Shared Decision-Making: The Way Forward for Postpartum Contraceptive Counseling
Brooke W Bullington,1,2 Asha Sata,3 Kavita Shah Arora3 1Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, 27516, USA; 2Carolina Population Center, University of North Carolina, Chapel Hill, NC, 27516, USA; 3Department of Obstetrics an...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2022-08-01
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| Series: | Open Access Journal of Contraception |
| Subjects: | |
| Online Access: | https://www.dovepress.com/shared-decision-making-the-way-forward-for-postpartum-contraceptive-co-peer-reviewed-fulltext-article-OAJC |
| _version_ | 1828257254266109952 |
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| author | Bullington BW Sata A Arora KS |
| author_facet | Bullington BW Sata A Arora KS |
| author_sort | Bullington BW |
| collection | DOAJ |
| description | Brooke W Bullington,1,2 Asha Sata,3 Kavita Shah Arora3 1Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, 27516, USA; 2Carolina Population Center, University of North Carolina, Chapel Hill, NC, 27516, USA; 3Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC, 27516, USACorrespondence: Kavita Shah Arora, Department of Obstetrics and Gynecology, University of North Carolina, 3031 Old Clinic Building, CB 7570, Chapel Hill, NC, 27599-7570, USA, Email kavita_arora@med.unc.eduAbstract: There are multi-level barriers that impact uptake of postpartum contraception and result in disparities, including clinical barriers such as provider bias. Fortunately, clinicians have direct control over their contraceptive counseling practices, and thus reducing structural barriers is actionable through high quality contraceptive counseling that equips patients with the knowledge and guidance they need to fulfill their reproductive desires. Yet, many commonly employed contraceptive counseling strategies, like One Key Question and WHO tiered contraceptive counseling, are not patient-driven, do not account for the important nuances of contraceptive choices, and are not focused specifically on the postpartum period. Given the history of eugenics and reproductive coercion in the US, supporting patient through their contraceptive decision-making process is especially vital. Additionally, contraceptive preferences vary based on patient-level factors and fluctuate over time and counseling should account for such differences. Shared contraceptive decision-making occurs when patients provide input on their values, desires, and preferences and clinicians share medical knowledge and evidence-based information without judgement. This approach is considered the most ethically sound form of counseling, as it maximizes patient autonomy. Shared decision-making also has clinical benefits, including increased patient satisfaction. In sum, shared contraceptive decision-making should be universally adopted to promote ethical, high-quality care and reproductive autonomy.Keywords: postpartum contraception, shared decision-making, contraceptive counseling |
| first_indexed | 2024-04-13T02:38:59Z |
| format | Article |
| id | doaj.art-cf6d9a06c3f24d34ab53822fa9639a34 |
| institution | Directory Open Access Journal |
| issn | 1179-1527 |
| language | English |
| last_indexed | 2024-04-13T02:38:59Z |
| publishDate | 2022-08-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Open Access Journal of Contraception |
| spelling | doaj.art-cf6d9a06c3f24d34ab53822fa9639a342022-12-22T03:06:16ZengDove Medical PressOpen Access Journal of Contraception1179-15272022-08-01Volume 1312112977646Shared Decision-Making: The Way Forward for Postpartum Contraceptive CounselingBullington BWSata AArora KSBrooke W Bullington,1,2 Asha Sata,3 Kavita Shah Arora3 1Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, 27516, USA; 2Carolina Population Center, University of North Carolina, Chapel Hill, NC, 27516, USA; 3Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC, 27516, USACorrespondence: Kavita Shah Arora, Department of Obstetrics and Gynecology, University of North Carolina, 3031 Old Clinic Building, CB 7570, Chapel Hill, NC, 27599-7570, USA, Email kavita_arora@med.unc.eduAbstract: There are multi-level barriers that impact uptake of postpartum contraception and result in disparities, including clinical barriers such as provider bias. Fortunately, clinicians have direct control over their contraceptive counseling practices, and thus reducing structural barriers is actionable through high quality contraceptive counseling that equips patients with the knowledge and guidance they need to fulfill their reproductive desires. Yet, many commonly employed contraceptive counseling strategies, like One Key Question and WHO tiered contraceptive counseling, are not patient-driven, do not account for the important nuances of contraceptive choices, and are not focused specifically on the postpartum period. Given the history of eugenics and reproductive coercion in the US, supporting patient through their contraceptive decision-making process is especially vital. Additionally, contraceptive preferences vary based on patient-level factors and fluctuate over time and counseling should account for such differences. Shared contraceptive decision-making occurs when patients provide input on their values, desires, and preferences and clinicians share medical knowledge and evidence-based information without judgement. This approach is considered the most ethically sound form of counseling, as it maximizes patient autonomy. Shared decision-making also has clinical benefits, including increased patient satisfaction. In sum, shared contraceptive decision-making should be universally adopted to promote ethical, high-quality care and reproductive autonomy.Keywords: postpartum contraception, shared decision-making, contraceptive counselinghttps://www.dovepress.com/shared-decision-making-the-way-forward-for-postpartum-contraceptive-co-peer-reviewed-fulltext-article-OAJCpostpartum contraceptionshared decision-makingcontraceptive counseling |
| spellingShingle | Bullington BW Sata A Arora KS Shared Decision-Making: The Way Forward for Postpartum Contraceptive Counseling Open Access Journal of Contraception postpartum contraception shared decision-making contraceptive counseling |
| title | Shared Decision-Making: The Way Forward for Postpartum Contraceptive Counseling |
| title_full | Shared Decision-Making: The Way Forward for Postpartum Contraceptive Counseling |
| title_fullStr | Shared Decision-Making: The Way Forward for Postpartum Contraceptive Counseling |
| title_full_unstemmed | Shared Decision-Making: The Way Forward for Postpartum Contraceptive Counseling |
| title_short | Shared Decision-Making: The Way Forward for Postpartum Contraceptive Counseling |
| title_sort | shared decision making the way forward for postpartum contraceptive counseling |
| topic | postpartum contraception shared decision-making contraceptive counseling |
| url | https://www.dovepress.com/shared-decision-making-the-way-forward-for-postpartum-contraceptive-co-peer-reviewed-fulltext-article-OAJC |
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