IUD Counseling: What’s Choice Got to Do With It?
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Current best practices in contraceptive counseling reflect reproductive justice principles that access to reproductive health care is a human right—that individuals should have autonomous choice of when, and if, they choose to parent; irrespective of age, socioeconomic status, gender identity, or social vulnerabilities. Adopting counseling techniques for adolescents and young adults that avoid all forms of reproductive coercion, and promote ultimate patient choice ensures that providers follow these tenets. This chapter will describe best-practice models for providing contraceptive counseling, and include methods for integrating these counseling models into IUD placement, continuation, and removal for adolescents and young adults. Common models of contraceptive counseling will be discussed, with a focus on the shared decision-making model and how to use this with counseling for IUDs. The history of reproductive coercion and abuse will also be reviewed, in the context and framing of this chapter.
KeywordsAdolescent Young adult IUD Shared decision-making Contraceptive counseling Reproductive coercion Reproductive justice Copper IUD Levonorgestrel IUD
American Academy of Pediatrics
The American College of Obstetrics and Gynecology
Home, Education/Employment, Activities, Drugs/Depression, Suicidality, Sex
Long-acting reversible contraception
Society of Adolescent Health and Medicine
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