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Abstract

In the United States, 51% percent of pregnancies are unplanned and contraception misuse is the primary cause. Unplanned pregnancies may lead to poor health and social outcomes for the pregnant person and the fetus. American Indians/Alaska Natives are at risk for negative outcomes due to socioeconomic inequity. To address contraception disuse, providers must deliver education and employ shared decision-making within the context of the patient's experiences. The "MyBirthControl" patient decision aid (pDA) offers educational modules and allows input of patient preferences. Efforts are aimed at improving patient/provider engagement and prioritizing shared decision-making during care encounters.

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