baseline, with 10 showing significant improvement (all p≤.048). Compared with 1-year assessments, six significantly improved at 2 years (all pb.002). Patient satisfaction improved significantly at 1 year (p=.03); while it continued to improve at 2 years, the difference was not significant (p=.09). Conclusions: Patient perceptions of most teamwork behaviors improved 1 year following team training, with improvements sustained or further improved at 2 years. Team training effects lasting positive change in the ambulatory care environment. http://dx.doi.org/10.1016/j.contraception.2017.07.156 P127 A reproductive justice curriculum for physicians: recommendations from RJ experts C Loder University of Michigan, Ann Arbor, MI, USA L Fuentes, CM Stalburg, LH Harris Objectives: Reproductive health care in the United States has been affected by historical reproductive injustices involving coercive family planning practices, leading advocates to suggest a reproductive justice (RJ) approach to reproductive health care. Currently, there is no formalized RJ curriculum in medicine. We convened RJ advocates and experts in medical education to discuss how to teach RJ to physicians. Methods: RJ and medical education experts were invited to an in-person, facilitator-led meeting to discuss content, curriculum goals and teaching methods for an RJ curriculum for physicians. The meeting was audio-recorded and transcribed. Transcripts were coded using an iterative process to identify themes of the RJ physician curriculum meeting. Results: Thirteen RJ experts attended the in-person RJ curriculum meeting. Experts agreed that physicians should have training in and accountability for patient advocacy. In addition, physicians are expected to be active participants in building a human rights movement. The following themes emerged from this meeting: health care provided in an RJ framework may be distinct from patient-centered care; RJ topics must be taught in conjunction with RJ approaches and processes; case-based teaching is vital; and “expert” teachers for an RJ physician curriculum may need to come from the advocacy world. Finally, experts agreed that all physicians should have exposure to the curriculum, while obstetrician–gynecologists should have RJ expertise. Conclusions: An RJ physician curriculum should focus on both RJ content and approaches to care. Ongoing collaboration is needed to complete content and delivery methods for the curriculum. http://dx.doi.org/10.1016/j.contraception.2017.07.157 P128 The art of marketing abortion: terminology family planning fellowships use to describe training programs and services LD Light Washington Hospital Center Department of Obstetrics and Gynecology, Washington, DC, USA D Horvath-Cosper, S Fryc, P Lotke Objectives: Family planning fellowship programs strive to overcome abortion stigma and shame by training health care providers and modeling nonjudg- mental care. Advertising sensitive services can be complicated but is necessary to provide information to interested parties. This study seeks to observe the language that family planning fellowship program sites use to describe their programs and advertise their clinical services on the Internet. Methods: In this observational study, two independent reviewers conducted an Internet search to evaluate the websites of the 31 obstetrics and gynecology family planning fellowship programs in North America. Their findings were compared for reliability, and discrepancies were resolved by a third reviewer. Basic descriptive analysis was used to analyze the results and summarize the findings. Results: Of the 31 obstetrics and gynecology family planning fellowship programs, 5 (16%) did not have any website describing the fellowship program. Four programs’ websites (13%) only contained nonspecific information stating that a fellowship in family planning exists and provided a link to the national fellowship in family planning website for more information. The other 21 programs offered varying details describing the fellowship for applicants, including patient services, skills to be mastered by the trainees (such as contraceptive management and specific abortive techniques), research and elective opportunities. Conclusions: Despite providing abortion services and training doctors in abortion provision, many family planning fellowship programs do not or may not be allowed to openly advertise this on their websites, or choose carefully crafted language to do so. http://dx.doi.org/10.1016/j.contraception.2017.07.158 P129 Qualitative exploration of the sexual and reproductive health of a patient population with sickle cell anemia K Piper Emory University, Atlanta, GA, USA F El Rassi, M McLemore, M Kottke Objectives: We aimed to explore the sexual and reproductive health attitudes, beliefs and behaviors of African Americans with sickle cell disease and understand the interplay of the various factors that influence their attitudes, beliefs and behavior. Methods: African American patients aged 18 or older with sickle cell disease were recruited from a sickle cell clinic in Atlanta, GA. We administered semistructured interviews to examine the intersection of sickle cell disease and sexual and reproductive health. These semistructured interviews explored participants’ perspectives and insights on dating, relationships, sex, pregnancy, contraceptives, STDs and genetic counseling. Results: Thirty-four patients (17 women, 17 men) were interviewed. Thematic analysis derived four key themes related to their experience, which included the following: strong desire to have children, concern about children inheriting sickle cell disease and even sickle cell trait, majority of pregnancies are not planned and nonparticipation in genetic counseling. Many participants were unaware of the existence and purpose of genetic counseling. Conclusions: From a reproductive justice perspective, people with sickle cell disease should be able to have children they desire when they want them. However, the combination of frequent unplanned pregnancies and lack of knowledge of a partner’s sickle cell status limits opportunities for prevention of sickle cell disease. Increased education and support may be important to optimize the health of the parent and increase the possibility of having a child without sickle cell disease. Increased conversations about desires for pregnancy, contraceptives, reproductive life planning and preconception counseling are needed to develop strategies for comprehensive family planning counseling targeted to those affected by sickle cell disease. http://dx.doi.org/10.1016/j.contraception.2017.07.159 P130 Access to evidence-based management of pregnancy loss care to reduce maternal mortality at facilities in six districts in Zambia D Morof US Centers for Disease Control and Prevention, Atlanta, GA, USA A Kalindi, L Kelly Objectives: In Zambia, a lack of access to safe pregnancy loss care (PLC) substantially contributes to maternal mortality. Safe provision of PLC is critical to reduce maternal mortality. Although misoprostol is approved for use for PLC in Zambia, data on its availability and use are lacking. We describe availability of PLC services including use of misoprostol in six districts from the Saving Mother’s Giving Life (SMGL) maternal mortality reduction initiative in Zambia. Abstracts / Contraception 96 (2017) 263–306 305