(Lincoln and Guba, 1985). The method and the analytical process are thoroughly described and the findings are supported with illuminating citations to ensure credibility. Dependability refers to the stability over time and over conditions, and requires further studies. To ensure confirmability and decrease the risk of bias or distortion during the analytical process, three of the authors did the initial analysis jointly and validated the findings with the other authors. The research group thus worked both individually and together to achieve rigour and consensus. Although limited to one county in mid Sweden, the participants had mixed backgrounds; the midwives were both older and younger with varying experience of contraceptive counselling and worked in both rural and urban areas. Therefore, the findings are considered transferable to other Swedish counties. We expect findings from this study could also be of global interest. A specially designed booklet, such as the one we developed for this study, or an educational hand-out (Files et al., 2011), is easy to adapt to other populations and can be used by health care providers with limited time for consultations (Dunlop et al., 2007). However, the implementation of the RLP concept and the effect needs to be confirmed through further studies and we are now expanding our project to other parts in Sweden. Similar RLP studies are planned in the UK and in Denmark within the PrePreg Research Network (Shawe et al., 2014); a group of scientists with a research programme for better understanding of factors affecting preconception health and care. Shawe et al. (2014) have in a review shown that there are variations in preconception recommendations across Europe. The participants believed the use of the RLP fell within their scope of work, which is consistent with the newly updated guidelines for contraceptive counselling that stipulates inclusion of discussions about future reproduction (The Medical Products Agency, 2014). They also experienced the use of the RLP as a more structured and systematic way of working. CDC has recently recommended the use of RLP when women attend family planning services for pregnancy testing (Gavin et al., 2014). There is no consensus of the most effective way to provide contraceptive counselling (Lopez et al., 2013) and Swedish midwives use a variety of strategies and self-made models (Wa¨tterbjo¨rk et al., 2011). The midwives also believed women need knowledge about fertility and considered that the RLP broadened the counselling. Furthermore, the women appreciated the counselling, which supported findings from another study (Stern et al., 2013), in which women receiving RLP-based information considered the information new to them and thought about reproduction in a different way afterwards. Although generally positive towards the RLP, the midwives in the FGI discussed several potential barriers for adopting it. In accordance with the categorization of Fleuren et al. (2004), these barriers were related to characteristics of the organization (lack of time, competing tasks, not being able to reach certain groups), characteristics of the user (importance of tactfulness and professionalism), characteristics of the innovation (difficulty approaching certain groups) and characteristics of the innovation strategy (initial hesitation, making RLP mandatory, documentation). The multifactorial characteristics of potential barriers have also been identified in an American context regarding implementation of preconception care in general (Coffey and Shorten, 2013). We consider the RLP in contraceptive counselling could contribute to improved reproductive public health. Depending on the woman’s family planning intentions and the context/culture in which she is living, the counsellor can lead the discussion in different directions from birth control to preconception counselling, or a mixture of both. Teachable moment has been used to describe naturally occurring health events thought to motivate individuals to spontaneously adopt risk-reducing health behaviours (Hochbaum, 1958). The RLP thereby holds great potential for both preventing unplanned pregnancies and improving preconception health. However, the health care professional delivering the counselling plays a key role and is crucial for the successful implementation of the RLP in routine care. Therefore, it is important to address the potential barriers highlighted by the participants. This could include improving the information about the content of the brochure and potential benefits of using RLP in contraceptive counselling. Enhancing the training given to themidwives, offering continuous support and performing evaluations are other suggestions. An important topic would be communication methodology, for instance information on how to approach certain groups and how to approach the topic with tactfulness and professionalism. Motivational interviewing could be useful but remains to be further tested in reproductive health promotion (Rollnick and Miller, 1995). Even so, the most essential aspect for successful implementation is for the RLP to be regarded as advantageous and useful by the users, which was the case among the participants in this study. As suggested in the FGIs, the concept should not be limited to midwives: expansion into other