Options Counseling for Unintended Pregnancy. Overview of presentation. Background on unintended pregnancy Overview of knowledge, skills and attitudes needed to provide care to women with unintended pregnancy Professional issues. Background on Unintended Pregnancy.
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Options Counseling for Unintended Pregnancy
Each year in the United States:
48% of pregnancies are unintended:
Approximately half are carried to term or end in miscarriage
Approximately half are terminated
Women with unintended pregnancies are from all races, ethnicities, classes, and religions.
Sexual and Reproductive Health:
Comparison Between Sweden, France, Canada, Great Britain, U.S.
Contraceptives unavailable/difficult to obtain/expensive
Don’t know about or can’t access emergency contraception
Lack of understanding of reproduction/fertility
Religion and/or partner opposition to contraception
What skills do nurses/APRNs need to provide care to women with unintended pregnancy?
Attitude, skills and knowledge
Providing non-judgmental, non-directive counseling using specific counseling techniques.
Addressing issues of ambivalence.
Supporting the woman in her decision-making.
Assuring that the informed-consent process includes appropriate, accurate information about the potential benefits and risks of abortion, adoption and continuing the pregnancy.
Providing resources or referrals to
Inform and educate self about:
What are a woman’s options?
Continue pregnancy and:
make an adoption plan
Terminate pregnancy through:
Giving your child away
Putting your child “up” for adoption
Keeping the child
“Real” or “natural” mother/father/parents
Keeping the child
Adapted from Open Adoption & Family Services www.openadopt.org
88% are done in the first 12 weeks of pregnancy
95% performed in outpatient setting
Actual procedure takes less than 5-10 minutes in most cases
Local anesthesia used; may opt for conscious sedation or general anesthesia
In outpatient settings, average cost $468
Methods and timing:
Up to 14-15 weeks
Dilation and evacuation
Induction or instillation
Used <1% of procedures, usually between 20-23 weeks
Explore how the woman is feeling about the positive test result.
If she is unsure of her plans, help her to consider her alternatives. Many women will know what they want to do.
Help her to identify support systems.
If she is not ready to make a decision, discuss a timetable for decision-making after estimating gestational age by LMP and/or clinical exam and/or ultrasound to determine gestational age.
Refer or provide her with appropriate information about abortion or adoption services.
Thank you to Grayson Dempsey of Backline for the ppt. slides on adoption.
PPT updated Feb. 2014