Meeting people's pregnancy prevention needs: Let's not force people to state an "Intention"

Christine Dehlendorf; Joia Crear Perry; Sonya Borrero; Lisa Callegari; Liza Fuentes; Jamila Perritt

doi:10.1016/j.contraception.2024.110400

Meeting people's pregnancy prevention needs: Let's not force people to state an "Intention"

Contraception. 2024 Feb 17:110400. doi: 10.1016/j.contraception.2024.110400. Online ahead of print.

Authors

Christine Dehlendorf¹, Joia Crear Perry², Sonya Borrero³, Lisa Callegari⁴, Liza Fuentes⁵, Jamila Perritt⁶

Affiliations

¹ Person-Centered Reproductive Health Program, UCSF Departments of Family and Community Medicine, San Francisco, CA, United States. Electronic address: Christine.Dehlendorf@ucsf.edu.
² National Birth Equity Collaborative, Washington, DC, USA.
³ Center for Innovative Research on Gender Health Equity (CONVERGE), Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
⁴ Department of Obstetrics & Gynecology, University of Washington School of Medicine, Seattle, WA, USA.
⁵ Health Equity Accelerator, Boston Medical Center, Boston, MA, USA.
⁶ Physicians for Reproductive Health, Washington, DC, USA.

PMID: 38369272
DOI: 10.1016/j.contraception.2024.110400

Abstract

Pregnancy intention screening does not identify need for pregnancy prevention and ignores the nuances of lived experiences while reinforcing white middle-class normative expectations. Asking about desire for contraception is a patient-centered approach to meeting people's needs.

Keywords: Contraception; Health equity; Patient-centered care; Screening.