The study aimed to evaluate how well the RLP tool was implemented in practice and explore the utility of the website for patient counseling.

A cross-sectional study was conducted in 2018, in which 73 midwives in primary health care were asked to use the RLP tool and the website in their daily practice. Three months later, participants answered a questionnaire, based on NPT, about their implementation experience.

The response rate was 73%. The mean length of midwifery experience was 15 years. The majority agreed to all statements about the implementation of the RLP, according to NPT. The use of the RLP also made it easier for midwives to support clients in forming reproductive goals, give family planning advice, advise about how to improve health before pregnancy, and give advice about how to preserve fertility. Nine out of ten respondents said they would recommend the website to other midwives.

The RLP was well implemented among the respondents, and the majority considered the website to be a useful tool. Long-term studies are needed to further elucidate the RLP on changes in health behavior and pregnancy outcomes.