Does structured counselling influence combined hormonal contraceptive choice?

Merckx, Mireille; Donders, Gilbert; Grandjean, Pascale; Sande, Tine Van de; Weyers, Steven

doi:10.3109/13625187.2011.625882

Cited by 29 publications

(22 citation statements)

References 20 publications

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“…Majority of such women opted for COCs which their HCP recommended prior to counseling. These findings were similar to another international study [9]. While this demonstrates the necessity of counseling by a HCP especially for women who are unaware of contraceptive methods in developing countries like India, it is important to adhere to the principles of non-directive, non-coercive, and non-judgmental counseling.…”

Section: Discussionsupporting

confidence: 75%

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Impact of Structured Counseling on the Selection of Hormonal Contraceptive Methods: Results of a Multi-Centric, Observational Study in India

Sheriar

Joshi

Mukherjee³

et al. 2014

J Obstet Gynecol India

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Objective To determine the influence of ''structured contraception counseling'' on Indian women's selection of contraceptive methods.Methods Women (C18 and B40 years) requesting contraception were enrolled at 36 sites. ''Structured contraception counseling'' was provided by a health care professional on the available contraceptive methods. 123Questionnaires on the women's pre-and post-counseling contraceptive choice, her perceptions, and the reasons behind her post-counseling decision were filled. Results Significant reductions were observed in the proportion of women who were indecisive (n = 260; 31.5 % pre-counseling vs. n = 30; 3.6 %, post-counseling [P \ 0.001]) and women opting for non-hormonal method (24.6 % pre-counseling vs. 6.8 % post-counseling, [P \ 0.001]). Of all the women counseled (n = 825), 89.6 % (739/825) of women chose a hormonal contraceptive method. There were significant difference (P \ 0.001) in the women's choice of contraceptive in the pre-and post-counseling sessions, respectively (combined oral contraceptive: 30.8 vs. 40.7 %; vaginal ring: 1.8 vs. 14.1 %; progestogen only pills: 1.6 vs. 7.9 %; injectabledepot medroxyprogesterone acetate: 5.9 vs. 13.6 %; levonorgestrel-intrauterine system: 3.8 vs. 13.3 %). Conclusions Structured contraception counseling using standardized protocol and aids resulted in a significant increase in the selection of modern contraceptive methods. Post-counseling majority of women opted for hormonal methods with an increase in selection of pills and newer alternatives.

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Section: Discussionsupporting

confidence: 75%

“…In our study, structured contraception counseling of an average duration of 24 min about various available hormonal contraceptive methods helped most women (96.3 %) to choose a contraceptive method. Similar observations regarding contraceptive counseling selection were reported in studies conducted in different countries [3,9].…”

Section: Discussionsupporting

confidence: 72%

Impact of Structured Counseling on the Selection of Hormonal Contraceptive Methods: Results of a Multi-Centric, Observational Study in India

Sheriar

Joshi

Mukherjee³

et al. 2014

J Obstet Gynecol India

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“…Similar finding was reported in other studies. 3,9 There was statistically significant differences in choice of contraceptive methods during pre and post-counseling except for COCs. Among hormonal contraceptive methods, maximum difference was observed for choice of the COCs after counseling as compared to precounseling.…”

Section: Discussionmentioning

confidence: 96%

Impact of counselling on selecting a hormonal contraceptive method

Patel¹,

Salat²,

Patel³

2018

Int J Reprod Contracept Obstet Gynecol

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INTRODUCTIONUnmet need for family planning is an important indicator for assessing the demand for family planning services. As per the national family health survey (NFHS-4), the contraceptive prevalence rate in women age 15-49 years was 53.5 % and the unmet need for family planning among married women was 12.9 %. The contraceptive usage patterns vary widely in India with prevalence of modern contraception reported to be 47.8 %, which ABSTRACTBackground: Unmet need for family planning is an important indicator for assessing the demand for family planning services. As per NFHS-4, the contraceptive prevalence rate in women age 15-49 years was 53.5 % and the unmet need for family planning among married women was 12.9%. Counselling provides the Health care professionals (HCPs) an opportunity to understand the individual need of a contraceptive seeker. Methods: This was a cross-sectional, observational study conducted at GMERS hospital, Valsad during June 2017 to October 2017. Sexually active women of 18 to 40 years who consulted HCPs for contraception and who interested in starting hormonal contraceptive method or expressed interest in switching (changing) to hormonal methods were included in the study. Total 213 women were enrolled in the study. Questionnaires with information on the women's pre-and post-counseling contraceptive choice, her perceptions, and the reasons behind her post-counseling decision were filled both by the HCP and the participating women. The completed questionnaires were collected and analyzed. Results: During pre-counseling, most common hormonal contraceptive method selected by women was combined hormonal contraceptive pills followed by DMPA, LNG-IUS and POPs. In present study, structured contraception counseling helped most women (97.2 %) to choose a contraceptive method. There were statistically significant differences in choice of contraceptive methods during pre and post-counseling except COCs. Among hormonal contraceptive methods, maximum difference was observed for choice of the COCs after counseling as compared to pre-counseling. Counseling helped more than 90% of the women who were indecisive to choose any contraceptive method. More than three fourth of them opted for hormonal methods with a maximum selection of COCs. The most common reasons for selecting COCs was ease of use for COC, breast feeding for POP and the most common reasons for not choosing other available contraceptive methods was discussion with partner. Conclusions: The combined hormonal contraceptive pills were reported to be the most commonly used contraceptive method. There were statistically significant differences in choice of contraceptive methods during pre and postcounseling with maximum difference in COCs. Counseling helped most of the women who were indecisive to choose any contraceptive method.

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“…Subsequent studies, performed in different European countries, have confirmed the preliminary data from the TEAM study, shown that the information facilitated may help women make decisions, and corroborated that the vaginal ring is a highly regarded option among users. [62][63][64][65][66][67][68] One of the parameters that measures acceptability of a contraceptive method is the continuation rate. A prospective study, with follow-up lasting 12 cycles, enrolled 3,443 women who started using a COC, patch, or ring.…”

Section: Acceptabilitymentioning

confidence: 99%

Efficacy, safety, and patient acceptability of the etonogestrel and ethinyl estradiol vaginal ring

Lete¹,

Arrilucea²,

Rodríguez³

et al. 2014

OAJC

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Abstract:The contraceptive vaginal ring (CVR) is a combined hormonal contraceptive method, containing ethinyl estradiol and etonogestrel, that works by inhibiting ovulation. It differs from combined oral contraceptives (COCs) in the route of administration, which is vaginal, and the frequency of administration, which is monthly. The efficacy of the CVR is similar to that of COCs but compliance appears to be better in typical users. The CVR enables appropriate control of the menstrual cycle, with a similar side effect profile to COCs, while achieving good user acceptance. Different studies have established noncontraceptive beneficial effects of the CVR; for example, it can be useful for treating dysmenorrhea or excess menstrual bleeding. Recent epidemiological studies have confirmed that the risk of venous thromboembolism with the CVR is similar to that of COCs, including COCs that contain levonorgestrel.

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Does structured counselling influence combined hormonal contraceptive choice?

Cited by 29 publications

References 20 publications

Impact of Structured Counseling on the Selection of Hormonal Contraceptive Methods: Results of a Multi-Centric, Observational Study in India

Impact of Structured Counseling on the Selection of Hormonal Contraceptive Methods: Results of a Multi-Centric, Observational Study in India

Impact of counselling on selecting a hormonal contraceptive method

Efficacy, safety, and patient acceptability of the etonogestrel and ethinyl estradiol vaginal ring

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