91. ASSESSING PEDIATRIC RESIDENT READINESS TO SCREEN MOTHERS OF YOUNG CHILDREN FOR FAMILY PLANNING NEEDS

Abstract

Background The postpartum period is a high risk period for unintended pregnancies which can be associated with negative outcomes for mother and infant. Effective contraception is important during this time and thus the AAP advises pediatricians to ask mothers about family planning by the two-month visit. Previous work has shown family planning screening can be implemented in a pediatric resident clinic, with residents providing referrals to needed services. Objective To assess resident knowledge, attitudes and confidence around discussing family planning with mothers of their young patients. Methods Anonymous surveys were administered to pediatric residents in an inner city pediatric residency program. Group comparisons were made using Fisher's exact test and chi-square test. Results 39 residents completed the survey for a response rate of 65%. 39% of respondents were in their 1st year of residency, 36% were in the 2nd year, and 25% were in their 3rd year or higher. More than half (55%) of respondents felt knowledgeable or very knowledgeable about guidelines around providing contraceptive care for adolescents. These residents were more likely to be farther along in residency (p=0.04) and to correctly identify first line contraception for adolescents (p=0.006). Respondents who felt knowledgeable about providing contraceptive care for adolescents were more likely to feel confident speaking with mothers about their contraceptive needs (p Conclusions While most residents surveyed were not aware of guidelines recommending screening mothers of young children for family planning needs, they felt pediatricians have a role in such discussions. These data highlight resident willingness to screen mothers of infants for family planning needs and the opportunity to build on their current knowledge and practices.