Impact of patient counseling on acceptance of the levonorgestrel implant contraceptive in the United Kingdom

Davie, J; Walling, Martyn; Mansour, Diana; Bromham, D. R.; Kishen, Meera; Fowler, P

doi:10.1016/s0149-2918(96)80187-1

Cited by 49 publications

(25 citation statements)

References 9 publications

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“…Contraceptive counseling (ie, providing fair and balanced information about the available contraceptive options, tailored to the woman’s needs and preferences, allowing her to make an informed choice), is thought to improve acceptance, compliance, and user satisfaction 5,6. Further, adherence is increased if the woman is allowed to make a choice about which contraceptive to use and when this choice is revisited at follow-up clinic visits 7.…”

Section: Introductionmentioning

confidence: 99%

Influence of structured counseling on women's selection of hormonal contraception in Israel: results of the CHOICE study

Yeshaya¹,

Ber²,

Seidman³

et al. 2014

IJWH

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BackgroundThe multinational CHOICE (Contraceptive Health Research Of Informed Choice Experience) study evaluated the effects of structured counseling on women’s contraceptive decisions, their reasons for making those decisions, and their perceptions of combined hormonal contraceptive (CHC) methods in eleven countries. The aim of this paper to present data from the 1,802 women participating in Israel’s CHOICE program.MethodsWomen (aged 17–40 years) who consulted their health care providers about contraception and who would consider a CHC method qualified to participate. After indicating their intended CHC method, the women received counseling about the daily pill, weekly patch, and monthly vaginal ring. After counseling, the women completed a questionnaire about their contraceptive decisions.ResultsBefore counseling, 67%, 6%, and 5% of women (mean age 27 years) intended to use the pill, patch, or ring, respectively. Counseling significantly influenced the women’s CHC choice, with 56%, 12%, and 23% of women selecting the pill, patch, or ring (P<0.0001 for all contraceptive methods versus before counseling). Logistic regression analysis suggested that age significantly increased the probability of switching from the pill to the ring.ConclusionAlthough the pill was the most popular choice overall, counseling appeared to influence Israeli women’s contraceptive decisions, with significantly more women selecting the patch. More than four times as many women selected the ring after counseling than before counseling.

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Section: Introductionmentioning

confidence: 99%

Influence of structured counseling on women's selection of hormonal contraception in Israel: results of the CHOICE study

Yeshaya¹,

Ber²,

Seidman³

et al. 2014

IJWH

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show abstract

“…Os contraceptivos hormonais, em geral, se caracterizam por altas taxas de descontinuação e isto deve ser atribuído à pobre aderência, o que pode ser reflexo de efeitos colaterais 5,6 , principalmente por efeitos hormonais indesejáveis ou esquecimento de tomar uma ou mais pílulas 7,8 , o que leva a gravidezes não planejadas ou não desejadas.…”

Section: Introductionunclassified

Fatores associados à descontinuação do uso de anticoncepcionais orais combinados

Bahamondes¹,

Pinho²,

Melo³

et al. 2011

Rev. Bras. Ginecol. Obstet.

