Prevention of unintended pregnancy: a focus on long-acting reversible contraception.
This article summarizes the literature regarding the epidemiology and prevention of unintended pregnancy in the United States. Because of the Affordable Care Act and its accompanying contraceptive provision, there is a need for more primary care clinicians to provide family planning services. Office-based interventions to incorporate family planning services in primary care are presented, including clinical tools and electronic health record use. Special attention is paid to long-acting reversible contraceptive methods (the subdermal implant and intrauterine devices); these highly effective and safe methods have the greatest potential to decrease the rate of unintended pregnancy, but have been underused.
Department of Family Medicine and Community Health, Rutgers Robert Wood Johnson Medical School, 1 Robert Wood Johnson Place, Medical Education Building Room 262, New Brunswick, NJ 08901, USA. Electronic address: picklesr@rutgers.edu.
Sarah
S
Pickle
Department of Family Medicine and Community Health, Rutgers Robert Wood Johnson Medical School, 1 Robert Wood Johnson Place, Medical Education Building Room 262, New Brunswick, NJ 08901, USA.
Justine
J
Wu
Rutgers Robert Wood Johnson Medical School, 1 Robert Wood Johnson Place, Medical Education Building Room 262, New Brunswick, NJ 08901, USA.
Edith
E
Burbank-Schmitt
D000293:Adolescent; D000328:Adult; D003267:Contraception / Q000379:methods*; D003268:Contraception Behavior / Q000706:statistics & numerical data*; D003271:Contraceptive Agents, Female / Q000627:therapeutic use; D017047:Cost Sharing / Q000706:statistics & numerical data; D003376:Counseling / Q000458:organization & administration; D004343:Drug Implants / Q000627:therapeutic use*; D057286:Electronic Health Records / Q000458:organization & administration; D005260:Female; D006801:Humans; D019458:Insurance Coverage / Q000706:statistics & numerical data; D007348:Insurance, Health / Q000706:statistics & numerical data; D007434:Intrauterine Devices / Q000706:statistics & numerical data*; D011247:Pregnancy; D049168:Pregnancy, Unplanned; D015995:Prevalence; D014481:United States; D055815:Young Adult
D003271:Contraceptive Agents, Female; D004343:Drug Implants
Contraception; Electronic health record; Family planning; Long-acting reversible contraception; Unintended pregnancy; Unplanned pregnancy