Internet Appendix
The NaProTechnology Revolution …
This approach to reproductive health is clearly counter-cultural. By that, I mean it represents a significant paradigm shift in the delivery of health care services to reproductive-age women. It is definitely not a breech in the 'standard of care.' The Code of Professional Ethics of the American College of Obstetricians and Gynecologists3 makes this clear. It says that '...maintenance of medical competence through study, application and enhancement of medical knowledge and skills is an obligation of practicing physicians.' ...Indeed, in all of these areas, the research that has been conducted to substantiate and validate this new women's health science of NaProTechnology meets these guidelines and responses to 'standards of care.'"