The goal of pregnancy options counseling is to provide non-directive, neutral, unbiased counseling to aid a client in exploring all possible pregnancy options and making the best decision at this time in the client’s life.
Staff who provide pregnancy options counseling should be knowledgeable about the different pregnancy options, relevant terms, and available health care and community resources. Staff should also be trained in how to demonstrate client-centered counseling skills in a non-directive and unbiased manner. These video scenarios and the discussion guide are designed to help health care professionals increase their knowledge and develop skills related to providing quality pregnancy options counseling.
Intended audience: All staff that provide pregnancy test results and options counseling in a clinical setting.
Title X Program Requirements: Title X Program Requirements (#9.11) stipulate that Title X projects must offer pregnant women the opportunity to be provided information and counseling regarding each of the following options:
- Prenatal care and delivery;
- Infant care, foster care, or adoption; and
- Pregnancy termination.
If requested to provide such information and counseling, provide neutral, factual information and nondirective counseling on each of the options and referral upon request, except with respect to any option(s) about which the pregnant woman indicates she does not wish to receive such information and counseling (42 CFR 59.5(a)(5)).
Related Resource: eLearning Course—Putting the QFP into Practice: Pregnancy Testing and Counseling
Using the Video
These video demonstrations can be used by a trainer to conduct a facilitated discussion among a group of staff, or by an individual who would like to see a demonstration of effective client-centered counseling.
Three video scenarios illustrate the decision-making process when a patient receives a positive pregnancy test result. Following each scenario, experts analyze the counseling and offer commentary.
Experts: Jerusalem Maukkonen, RN, MSN, FNP-BC; Erica Monasterio, MN, FNP; Daniela Torres, MPH; Karen Dluhosh, MC
Scene 1: Anna, a 30 year old woman, ambivalent about her options:
Scene 2: Kate, 19 years old, in conflict with her partner:
Scene 3: Jessica, 16 years old, surprised by the positive result:
From the Field: Observations from pregnancy counselors about their real life experiences:
Funded by DHHS, Office of Population Affairs Title X Family Planning Grant #FPTPA006024-01-00
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