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Fatores associados à descontinuação do uso de anticoncepcionais orais combinados Associated factors with discontinuation use of combined oral contraceptives Artigo originalResumo OBJETIVO: Avaliar as razões para descontinuar diversos anticoncepcionais orais combinados entre mulheres brasileiras iniciantes do método, residentes em áreas urbanas. MÉTODOS: Estudo de corte transversal com 400 ginecologistas do Brasil, registrados na Federação Brasileira de Ginecologia e Obstetrícia. Cada médico entrevistou 10 mulheres não grávidas, não lactantes, não em amenorreia, com idades entre 18 e 39 anos que consultavam solicitando anticoncepcional oral combinado (ACO), com um questionário no início de uso e aos 6 meses posteriores. O questionário incluiu dados sociodemográficos, tipo de ACO escolhido ou prescrito e razões para descontinuação, caso ocorresse durante o seguimento. A estratégia de seleção permitiu a inclusão de mulheres de diferentes estratos socioeconômicos, mas somente atendidas em consultórios privados ou de convênios. O tamanho da amostra foi estimado em 1.427 mulheres. RESULTADOS: Foram obtidas 3.465 entrevistas na primeira visita e 1.699 aos 6 meses posteriores. As mulheres tinham predominantemente entre 20 e 29 anos, 57,3% eram solteiras e em proporção quase igual de 45% tinham ensino médio ou superior. A maioria (60,7%) era nuligestas e dentre as que tinham usado algum método contraceptivo anteriormente, 71,8% tinham utilizado ACO. Entre os ACO mais prescritos ou escolhidos, o mais prevalente foram os monofásicos com etinilestradiol (20 µg) e no tocante ao progestágeno, o mais prevalente foi com gestodeno (36,5%), seguido por ACO com drosperinona (22,0%). Aos 6 meses, 63,5% continuavam em uso do ACO. Dentre as que descontinuaram o uso, as principais razões dadas foram: desejo de engravidar (36,5%) e efeitos colaterais (57,3%) como cefaléia (37,6%), aumento de peso (16,6%) e sangramento irregular (23,6%). CONCLUSÕES: A taxa de continuação do uso de ACO foi baixa aos seis meses e este estudo pode contribuir para que os médicos orientem melhor suas pacientes iniciantes no uso de ACO sobre os eventos adversos esperados que são mínimos e temporários e sobre os benefícios não contraceptivos dos ACO.Abstract PURPOSE: Due to the scarce information available in Brazil in relation to the number of women who initiated the use of combined oral contraceptives and prematurely discontinued, the objective was to assess the reasons for discontinuation of the use of several combined oral contraceptives among Brazilian women living in urban areas. METHODS: A crosssectional study with 400 gynecologists registered withy the Brazilian Federation of Obstetricians and Gynecologists. Each physician interviewed 10 non-pregnant, not breastfeeding, not amenorrheic women aged 18 to 39 years who consulted requesting combined oral contraceptive (COC) with a questionnaire at the beginning of use and at six months later. The questionnaire included sociodemographic data, type of COC chosen or prescribed and reasons for discontinuation w...

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“…With regard to our first exploratory research question, whether gynecologists inform thoroughly about methods of contraception and concomitant health adherence, such as the women's individual needs, as well as the advantages and disadvantages of a method, were less frequently mentioned [2,22]. According to the results of Isaacs et al, the possibility of using emergency contraception in cases of unprotected or insufficiently protected intercourse is rarely an issue [3].…”

Section: Discussionmentioning

confidence: 99%

Contraceptive counseling by gynecologists – which issues are discussed and does gender play a role(

Tschudin

Alder

Bitzer

et al. 2007

Journal of Psychosomatic Obstetrics & Gynecology

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Impact of patient counseling on acceptance of the levonorgestrel implant contraceptive in the United Kingdom

Cited by 49 publications

References 9 publications

Influence of structured counseling on women's selection of hormonal contraception in Israel: results of the CHOICE study

Influence of structured counseling on women's selection of hormonal contraception in Israel: results of the CHOICE study

Fatores associados à descontinuação do uso de anticoncepcionais orais combinados

Contraceptive counseling by gynecologists – which issues are discussed and does gender play a role(

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Impact of patient counseling on acceptance of the levonorgestrel implant contraceptive in the United Kingdom

Cited by 49 publications

References 9 publications

Influence of structured counseling on women&#39;s selection of hormonal contraception in Israel: results of the CHOICE study

Influence of structured counseling on women&#39;s selection of hormonal contraception in Israel: results of the CHOICE study

Fatores associados à descontinuação do uso de anticoncepcionais orais combinados

Contraceptive counseling by gynecologists – which issues are discussed and does gender play a role(

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Influence of structured counseling on women's selection of hormonal contraception in Israel: results of the CHOICE study

Influence of structured counseling on women's selection of hormonal contraception in Israel: results of the CHOICE study