22.04.2015

Want to get pregnant no health insurance

Having primary care providers ask all women of reproductive age whether they plan to get pregnant within the next year could help eliminate health disparities. The answer triggers a doctor-patient discussion that will keep women healthier, help eliminate health disparities, and save taxpayer dollars. If a patient hopes to conceive within the next year, the doctor or other medical care provider offers counseling and resources to ensure that her future pregnancy is as healthy as possible. If a woman does not intend to get pregnant, the doctor starts a conversation with her about the full range of contraceptive options available to prevent an unplanned pregnancy. If a woman is uncertain, the health care provider encourages her to take preventive measures until she’s sure. A woman who desires two children will spend three decades of her life trying to prevent an unintended pregnancy.
On the flip side, a woman who does want to become pregnant needs services, starting with simple preconception care and transitioning to early prenatal care.
This simple approach was designed by the Oregon Foundation for Reproductive Health with funding from the Ms.


In the same way that health care providers routinely screen adults for cancer, high blood pressure, or depression, they must proactively discuss the reproductive health care needs with women of reproductive age. By asking the One Key Question, Oregon has taken a giant leap forward toward the goal of enabling a woman's right to affordable, accessible, comprehensive health care.
Helen Bellanca, MD, a medical adviser to the Oregon Foundation for Reproductive Health, contributed to this article.
Correction, July 9, 2014: This article originally stated that One Key Question helps providers comply with a new quality metric for health care in Oregon that requires sites to report the proportion of women in their practices who are using effective contraception (among those who do not want to become pregnant). Michele Stranger Hunter is the executive director of the Oregon Foundation for Reproductive Health. In sharp contrast, a new program in Oregon puts reproductive health care front and center for all women. The goal is to put pregnancy intentions on the radar screen of primary care so that a greater proportion of pregnancies are wanted, planned, and healthy.
Problems affecting a woman’s health, such as obesity, diabetes, or high blood pressure, are best addressed before she becomes pregnant to increase the chances of a healthy outcome.


National professional organizations are taking note as well, with the American Public Health Association and the National Association of Nurse Practitioners in Women’s Health expressing their support. Dollars spent on preventive reproductive health care save money on unintended pregnancies and the health care that follows.
That means a woman who desires two children will spend three decades of her life trying to prevent an unintended pregnancy. Unintended pregnancy increases financial stressors for families and can derail women from educational and employment opportunities.
Healthier pregnancies and births reduce costs for families, the government, and the private sector now and in the future. Fortunately, contraceptives and counseling are still recognized as core preventive health care services under the Affordable Care Act.



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