Chapter 10 – Pregnancy Options

Management of unintended pregnancy

This can be a challenging consultation. While many patients will simply require information about their options, others may need more intense non-directive decision-making counselling. Other factors may complicate the decision-making process such as financial difficulties, relationship problems or domestic violence.

Some key strategies for clinicians include:

provide a supportive, non-judgmental setting allow time for the patient/couple to express their immediate feelings allow the patient/couple to choose immediate discussion, or to “let it sink in” and return at a later date provide resources (see resources)

Non-directive decision-making counselling is a patient-centred approach that focuses on the patient exploring the outcome which will be best for them. It is important to be able to discuss all available options and provide information and resources to support decision-making. This might include referral information and decision-making tools such as the Ottawa personal decision guide, available in the resource box below.

Non-directive pregnancy support counselling is supported by a specific Medicare item number that can be claimed by clinicians (including GPs and other health professionals on referral from a GP such as mental health nurses, psychologists and social workers) who have done an accredited training course in non-directive pregnancy support counselling for patients who are pregnant or have had a pregnancy ... Buy now

General guide to non-directive decision-making counselling

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