Hospital & Maternity
Reproductive Health Townscape
Skip to nav- Systematic approach to promoting and providing contraception and preconception care
Systematic approach to promoting and providing contraception and preconception care.
Please click below for further guidance- Midwives should discuss postnatal contraception with all women during their pregnancy. Hospitals/maternity units should offer all postnatal women the full range of contraceptive options to support their choice, including insertion of LARC and assurance of its safety in the postnatal period
- All clinicians involved in the care of pregnant women, including abortion service providers and services providing care to women with ectopic pregnancy or miscarriage, should provide women with the opportunity to discuss contraception
- Use the Making Every Contact Count (MECC) framework in all interactions with women of reproductive age
- Engage with the Local Maternity Service prevention plan, e.g. contact local public health teams to discuss resources from workstream 9 of the Local Maternity System (prevention workstream)
- Strengthen links between contraception, reproductive health and gynaecology services to avoid missed opportunities
- Women and girls who have experienced FGM may require additional pre-conception support. Ensure that female genital mutilation pathways are commissioned in line with NHS and Royal College of Nursing guidance
- Consistent, evidence-based contraception and preconception advice
Consistent, evidence-based contraception and preconception advice.
Please click below for further guidance- Advise women that an interpregnancy interval of less than 12 months between childbirth and conceiving again is associated with an increased risk of preterm birth, low birthweight and small for gestational age babies
- Embed preconception care in antenatal care, extending healthy pregnancy advice to include the inter-pregnancy period and early discussions regarding postnatal contraception
- Use opportunity of National Chlamydia Screening Programme interactions to discuss contraception and preconception care
- Women trying to conceive should be advised to manage or reduce or manage pregnancy related risk factors to improve maternal and child outcomes including: smoking, alcohol, substance misuse, obesity, long term physical and mental health conditions
- Data to support contraception and preconception care initiatives
Data to support contraception and preconception care initiatives.
Please click below for further guidance- Improve the quality and completeness of data collected at booking in the maternity services dataset to support the development of preconception health indicators and evaluate progress on preconception and early pregnancy health
- Midwives should be encouraged to collect the London Measure of Unplanned Pregnancy as part of their antenatal pathway data collection processes
- Learning and development
Learning and development.
Please click below for further guidance- Ensure staff who want to gain RH specific accreditations are properly supported to do so
- Ensure access to care
Ensure access to care.
Please click below for further guidance- Ensure eligible women can access IVF treatment on the NHS