Examining Temporal Trends in Documentation of Pregnancy Intentions in Family Planning Health Centers Using Electronic Health Records

Maternal and Child Health Journal
Hannah R Simons, Julia E Kohn

Abstract

Objectives Few studies have examined the extent to which providers assess pregnancy intentions during clinical encounters. Our objective was to assess temporal trends in documentation of patient pregnancy intentions in electronic health records (EHR). Methods In this retrospective observational study using EHR data from 627,399 female patients visiting 214 family planning centers in 2012-2014, we assessed changes in the prevalence of pregnancy intention documentation with piecewise log-binomial regression models. We examined bivariate associations between patient/visit characteristics and pregnancy intention documentation in each year, and associations between patients' pregnancy intentions and contraceptive methods. Results The proportion of patients with a documented pregnancy intention increased sharply from the end of 2012 (42%) to the midpoint of 2013 (85%; adjusted quarterly prevalence ratio [APR] = 1.40, 95% CI 1.36-1.45). Thereafter, the rate of change slowed as documentation approached the maximum possible frequency (93%; APR = 1.01, 95% CI 1.00-1.02). Documentation varied by all patient/visit characteristics in 2012 and 2013; in 2014, there were no clinically significant differences. Among patients with a documented i...Continue Reading

References

May 6, 2003·Perspectives on Sexual and Reproductive Health·John SantelliUNKNOWN Unintended Pregnancy Working Group
Mar 17, 2007·Contraception·Eleanor Bimla SchwarzBarbara Gerbert
Jan 8, 2009·The Journal of Family Planning and Reproductive Health Care·F Xavier BoschXavier Castellsagué
May 8, 2010·Maternal and Child Health Journal·Julia McQuillanKarina M Shreffler
Apr 12, 2011·Contraception·James Trussell
Dec 13, 2012·Perspectives on Sexual and Reproductive Health·Jenny A HigginsJohn S Santelli
Jun 19, 2013·Contraception·Helen K Bellanca, Michele Stranger Hunter
May 13, 2015·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Aalap BommarajuJennifer L Mooney
Jun 11, 2015·BMJ : British Medical Journal·Evangelos KontopantelisDavid Reeves
Mar 11, 2016·The New England Journal of Medicine·Lawrence B Finer, Mia R Zolna
Oct 30, 2016·American Journal of Obstetrics and Gynecology·Lisa S CallegariSonya Borrero
May 6, 2017·Perspectives on Sexual and Reproductive Health·Cheryl L RobbinsSusan B Moskosky

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