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Table 3 Key themes and quotes from feedback sessions (n = 2 sessions) with pediatric residents (n = 18)

From: A novel approach to postpartum contraception: a pilot project of Pediatricians’ role during the well-baby visit

Main themes Key quotes
Pediatricians expressed comfort with implementing the intervention RLPT during Well-Baby Visits. “I found [RLPT] really easy to use on those newborn visits. It was a really easy way to transition into that discussion with the parent and be, ‘Well…we want to talk about this,’ because like you guys said, if you [mother] have your visit versus baby’s visit, you’re more likely to make baby’s visit if there’s going be one.”
  “I didn’t feel uncomfortable, but it’s definitely something I never thought about doing before, I guess, in my other visits. I usually ask the mom, ‘Oh, what are you doing for your help at home?’ or, ‘Do you want to have other kids?’”
Pediatricians felt women were general comfortable discussing contraception during their child’s visit but limited in how much they opened up. “I wonder if they [mothers] didn’t get into a discussions because it was a pediatrician and their kids’ doctor as opposed to their own doctor.”
Pediatricians were concerned with the limited time during the visit to discuss contraception. “One thing I’m just really concerned about is obviously, I want to bring [LARC] to [the mother’s] attention, but it’s just going to open up Pandora’s Box, ‘LARC, what’s LARC?’…”.
“While [postpartum contraception] is important and it is something that we ideally would be able to get through with everything, then again, it’s not necessarily my patient’s health. This would be put at the end of the list. If I have time to get to it, I would get to it, but with the kid in front of me, that’s my priority”.
Pediatricians had suggestions for improving the intervention including: having women complete the tool in a different setting and expanding the intervention to include women up to one year postpartum. “I wonder if we really want to get the information out, if we would just put it in all of our Bright Futures packets’cause then they would have access to it. They would bring it home with them. I mean, again, I don’t know how many parents actually sit down and read everything in their newborn packets or Bright Futures packets, but it is another way to kind of get them information there. I think it’s easier,’cause there’s a table of contents, and sometimes I’ll circle and be like, ‘Hey, these are some great things that you should probably be thinking about,’ or whatever, and then kind of giving them much opportunity to read about it, regardless of if I’ve actually asked them specifically, ‘What is your plan?’”
Moderator: “Would you recommend, then, changing the time frame for when the tool is given?”
Respondent: “I might, any mom of a kid under, I don’t know, six months to a year.”