No/Unsure

ASK: Would you like to become pregnant in the next year?

ASK: Are you currently using a type of contraceptive method that you are

satisfied with?

Yes NoNot at

risk for pregnancy

RecommendEmergency Contraception

as a backup method.

“Act Pregnant Before You Get Pregnant”

Provide contraceptive counseling.

Contraception not needed.

Recommend 400mcg of folic acid daily.Screen for health concerns that could

impact pregnancy and treat as indicated.Encourage an appointment with a

health care provider as soon as she knows she is pregnant.

Yes Ok Either Way

PO Box 40472 • Portland, OR 97240503-223-4510 • onekeyquestion.org

One Key Question® Can Change Primary Care. Are You Asking It?Most American women desire only 2 children.In order to reach that goal, they must spend nearly 30 years trying to avoid an unintended pregnancy.1

Gaps in Primary CareMost primary care providers miss a significant conversation with women of reproductive age around:

• Pregnancy intention

• Preconception care

• Need for birth control method and Emergency Contraception

• Satisfaction with current birth control method

Lack of Preconception Care• In Oregon in 2010, 50% of recently postpartum women did not take a multivitamin, prenatal vitamin, or folic acid at all during the month before they got pregnant.2

• When surveyed, only 50% of obstetrics

providers knew that half of pregnancies

are unplanned.3

• When surveyed, only 42% of obstetrics

providers knew the correct dosage of

folic acid supplementation.3

What Primary Care Providers Can Do:Contraception and preconception care are core preventive services as part of the new standard for primary care in health care reform.

1) Make it a routine part of your primary care practice to ask reproductive age women “Would you like to become pregnant in the next year?”

• Ensure all women have information and resources they need for effective contraception, Emergency Contraception, and preconception care.

• Provide services based on the woman’s needs, either directly or by referral.

• Include Long-Acting Reversible Contraceptive methods, such as the IUD and implant, in your contraception counseling.

2) Ask your support staff to assist you in routinely asking One Key Question®

and coordinating resources for follow up.

3) Insert One Key Question® into your Electronic Health Record templates to serve as a prompt for you and your colleagues.

4) Talk to your colleagues and other professionals about the importance of planned pregnancies to women’s health and the need to be proactive in screening women about their pregnancy intention.

Unintended Pregnancy in OregonIn Oregon in 2010, 46% of recently postpartum women stated they were not trying to get pregnant when they did.2

• 75% of women and their partners were not doing anything to prevent pregnancy when they became pregnant.2

• Half of these women indicated they lacked comprehensive contraceptive advice from a clinician to avoid pregnancy.2

References1. Sonfield A, Preventing unintended pregnancy: the need and the means, Guttmacher Report on Public Policy, 2003, 6(5):7–10.

2. PRAMS 2010: Oregon Department of Human Services, Public Health Division, Pregnancy Risk Assessment Monitoring System

3. Delvoye P, Guillaume C, Collard S, Nardella T, Hannecart V, and Mauroy MC. (2009). "Preconception health promotion: Analysis of means and constraints." European Journal of Contraception & Reproductive Health Care 14, no. 4: 307-316.

4. Gold RB et al., Next Steps for America’s Family Planning Program: Leveraging the Potential of Medicaid and Title X in an Evolving Health Care System, New York: Guttmacher Institute,

Contraception Use in Unintended Pregnancy 4

Results of Pilot in Primary Care Health Center:• All women agreed that it was important for their clinician to know their pregnancy intention.

• Providers thought OKQ was an effective way to address women’s reproductive health.

“OKQ is fast, easy, and helpful.”

All Oregon primary careorganizations endorse theintegration of reproductivehealth into primary care

The Patient Centered Primary Care Home specifies

reproductive health as core primary care services

Providers should increase attention paid in primary

care to preconception and contraception care as

core preventive services

Primary care providers routinely ask reproductive-age women

Would you like to become pregnant in

the next year?

One Key Question®

To increase women’s access to reproductive health care

Prompts should be added in Electronic Health

Record systems

5%Method Failure

43%Inconsistant Use

52%No Method Used

Increased numberof pregnancies that are wanted, planned

and as healthy as possible

No/Unsure

ASK: Would you like to become pregnant in the next year?

