• Michigan Quality Improvement Consortium. Prevention of unintended pregnancy in adults 18 years and older. Southfield (MI): Michigan Quality Improvement Consortium; 2007 Jun. 1 p.

This is the current release of the guideline.

The level of evidence grades (A-D) are provided for the most significant recommendations and are defined at the end of the "Major Recommendations" field.

Assessment for Risk of Unintended Pregnancy

Ask about:

• Sexual activity/involvement, past pregnancy and outcome
• Abuse (e.g., Were you pressured or forced to have sex when you did not want to?)
• Consistent use of birth control or protection (e.g., Does it ever happen that you have sex without using birth control or protection?)
  • If contraception is used, assess type
• Intent to become pregnant or father a child (e.g., Are you trying to get pregnant? Are you trying to father a child?)

If currently pregnant discuss postpartum contraception.

Frequency

At annual health exam; more frequently at the discretion of the health care provider [D]

Intervention to Prevent Unintended Pregnancies

Advise and discuss:

• Patient's risk of pregnancy or contributing to an unintended pregnancy
• Risks and adverse outcomes associated with unintended pregnancies

Assess:

• Patient's understanding of risks and readiness to make behavior changes

Assist patients in preventing unintended pregnancy by:

• Discussing all contraceptive methods [B]
• Offering prescriptions
• Encouraging consistent latex condom use for sexually transmitted infection prevention [B]
• Referring to primary care provider, local health department, family planning clinic, Plan First, federally qualified health center or hotline

Arrange follow-up

Frequency

At annual health exam; more frequently at the discretion of the health care provider [D]

Definitions:

Levels of Evidence for the Most Significant Recommendations

1. Randomized controlled trials
2. Controlled trials, no randomization
3. Observational studies
4. Opinion of expert panel

None provided

• Michigan Quality Improvement Consortium. Prevention of unintended pregnancy in adults 18 years and older. Southfield (MI): Michigan Quality Improvement Consortium; 2007 Jun. 1 p.

2007 Jun

Michigan Quality Improvement Consortium - Professional Association

Michigan Quality Improvement Consortium

Michigan Quality Improvement Consortium Medical Director's Committee

Physician representatives from participating Michigan Quality Improvement Consortium health plans, Michigan State Medical Society, Michigan Osteopathic Association, Michigan Association of Health Plans, Michigan Department of Community Health and Michigan Peer Review Organization

Standard disclosure is requested from all individuals participating in the Michigan Quality Improvement Consortium (MQIC) guideline development process, including those parties who are solicited for guideline feedback (e.g. health plans, medical specialty societies). Additionally, members of the MQIC Medical Directors' Committee are asked to disclose all commercial relationships.

This is the current release of the guideline.

This NGC summary was completed by ECRI Institute on March 5, 2008. The information was verified by the guideline developer on March 12, 2008.

This NGC summary is based on the original guideline, which may be reproduced with the citation developed by the Michigan Quality Improvement Consortium.