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Does structured counselling influence combined hormonal contraceptive choice?
OBJECTIVE: To assess the effect of structured counselling on women's contraceptive decisions and to evaluate gynaecologists’ perceptions of comprehensive contraceptive counselling. METHODS: Belgian women (18–40 years old) who were considering using a combined hormonal contraceptive (CHC) were c...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Informa Healthcare
2011
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3250999/ https://www.ncbi.nlm.nih.gov/pubmed/22066890 http://dx.doi.org/10.3109/13625187.2011.625882 |
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author | Merckx, Mireille Donders, Gilbert G Grandjean, Pascale Van de Sande, Tine Weyers, Steven |
author_facet | Merckx, Mireille Donders, Gilbert G Grandjean, Pascale Van de Sande, Tine Weyers, Steven |
author_sort | Merckx, Mireille |
collection | PubMed |
description | OBJECTIVE: To assess the effect of structured counselling on women's contraceptive decisions and to evaluate gynaecologists’ perceptions of comprehensive contraceptive counselling. METHODS: Belgian women (18–40 years old) who were considering using a combined hormonal contraceptive (CHC) were counselled by their gynaecologists about available CHCs (combined oral contraceptive [COC], transdermal patch, vaginal ring), using a comprehensive leaflet. Patients and gynaecologists completed questionnaires that gathered information on the woman's pre- and post-counselling contraceptive choice, her perceptions, and the reasons behind her post-counselling decision. RESULTS: The gynaecologists (N = 121) enrolled 1801 eligible women. Nearly all women (94%) were able to choose a method after counselling (53%, 5%, and 27% chose the COC, the patch, and the ring, respectively). Counselling made many women (39%) select a different method: patch use increased from 3% to 5% (p < 0.0001); ring use tripled (from 9% to 27%, p < 0.0001). Women who were undecided before counselling most often opted for the method their gynaecologist recommended, irrespective of counselling. CONCLUSION: Counselling allows most women to select a contraceptive method; a sizeable proportion of them decide on a method different from the one they initially had in mind. Gynaecologists’ preferences influenced the contraceptive choices of women who were initially undecided regarding the method to use. |
format | Online Article Text |
id | pubmed-3250999 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Informa Healthcare |
record_format | MEDLINE/PubMed |
spelling | pubmed-32509992012-01-12 Does structured counselling influence combined hormonal contraceptive choice? Merckx, Mireille Donders, Gilbert G Grandjean, Pascale Van de Sande, Tine Weyers, Steven Eur J Contracept Reprod Health Care Research Article OBJECTIVE: To assess the effect of structured counselling on women's contraceptive decisions and to evaluate gynaecologists’ perceptions of comprehensive contraceptive counselling. METHODS: Belgian women (18–40 years old) who were considering using a combined hormonal contraceptive (CHC) were counselled by their gynaecologists about available CHCs (combined oral contraceptive [COC], transdermal patch, vaginal ring), using a comprehensive leaflet. Patients and gynaecologists completed questionnaires that gathered information on the woman's pre- and post-counselling contraceptive choice, her perceptions, and the reasons behind her post-counselling decision. RESULTS: The gynaecologists (N = 121) enrolled 1801 eligible women. Nearly all women (94%) were able to choose a method after counselling (53%, 5%, and 27% chose the COC, the patch, and the ring, respectively). Counselling made many women (39%) select a different method: patch use increased from 3% to 5% (p < 0.0001); ring use tripled (from 9% to 27%, p < 0.0001). Women who were undecided before counselling most often opted for the method their gynaecologist recommended, irrespective of counselling. CONCLUSION: Counselling allows most women to select a contraceptive method; a sizeable proportion of them decide on a method different from the one they initially had in mind. Gynaecologists’ preferences influenced the contraceptive choices of women who were initially undecided regarding the method to use. Informa Healthcare 2011-12 2011-11-08 /pmc/articles/PMC3250999/ /pubmed/22066890 http://dx.doi.org/10.3109/13625187.2011.625882 Text en © 2011 The European Society of Contraception and Reproductive Health http://creativecommons.org/licenses/by/2.0/ This is an open access article distributed under the Supplemental Terms and Conditions for iOpenAccess articles published in Informa Healthcare journals (http://www.informaworld.com/mpp/uploads/iopenaccess_tcs.pdf) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Merckx, Mireille Donders, Gilbert G Grandjean, Pascale Van de Sande, Tine Weyers, Steven Does structured counselling influence combined hormonal contraceptive choice? |
title | Does structured counselling influence combined hormonal contraceptive choice? |
title_full | Does structured counselling influence combined hormonal contraceptive choice? |
title_fullStr | Does structured counselling influence combined hormonal contraceptive choice? |
title_full_unstemmed | Does structured counselling influence combined hormonal contraceptive choice? |
title_short | Does structured counselling influence combined hormonal contraceptive choice? |
title_sort | does structured counselling influence combined hormonal contraceptive choice? |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3250999/ https://www.ncbi.nlm.nih.gov/pubmed/22066890 http://dx.doi.org/10.3109/13625187.2011.625882 |
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