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How to be Reasonably Sure a Client is Not Pregnant (checklists)

2015 — The pregnancy checklist contains a series of questions to rule out pregnancy based on criteria established by the World Health Organization (WHO) for determining with reasonable certainty that a woman is not pregnant. These questions are also included in checklists for combined oral contraceptives, DMPA, the copper intrauterine device and implants. Although originally developed for use by family planning providers, the pregnancy checklist can also be used by other health care providers — such as pharmacists who need to determine whether a woman could be pregnant prior to providing medications that should be avoided during pregnancy.

Evaluations of the pregnancy checklist have been conducted in family planning clinics and have demonstrated that the tool is effective in correctly identifying women who are not pregnant. Furthermore, studies in Guatemala, Mali and Senegal have shown that use of the checklist by family planning providers significantly reduced the proportion of clients being turned away due to menstrual status and improved women's access to contraceptive services.

The 2015 version of the pregnancy checklist includes guidance for providers whose clients may be eligible for emergency contraception and is available in English, French and Spanish. Older versions are available in Creole and Romanian. It has also been adapted for use in specific countries.

The checklist is also available in English and French as a mobile application designed to run on devices such as mobile phones, tablets and computers. It can be viewed on a computer or on any internet-enabled mobile device using Google Chrome, Safari or Microsoft Edge. To download the checklist as a native app on your phone or tablet, click on the link below and click on the “download” icon on your device. Once the app is downloaded, it can be accessed without an internet connection. To view or download the app in French, set the locale of your device to “France.”

Click here to access the Pregnancy Checklist mobile app