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Comprehensive counseling about combined hormonal contraceptives changes the choice of contraceptive methods: results of the choice program in Sweden.

Gemzell-Danielsson, Kristina; Thunell, Louise LU ; Lindeberg, Mia; Tydén, Tanja; Marintcheva-Petrova, Maya and Oddens, Björn J (2011) In Acta Obstetricia et Gynecologica Scandinavica 90(8). p.869-877
Abstract
Objective. To study the influence of counseling on women's contraceptive decisions. Design. A cross-sectional multicenter study. Setting. 70 Swedish family planning clinics. Population. Women aged 15-40 years attending for a contraceptive consultation who expressed interest in a combined hormonal contraceptive (CHC) method. Methods. Structured counseling about three CHCs and questionnaires completed after counseling from the healthcare professional. Main Outcome Measures. Method originally requested, perceptions of CHC attributes, method chosen and reasons for the choice. Results. In all, 173 healthcare professionals and 1 944 women participated. The mean (SD) age of the women was 22.6 (6.1) years. After structured counseling, a majority... (More)
Objective. To study the influence of counseling on women's contraceptive decisions. Design. A cross-sectional multicenter study. Setting. 70 Swedish family planning clinics. Population. Women aged 15-40 years attending for a contraceptive consultation who expressed interest in a combined hormonal contraceptive (CHC) method. Methods. Structured counseling about three CHCs and questionnaires completed after counseling from the healthcare professional. Main Outcome Measures. Method originally requested, perceptions of CHC attributes, method chosen and reasons for the choice. Results. In all, 173 healthcare professionals and 1 944 women participated. The mean (SD) age of the women was 22.6 (6.1) years. After structured counseling, a majority of women (56.0%; n= 1 069; 95% confidence interval [CI] 53.1-58.9) chose the daily pill, 6.2% (n= 118; 95% CI 4.9-7.8) chose the weekly patch, and 22.5% (n= 430; 95% CI 20.2-25.1) chose the monthly ring. The weekly patch was chosen more often after counseling (6.2% vs 2.4% before counseling; p<0.0001). The greatest change was in the proportion of women who chose the contraceptive ring after counseling (22.5% vs. 8.5% before counseling; p<0.0001). The proportion of undecided women after counseling was reduced considerably (3.9% vs. 27.8% before counseling). Among the 523 women who were undecided before counseling, 50.6% chose the pill, 10.2% the patch and 24.6% the ring; 20.9% of women who initially requested the pill changed to another method. Conclusions. Structured counseling facilitated choice of contraceptive method for most women, leading to changes in women's selection of a CHC method. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
contraceptive counseling, combined hormonal contraception, contraceptive pill, contraceptive ring, contraceptive patch
in
Acta Obstetricia et Gynecologica Scandinavica
volume
90
issue
8
pages
869 - 877
publisher
Wiley-Blackwell
external identifiers
  • wos:000293151900010
  • pmid:21564028
  • scopus:79960371485
ISSN
1600-0412
DOI
10.1111/j.1600-0412.2011.01180.x
language
English
LU publication?
yes
id
95ec55d8-b9c3-47ab-9894-8a96ddf3c074 (old id 1972866)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/21564028?dopt=Abstract
date added to LUP
2012-01-18 16:05:22
date last changed
2017-03-19 03:02:21
@article{95ec55d8-b9c3-47ab-9894-8a96ddf3c074,
  abstract     = {Objective. To study the influence of counseling on women's contraceptive decisions. Design. A cross-sectional multicenter study. Setting. 70 Swedish family planning clinics. Population. Women aged 15-40 years attending for a contraceptive consultation who expressed interest in a combined hormonal contraceptive (CHC) method. Methods. Structured counseling about three CHCs and questionnaires completed after counseling from the healthcare professional. Main Outcome Measures. Method originally requested, perceptions of CHC attributes, method chosen and reasons for the choice. Results. In all, 173 healthcare professionals and 1 944 women participated. The mean (SD) age of the women was 22.6 (6.1) years. After structured counseling, a majority of women (56.0%; n= 1 069; 95% confidence interval [CI] 53.1-58.9) chose the daily pill, 6.2% (n= 118; 95% CI 4.9-7.8) chose the weekly patch, and 22.5% (n= 430; 95% CI 20.2-25.1) chose the monthly ring. The weekly patch was chosen more often after counseling (6.2% vs 2.4% before counseling; p&lt;0.0001). The greatest change was in the proportion of women who chose the contraceptive ring after counseling (22.5% vs. 8.5% before counseling; p&lt;0.0001). The proportion of undecided women after counseling was reduced considerably (3.9% vs. 27.8% before counseling). Among the 523 women who were undecided before counseling, 50.6% chose the pill, 10.2% the patch and 24.6% the ring; 20.9% of women who initially requested the pill changed to another method. Conclusions. Structured counseling facilitated choice of contraceptive method for most women, leading to changes in women's selection of a CHC method.},
  author       = {Gemzell-Danielsson, Kristina and Thunell, Louise and Lindeberg, Mia and Tydén, Tanja and Marintcheva-Petrova, Maya and Oddens, Björn J},
  issn         = {1600-0412},
  keyword      = {contraceptive counseling,combined hormonal contraception,contraceptive pill,contraceptive ring,contraceptive patch},
  language     = {eng},
  number       = {8},
  pages        = {869--877},
  publisher    = {Wiley-Blackwell},
  series       = {Acta Obstetricia et Gynecologica Scandinavica},
  title        = {Comprehensive counseling about combined hormonal contraceptives changes the choice of contraceptive methods: results of the choice program in Sweden.},
  url          = {http://dx.doi.org/10.1111/j.1600-0412.2011.01180.x},
  volume       = {90},
  year         = {2011},
}