrer - last 12 months
Impact and interest
Additional statistics for this record are available via IRStats2

Actions (login required)

Edit Item Edit Item