ASK: Are you currently using a type of contraceptive method that you are

satisfied with?

Yes NoNot at

risk for pregnancy

RecommendEmergency Contraception

as a backup method.

“Act Pregnant Before You Get Pregnant”

Provide contraceptive counseling.

Contraception not needed.

Recommend 400mcg of folic acid daily.Screen for health concerns that could

impact pregnancy and treat as indicated.Encourage an appointment with a

health care provider as soon as she knows she is pregnant.

Yes Ok Either Way

PO Box 40472 • Portland, OR 97240503-223-4510 • onekeyquestion.org

One Key Question® Can Change Primary Care. Are You Asking It?Most American women desire only 2 children.In order to reach that goal, they must spend nearly 30 years trying to avoid an unintended pregnancy.1

Gaps in Primary CareMost primary care providers miss a significant conversation with women of reproductive age around:

• Pregnancy intention

• Preconception care

• Need for birth control method and Emergency Contraception

• Satisfaction with current birth control method

Lack of Preconception Care• In Oregon in 2010, 50% of recently postpartum women did not take a multivitamin, prenatal vitamin, or folic acid at all during the month before they got pregnant.2

• When surveyed, only 50% of obstetrics

providers knew that half of pregnancies

are unplanned.3

• When surveyed, only 42% of obstetrics

providers knew the correct dosage of

folic acid supplementation.3

What Primary Care Providers Can Do:Contraception and preconception care are core preventive services as part of the new standard for primary care in health care reform.

1) Make it a routine part of your primary care practice to ask reproductive age women “Would you like to become pregnant in the next year?”

• Ensure all women have information and resources they need for effective contraception, Emergency Contraception, and preconception care.

• Provide services based on the woman’s needs, either directly or by referral.

• Include Long-Acting Reversible Contraceptive methods, such as the IUD and implant, in your contraception counseling.

2) Ask your support staff to assist you in routinely asking One Key Question®

and coordinating resources for follow up.

3) Insert One Key Question® into your Electronic Health Record templates to serve as a prompt for you and your colleagues.

4) Talk to your colleagues and other professionals about the importance of planned pregnancies to women’s health and the need to be proactive in screening women about their pregnancy intention.

Unintended Pregnancy in OregonIn Oregon in 2010, 46% of recently postpartum women stated they were not trying to get pregnant when they did.2

• 75% of women and their partners were not doing anything to prevent pregnancy when they became pregnant.2

• Half of these women indicated they lacked comprehensive contraceptive advice from a clinician to avoid pregnancy.2

References1. Sonfield A, Preventing unintended pregnancy: the need and the means, Guttmacher Report on Public Policy, 2003, 6(5):7–10.

2. PRAMS 2010: Oregon Department of Human Services, Public Health Division, Pregnancy Risk Assessment Monitoring System

3. Delvoye P, Guillaume C, Collard S, Nardella T, Hannecart V, and Mauroy MC. (2009). "Preconception health promotion: Analysis of means and constraints." European Journal of Contraception & Reproductive Health Care 14, no. 4: 307-316.

4. Gold RB et al., Next Steps for America’s Family Planning Program: Leveraging the Potential of Medicaid and Title X in an Evolving Health Care System, New York: Guttmacher Institute,

Contraception Use in Unintended Pregnancy 4

Results of Pilot in Primary Care Health Center:• All women agreed that it was important for their clinician to know their pregnancy intention.

• Providers thought OKQ was an effective way to address women’s reproductive health.

“OKQ is fast, easy, and helpful.”

All Oregon primary careorganizations endorse theintegration of reproductivehealth into primary care

The Patient Centered Primary Care Home specifies

reproductive health as core primary care services

Providers should increase attention paid in primary

care to preconception and contraception care as

core preventive services

Primary care providers routinely ask reproductive-age women

Would you like to become pregnant in

the next year?

One Key Question®

To increase women’s access to reproductive health care

Prompts should be added in Electronic Health

Record systems

5%Method Failure

43%Inconsistant Use

52%No Method Used

Increased numberof pregnancies that are wanted, planned

and as healthy as possible

No/Unsure

ASK: Would you like to become pregnant in the next year?

