Reproductive Life Planning and Patient-Centered Care: Can the Inconsistencies be Reconciled?
Reproductive Life Planning and Patient-Centered Care: Can the Inconsistencies be Reconciled?
复制标题
生殖生命规划和以患者为中心的护理：不一致之处可以调和吗？
DOI：
10.1007/s10995-019-02734-3
复制
发表时间：
2019
影响因子：
2.3
通讯作者：
Borrero,Sonya
中科院分区：
文献类型：
--
作者：
Callegari,LisaS;Aiken,AbigailRA;Dehlendorf,Christine;Borrero,Sonya
To the Editor In a recent commentary published in the Maternal and Child Health Journal, Morse and Moos make the case that reproductive life planning (RLP) is a valuable approach to supporting women’s reproductive goals and preferences that should be more broadly implemented in clinical settings (Morse and Moos 2018). Recognizing the limitations of the public health ideal of “pregnancy planning,” in that it does not resonate with the reality of many women’s lives, they argue that RLP counseling can be conducted in a patientcentered manner by acknowledging women’s diverse views on future pregnancies, including ambivalence. We wholeheartedly agree with Morse and Moos that a paradigm shift to an evidence-based, patient-centered approach to counseling regarding women’s feelings and desires about future pregnancy is needed to ensure equitable and respectful care. Data to inform which specific elements of counseling and language can best capture the diversity of women’s preferences and needs are limited. However, we believe that the limited evidence available suggests several important inconsistencies between the RLP framework put forth by Morse and Moos and the elements of inclusive patient-centered counseling.As recognized by the authors, recent data have called into question the assumption that women’s choices and behaviors are reflective of timing-based intentions or plans about when to become pregnant (Aiken 2015; Aiken et al. 2015; Borrero et al. 2015; Zabin 1999). These data suggest that eliciting women’s emotional orientations and preferences regarding a potential pregnancy (ie how important it is to them to prevent pregnancy and how they would feel if they became pregnant) may actually be more relevant and patientcentered (Aiken et al. 2016; Callegari et al. 2017). In seeming contradiction, however, the RLP questions proposed by Morse and Moos in Tables 1 & 2 in their manuscript still appear limited to assessing women’s and men’s timing-based intentions and plans.
