REMEDY : BNSSG referral pathways & Joint Formulary


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Post Birth Contraception

Checked: 16-04-2024 by Vicky Ryan Next Review: 15-04-2026

Overview

Sexual & Reproductive health Teams at NBT and UHBW are working collaboratively with primary care in offering opportunistic contraception delivery.

This is to facilitate easier access to contraception and reduce waiting times.

They are offering all progesterone only methods.

  • Contraceptive Implant – Nexplanon
  • Contraceptive Injection- Deprovera
  • Progesterone-only- Pill, Desogestrel
  • Intrauterine Device (Hormonal & Copper) insertion at caesarean section and after vaginal birth.

Referral criteria

Referral Criteria

The services understand that all women may not want to have contraception fitted immediately after birth, although they are aware 43% of patients do. They are happy to see patients back up until 3 months after birth to help facilitate contraception delivery.

Inclusions

  • Registered with a BNSSG GP
  • Postnatal woman < 3 months
  • Fitting for contraception purposes only

Exclusions

  • Non postnatal women
  • Greater than 3 months

Referral

This is a training clinic, and they may have staff in to facilitate learning. Please make the patient aware of this. They can decline if they wish.  The clinic will do the pre- counselling of women.

Please refer to the Trust the patient gave birth in:

St Michael's: stmikeslarc@uhbw.nhs.uk

NBT :  contraception@nbt.nhs.uk

Referrals should include the following information:

  • Name, DOB
  • NHS number
  • Address
  • Mobile Number
  • PMHx, Allergies
  • Patient less than 3 months post-natal
  • Infant feeding type
  • Contraception method requested.


Efforts are made to ensure the accuracy and agreement of these guidelines, including any content uploaded, referred to or linked to from the system. However, BNSSG ICB cannot guarantee this. This guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer, in accordance with the mental capacity act, and informed by the summary of product characteristics of any drugs they are considering. Practitioners are required to perform their duties in accordance with the law and their regulators and nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties.

Information provided through Remedy is continually updated so please be aware any printed copies may quickly become out of date.