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Table 1 Programme for Learning Seminars (LS) during Quality Improvement Collaborative (QIC) 2018–2019

From: Developing contraceptive services for immigrant women postpartum – a case study of a quality improvement collaborative in Sweden

Learning Seminars (LS)

Themes for the seminar

Activities at the seminar

Discussions/teamwork

Homework and activities after the seminar

LS 1

(Dec 2018)

Why do we need to improve contraceptive services?

Update relevant research from the field regarding:

Risk-factors for unintended pregnancy

Best practice contraceptive counselling postpartum

Local data from the SPR regarding women’s choice of contraceptive methods postpartum

Improvement in health care and theory.

Introduction of driver diagram

Introduction to the tool

Plan-Do-Study-Act

How to work in a team in a QIC

Identify obstacles in;

-providing contraceptives services postpartum

-registering women’s choice of contraceptive method postpartum in the SPR

Introduction to visual tool illustrating the effectiveness of contraceptive methods

Discuss and set goals for the QIC:

What do we want to accomplish?

Continue to identify possible obstacles and possibilities at each MHC

Continue to register women’s choice of contraceptives postpartum in the SPR

Test visual tool illustrating the effectiveness of different contraceptive methods

Test offer information about contraceptive methods during gestational weeks 36–38

Test book the postpartum visit during pregnancy.

LS 2

(March 2019)

Analyse results in SPR.

RLP, a tool for person-centred counselling

Midwives’ experiences of improvement activities

Clarify the goals of the work.

What changes are we planning to make?

Share experiences of registering women’s choice of contraceptive method in the SPR

Reflect on how to use RLP in the conversation about contraception

Share experiences of improvement activities

Choose future testing areas

Continue to register women’s choice of contraceptives postpartum

Continue using the visual tool

Continue offering information about contraceptive methods and offer prescriptions during gestational weeks 36–38

Test book appointments for contraceptive services postpartum

Test to develop a stock of LARC

LS 3

(June 2019)

Analyse results regarding women’s choice of contraceptive method in the SPR

Lecture in best practice contraceptive methods postpartum, including natural family planning

User feedback:

Immigrant women’s and Swedish-born women’s views on teams’ improvement activities

Midwives’ experiences of improvement activities

Share experiences of register women’s choice of contraceptive method postpartum

Share experiences of improvement activities

Reflect on users’ views in the QIC

Continue to register women’s choice of contraceptives postpartum

Continue using the visual tool

Continue offering information about contraceptive methods and prescription during gestational weeks 36–38

Continue to book appointments for contraceptive services postpartum

Maintain the stock of LARC

LS 4

(Oct 2019)

Analyse the results so far from the SPR

User feedback: Immigrant women’s and Swedish-born women’s views on teams’ actions

Future work

Reflect on users’ views in the QIC

How to keep on reaching the goal?

How can we create sustainability?

Continue to register women’s choice of contraceptives postpartum

Continue using the visual tool

Continue offering information about Contraceptive methods during gestational weeks 36–38

Continue to book appointments for contraceptive counselling postpartum

Maintain the stock of LARC

  1. LS Learning Seminar, LARC Long-Acting Reversible Contraception, RLP Reproductive Life Planning, SPR Swedish Pregnancy Register, MHC Maternal Health Clinic, QIC Quality Improvement Collaborative