ASK: Are you currently using a type of contraceptive method that you are

satisfied with?

Yes NoNot at

risk for pregnancy

RecommendEmergency Contraception

as a backup method.

“Act Pregnant Before You Get Pregnant”

Provide contraceptive counseling.

Contraception not needed.

Recommend 400mcg of folic acid daily.Screen for health concerns that could

impact pregnancy and treat as indicated.Encourage an appointment with a

health care provider as soon as she knows she is pregnant.

Yes Ok Either Way

PO Box 40472 • Portland, OR 97240503-223-4510 • onekeyquestion.org

One Key Question® Can Change Primary Care. Are You Asking It?Most American women desire only 2 children.In order to reach that goal, they must spend nearly 30 years trying to avoid an unintended pregnancy.1

Gaps in Primary CareMost primary care providers miss a significant conversation with women of reproductive age around:

• Pregnancy intention

• Preconception care

• Need for birth control method and Emergency Contraception

• Satisfaction with current birth control method

Lack of Preconception Care• In Oregon in 2010, 50% of recently postpartum women did not take a multivitamin, prenatal vitamin, or folic acid at all during the month before they got pregnant.2

• When surveyed, only 50% of obstetrics

providers knew that half of pregnancies

are unplanned.3

• When surveyed, only 42% of obstetrics

providers knew the correct dosage of

folic acid supplementation.3

What Primary Care Providers Can Do:Contraception and preconception care are core preventive services as part of the new standard for primary care in health care reform.

1) Make it a routine part of your primary care practice to ask reproductive age women “Would you like to become pregnant in the next year?”

• Ensure all women have information and resources they need for effective contraception, Emergency Contraception, and preconception care.

• Provide services based on the woman’s needs, either directly or by referral.

• Include Long-Acting Reversible Contraceptive methods, such as the IUD and implant, in your contraception counseling.

2) Ask your support staff to assist you in routinely asking One Key Question®

and coordinating resources for follow up.

3) Insert One Key Question® into your Electronic Health Record templates to serve as a prompt for you and your colleagues.

4) Talk to your colleagues and other professionals about the importance of planned pregnancies to women’s health and the need to be proactive in screening women about their pregnancy intention.

Unintended Pregnancy in OregonIn Oregon in 2010, 46% of recently postpartum women stated they were not trying to get pregnant when they did.2

• 75% of women and their partners were not doing anything to prevent pregnancy when they became pregnant.2

• Half of these women indicated they lacked comprehensive contraceptive advice from a clinician to avoid pregnancy.2

References1. Sonfield A, Preventing unintended pregnancy: the need and the means, Guttmacher Report on Public Policy, 2003, 6(5):7–10.

2. PRAMS 2010: Oregon Department of Human Services, Public Health Division, Pregnancy Risk Assessment Monitoring System

3. Delvoye P, Guillaume C, Collard S, Nardella T, Hannecart V, and Mauroy MC. (2009). "Preconception health promotion: Analysis of means and constraints." European Journal of Contraception & Reproductive Health Care 14, no. 4: 307-316.

4. Gold RB et al., Next Steps for America’s Family Planning Program: Leveraging the Potential of Medicaid and Title X in an Evolving Health Care System, New York: Guttmacher Institute,

Contraception Use in Unintended Pregnancy 4

Results of Pilot in Primary Care Health Center:• All women agreed that it was important for their clinician to know their pregnancy intention.

• Providers thought OKQ was an effective way to address women’s reproductive health.

“OKQ is fast, easy, and helpful.”

All Oregon primary careorganizations endorse theintegration of reproductivehealth into primary care

The Patient Centered Primary Care Home specifies

reproductive health as core primary care services

Providers should increase attention paid in primary

care to preconception and contraception care as

core preventive services

Primary care providers routinely ask reproductive-age women

Would you like to become pregnant in

the next year?

One Key Question®

To increase women’s access to reproductive health care

Prompts should be added in Electronic Health

Record systems

5%Method Failure

43%Inconsistant Use

52%No Method Used

Increased numberof pregnancies that are wanted, planned

and as healthy as possible