Ashley Jensen

CNM, RN, BSN.

Ashley is a recent graduate of the certified nurse-midwife program from Bethel University in the state of Minnesota. She is currently employed by the University of Utah in the Department of Family and Preventative Medicine. Working with Dr. Joseph Stanford, they employ a restorative reproductive approach to infertility, miscarriage, and other women’s health issues. She is also a FertilityCare Practioner for the Creighton Model System of natural family planning. In addition, she is working towards completion of the Medical Consultant program through the American Academy of FertilityCare Professionals (AAFCP). Having gone through infertility herself, she is well acquainted with the emotional struggle and the Natural Procreate Technology (NaPro) approach to treatment, which ultimately gave her and her husband their now one-year-old daughter, Annalise Joy. She would like to continue to help women with infertility, making the option of restorative reproductive medicine more accessible and widespread.

Abstract  - Poster Presentation (Redwood Room)

'Fertility Awareness: A Decision Tree for Healthcare Providers'.

Purpose: The purpose of this paper is to examine various biological indicators and tracking methods to help Advanced Practice Nurses (APNs) determine which fertility awareness-based methods are the most accurate in identifying the fertility window for reproductive-aged women.

Research articles: Twenty-three research articles were extensively studied to answer the question of which biological indicators and tracking methods are most accurate at identifying the fertile window in reproductive-aged women.

Results: Whether the woman has regular or irregular cycles is a major determinant of what method can be successfully utilized. Additionally, the woman’s desire to achieve a pregnancy and her preference regarding the intensity of the necessary training are significant factors in choosing a method. Use of two biologic indicators is discussed as some research points to this being the most effective. Finally, recommended web and mobile applications are discussed with a word of caution regarding their use.

Implications for Research and Practice: Because research in this area is limited, of low quality, and inconsistent in its findings, it is crucial for nurse-midwives to have the knowledge of the various biological indicators and tracking methods that a woman can use to identify her fertile window. A decision tree was developed and included for the nurse-midwife to guide a woman in selecting a method that would be most appropriate for the woman to use.