Postpartum Contraception in Unintended Pregnancy Prevention and Care
Choosing a contraceptive method after having a baby is an extremely important part of postpartum care. Nurses can help women achieve their reproductive life plan regarding the timing and spacing of their children through effective counseling on contraceptive methods. This module uses realistic patient scenarios as the framework for providing guidance on conducting patient-centered, non-directive contraceptive management counseling.
How to Use This Module
This Nursing Education Curriculum is designed for a flipped classroom model to incorporate unintended pregnancy prevention and care into existing curricula.
Students—Click the student tab and complete the pre-assessment. You may have received a site code from your instructor which you may enter within the pre-assessment. Definitions and Orienting Facts provide context for the Patient Situations, which are clinical scenarios designed to raise critical issues and questions to put unintended pregnancy prevention and care in the context of Professional Ethics. Students should complete the Required Reading at any time while going through the Patient Situations. Please complete the post-assessment after finishing the module.
Faculty—Open the faculty tab below to access teaching tips, exercises, and handouts for incorporating module content into the classroom, and to learn more about obtaining a “site code” to download and access students’ pre- and post-assessment data.
- Describe postpartum contraception for lactating and non-lactating women
- Analyze the health benefits of pregnancy spacing
- Understand the various types of contraceptive methods and their mechanism of action
- Demonstrate counseling options for unintended pregnancy prevention and management
Relevant UPPC Essential Competencies
Through a national Delphi study, Essential Competencies in Unintended Pregnancy Prevention and Care for Nursing Education (Hewitt, C. and Cappiello, J., 2015) 85 nursing experts in unintended pregnancy prevention and care reached consensus on 27 core educational competencies for nursing education which provide a framework for curricular development in an important area of nursing education. The following competencies are relevant to this nursing education module.
- Demonstrate knowledge of types of induced abortion methods, including risks and benefits, which are legally available in the U.S.
- Demonstrate understanding of how contraceptive methods work (e.g. hormonal methods, post‐partum and emergency contraception, lactational and fertility methods, IUD, barrier methods, sterilization), risks, benefits, alternatives, effectiveness, and eligibility.
- Demonstrate knowledge of current evidenced‐based guidelines for primary prevention of unintended pregnancy.
- Demonstrate proficiency in promoting sexual-health self-care practices.
- Demonstrate ability to confirm pregnancy and determine gestation age.
Pre- and Post-Assessments
Definitions and Orienting Facts
Patient Situation 1
Patient Situation 2
This module frames contraceptive options and unintended pregnancy prevention in the context of maternity and postpartum care. Nurses working with women who are about to give birth, or who come for a postpartum visit have an opportunity to support patients to develop and achieve their reproductive life plan through patient-centered contraceptive management and options counseling.
These modules are designed to use with a flipped classroom model in which students are directed to complete the module as homework, including the Pre- and Post-Assessments. Once students have completed the module in its entirety, including the recommended reading, faculty can use the Teaching Tips document and materials from the Classroom Exercises section below to integrate concepts from the module into the classroom or group setting.
- Contraception Counseling: Provider Tips and Patient Questions
This handout from CORE (Curricula Organizer for Reproductive Health Education) identifies specific questions for providers to consider and use when supporting patients in choosing a contraception that is best for them.
- Preconception Care Clinical Toolkit
Use the reproductive life planning assessments and talking points from this toolkit for in-class activities.
- WHY Refer
Use materials in Module 1 of Referrals for Unintended Pregnancy: A Curriculum for Health and Social Service Providers from Provide to highlight the importance of appropriate referrals, present a simple model for effective referral-making, and help providers identify their personal values.
- HOW to Refer
Use materials in Module 2 of Referrals for Unintended Pregnancy: A Curriculum for Health and Social Service Providers from Provide to present referrals as part of services provision, identify general barriers to accessing abortion care, and demonstrate best practices for referrals.
Accessing Student Pre- and Post-Assessment Data
Pre- and post-assessments are designed to measure students’ satisfaction with the module as well as what they have learned. To be able to complete the assessments students will need to enter a “site code” prior to working through the online module. Faculty will use this site code to download and review students’ pre- and post-assessment data. To obtain a site code your institution must e-mail AmyLevi@salud.unm.edu. In the text of the email, please include your name (as instructor), the name of the institution, and the module(s) for which you would like to access data. RhN will send you 1) a site code for your students to enter at the beginning of the assessment, 2) a web link to access the results from each module, and 3) an “answer key” to help grade your students’ responses. You may also assign a unique student code to each student that you would like to assess on an individual basis. Students must enter the correct site code for faculty to be able to access their data.