Beyond Barriers: A Guide for Best Practice

BEYOND BARRIERS: REIMAGINING ACCESS TO POST-PREGNANCY CONTRACEPTION A GUIDE FOR BEST PRACTICE

Contents

Beyond Barriers: Reimagining Access to Post-Pregnancy Contraception

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A Best Practice Guide

Foreword

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Dr Sue Mann, National Clinical Director in Women’s Health for NHS England

Foreword: The Importance of a Universal Offer of Post-Pregnancy Contraception

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Dr Malcolm Moffat

Introduction

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By Dr Janet Barter, CoSRH President, and Prof Ranee Thakar, RCOG President

Key Statistics

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Best Practice In Post-Pregnancy Contraception: The Lessons Learnt 1. The Importance of Supportive Commissioning and Leadership Locally

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2. The Importance of a Contraceptive Champion

3. The Role of the Nurse or Midwife as a Conduit for PPC Provision

4. Fostering Collaboration Across Disciplines, and Establishing Clear Care Pathways to Support

5. The Importance of Contraceptive Counselling During Pregnancy 6. The Importance of Robust Workforce Training and Education

7. The Importance of Access to Evidence-Based, Accurate Information on Contraception 8. The Importance of Efficient Digital Infrastructure for Guiding, Recording, Monitoring

and Evaluating PPC Services

PPC in Scotland and Wales

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A View from Scotland A View from Wales

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Acknowledgements

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Appendices and Resources

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Appendix 1: Contraceptive Options Post-Pregnancy 28 Appendix 2: Setting Out the Evidence, Research and Data on Post-Pregnancy Contraception 29 to Enable Women’s Reproductive Choices by Dr Annette Thwaites, Dr Edward Mullins, and Dr Patricia A. Lohr Appendix 3: The Importance of Sensitive Contraception Counselling after Pregnancy Loss and the Death of a Baby: a View of Those Supporting Bereaved Parents 34 Appendix 4: Accessing Contraception after Abortion by Dr Annette Thwaites, Dr Edward Mullins, and Dr Patricia A. Lohr 35 Appendix 5: The View from Scotland by Professor Anna Glasier and Dr Michelle Cooper 38 Appendix 6: The View from Wales by Dr Helen Munro and Aimee Burgess 41 Appendix 7: Equipping the Workforce with the Education and Training They Need: The View from the CoSRH 44 Resources 47

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