Knowledge-attitude-practice survey among Portuguese gynaecologists regarding combined hormonal contraceptives methods

Abstract

Objectives To evaluate knowledge, attitude and practices of Portuguese gynaecologists regarding combined hormonal contraceptives. Methods A cross-sectional survey was conducted among 303 gynaecologists. Results Ninety percent of the gynaecologists considered that deciding on contraceptive methods is a process wherein the woman has her say. Efficacy, safety and the woman's preference were the major factors influencing gynaecologists, while efficacy, tolerability and ease of use were the major factors perceived by the specialists to influence the women's choice. Gynaecologists believed that only 2% of women taking the pill were 100% compliant compared to 48% of those using the patch and 75% of those using the ring. The lower risk of omission was the strong point for the latter methods. Side effects were the main reason to change to another method. Vaginal manipulation was the most difficult topic to discuss. Conclusions Most gynaecologists decided with the woman on the contraceptive method. The main reasons for the gynaecologist's recommendation of a given contraceptive method and the women's choice were different. Counselling implies an open discussion and topics related to sexuality were considered difficult to discuss. Improving communication skills and understanding women's requirements are critical for contraceptive counselling.

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The Sexual Acceptability of Contraception: Reviewing the Literature and Building a New Concept

“…1 School-based sexuality education similarly focuses on the harms versus the pleasures of sex (Connell, 2009;Goldman, 2008), especially for girls and young women (Fine, 1988). Clinically, care providers may lack both tools and time to discuss sexual issues with patients (Akers, Gold, Borrero, Santucci, & Schwarz, 2010;Bombas et al, 2012), and providers may be especially unlikely to inquire about sexuality in relationship to new contraceptive methods (versus, say, menopause) (Kottmel, Ruether-Wolf, & Bitzer, 2014). Public health programs and policies can also both reflect and perpetuate dominant gendered assumptions about women's sexuality-for example, with female condom programs focusing on reproductive health outcomes versus sexual rights (Peters, van Driel, & Jansen, 2013), or with adolescent pregnancy prevention policies that emphasize "sex is not for fun" and that young women should be sexually uninterested (Goicolea, Wulff, Sebastian, & Öhman, 2010).…”

Efficacy of an Instructional Intervention Program on Obstetric Nurses’ Information and Perceptions Relating To Transcutaneous Electrical Nerve Stimulation throughout Labor

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