Glossary

Term · Before Pregnancy

reproductive life plan

Also: reproductive plan, family planning goals

A personal plan for whether, when, and how many pregnancies you want. Clinicians use it to decide whether the next step is contraception or help with conceiving.

In plain words

A reproductive life plan is a way of thinking about your future pregnancies in order. It covers whether you want children, when, and how many. Many people sketch it on paper, with a partner or a provider, before trying to conceive or choosing birth control. The answers change what care makes sense. Someone who does not want a pregnancy may focus on reliable contraception. Someone who is planning one may focus on health steps before conception. Plans can change, and that is normal. A preconception visit with your provider is a common place to talk about your plan, your health history, and your timing.

The deeper version

The reproductive life plan is a structured preconception counseling tool that frames the visit around whether, when, and how many pregnancies a person wants. The answers determine whether contraception or conception support is the goal. ACOG Committee Opinion 762 (2019) organizes prepregnancy counseling around this framework. CDC preconception health recommendations (MMWR, 2006) describe the same core aims: reducing risk, improving health before conception, and addressing intended pregnancy. Evidence on whether reproductive life planning changes outcomes is limited, and it is mostly evaluated through clinic-based programs and surveys. A debate concerns whether the tool belongs in routine primary care, and whether its focus on intention overlooks people whose pregnancies are not planned.

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Sources

  • American College of Obstetricians and Gynecologists — Committee Opinion No. 762: Prepregnancy Counseling (2019)
  • Centers for Disease Control and Prevention — Recommendations to Improve Preconception Health and Health Care, MMWR Recommendations and Reports 55(RR-6) (2006)

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