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History and role of the family planning nurse practitioner at Hartford Hospital.

The Family Planning Clinic of Hartford (Connecticut) Hospital was set up in May 1971 under guidelines approved jointly by the Ob-Gyn and Nursing Depts. of Hartford Hospital. The nurse practitioner is the primary health care contact within the clinic which offers 2 basic services: an appointment Family Planning Clinic and a walk-in Pregnancy Counseling Service. Any woman can be a patient; the only limitation is that those under 18 must have parental consent to receive birth control information. Nurses do everything including pelvic examinations estimation of weeks gestation of pregnancy by shape and size of the uterus and insertion of IUDs. Only 1 patient out of 1500 has insisted on being examined by a doctor. 95% returned as family planning patients for follow-up examination and contraceptive information. Most relate well to the nurses as women.