How can we make discussions about women’s pregnancy goals more brief, straightforward, and effective? The Oregon Foundation for Reproductive Health has done just that with their One Key Question®—“Would you like to become pregnant within the next year?” If the answer is no, it opens a conversation about family planning and contraceptives, with a special emphasis on long-term methods like the IUD. If the answer is yes, patients receive resources to help them prepare for conception and a healthy pregnancy.
Nationally, 51% of pregnancies are unintended, which is why the American College of Obstetricians and Gynecologists recommends that providers regularly check in on reproductive-age women’s pregnancy goals. Many Epic community members have incorporated the One Key Question into provider workflows in Epic, and 64% of those organizations consistently screen for pregnancy plans compared to only 12% of organizations who don’t use the One Key Question.
In a small pilot, the One Key Question was well-received and effective, especially for women who didn’t want to become pregnant: the number of women using a long-term contraceptive increased by 47% after the pilot, and the number of women using no contraceptive decreased by 86%.
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