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Beyond Barriers: A Guide for Best Practice

Beyond Barriers: Reimagining Access to Post-Pregnancy Contraception – A Guide for Best Practice showcases proven, replicable models of local service delivery.

Beyond Barriers: Reimagining Access to Post-Pregnancy Contraception		7
Foreword: The Importance of a Universal Offer of Post-Pregnancy Contraception		8
Introduction		10
Key Statistics		12
Best Practice In Post-Pregnancy Contraception: The Lessons Learnt 		13
1. The Importance of Supportive Leadership Locally 		14
2. The Importance of a Contraceptive Champion 		14
3. The Role of the Nurse or Midwife as a Conduit for PPC Provision		15
4. Fostering Collaboration Across Disciplines, and Establishing Clear Care Pathways to Support 		17
5. The Importance of Contraceptive Counselling During Pregnancy 		19
6. The Importance of Robust Workforce Training and Education		21
7. The Importance of Access to Evidence-Based, Accurate Information on Contraception 		22
8. The Importance of Efficient Digital Infrastructure for Guiding, Recording, Monitoring and Evaluating PPC Services		23
PPC in Scotland and Wales		25
A View from Scotland 		25
A View from Wales 		25
Acknowledgements		26
Appendices and Resources 		28
Appendix 1: Contraceptive Options Post-Pregnancy 		28
Appendix 2: Setting Out the Evidence, Research and Data on Post-Pregnancy Contraception to Enable Women’s Reproductive Choices by Dr Annette Thwaites, Dr Edward Mullins, and Dr Patricia A. Lohr		29
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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