open access
Contraception counselling during gynecology visit — does a questionnaire help?
Affiliations- Department of Obstetrics and Gynecology, Istanbul University Istanbul Faculty of Medicine, Istanbul, Türkiye
open access
Abstract
Objectives: Women are at risk of unplanned pregnancy and inappropriate choice of contraception if not given effective
contraception counselling. We aimed to understand the contraceptive needs of women, improve effective contraception
counselling promoting modern contraception methods during gynecology outpatient visit using a contraception counselling
questionnaire.
Material and methods: All reproductive-age women over 18 were given Contraception Counselling Project Form to fill in
while in the waiting room. The form consisted of 15 questions evaluating patients’ characteristics and contraceptive method
used. Physicians evaluated these forms during the examination and an appropriate method was chosen. Forms of pregnant,
postmenopausal and sexually inactive patients as well as forms with more than one answer missing were excluded.
Results: 778 questionnaires were accepted for evaluation. 340 women (43.8%) used modern contraception, 112 (14.4%)
used interrupted coitus, 3 (0.4%) used calendar method. 738 women could be given adequate contraception counselling
by the physicians. 215 women among 323 women (66.5%) who did not use modern contraception and did not desire
pregnancy, were convinced to use modern contraception and 103 (91.9%) among 112 women who used interrupted
coitus for contraception were convinced to use modern contraception. There was a significant relationship between age,
education, working state, parity, number and type of delivery, previous OCP usage, resources of contraception and the
preferred contraception method.
Conclusions: More than half the women preferred to use modern contraception methods by means of contraception
counselling questionnaire. Women’s backgrounds significantly affected their choice of contraception method.
Abstract
Objectives: Women are at risk of unplanned pregnancy and inappropriate choice of contraception if not given effective
contraception counselling. We aimed to understand the contraceptive needs of women, improve effective contraception
counselling promoting modern contraception methods during gynecology outpatient visit using a contraception counselling
questionnaire.
Material and methods: All reproductive-age women over 18 were given Contraception Counselling Project Form to fill in
while in the waiting room. The form consisted of 15 questions evaluating patients’ characteristics and contraceptive method
used. Physicians evaluated these forms during the examination and an appropriate method was chosen. Forms of pregnant,
postmenopausal and sexually inactive patients as well as forms with more than one answer missing were excluded.
Results: 778 questionnaires were accepted for evaluation. 340 women (43.8%) used modern contraception, 112 (14.4%)
used interrupted coitus, 3 (0.4%) used calendar method. 738 women could be given adequate contraception counselling
by the physicians. 215 women among 323 women (66.5%) who did not use modern contraception and did not desire
pregnancy, were convinced to use modern contraception and 103 (91.9%) among 112 women who used interrupted
coitus for contraception were convinced to use modern contraception. There was a significant relationship between age,
education, working state, parity, number and type of delivery, previous OCP usage, resources of contraception and the
preferred contraception method.
Conclusions: More than half the women preferred to use modern contraception methods by means of contraception
counselling questionnaire. Women’s backgrounds significantly affected their choice of contraception method.
Keywords
contraception; contraception counselling; oral contraception; intrauterine device
About this articleTitle
Contraception counselling during gynecology visit — does a questionnaire help?
Journal
Issue
Article type
Research paper
Pages
582-588
Published online
2020-10-01
Page views
841
Article views/downloads
921
DOI
Pubmed
Bibliographic record
Ginekol Pol 2020;91(10):582-588.
Keywords
contraception
contraception counselling
oral contraception
intrauterine device
Authors
Funda Gungor Ugurlucan
Omer Demir
Sema Tas
Ozlem Dural
Cenk Yasa
Onay Yalcin
References (33)- Hubacher D, Trussell J. A definition of modern contraceptive methods. Contraception. 2015; 92(5): 420–421.
- American College of Obstetricians and Gynecologists' Committee on Health Care for Underserved Women. Committee Opinion No. 654 Summary: Reproductive Life Planning to Reduce Unintended Pregnancy. Obstet Gynecol. 2016; 127(2): 415.
- Ong J, Temple-Smith M, Wong WCW, et al. Contraception matters: indicators of poor usage of contraception in sexually active women attending family planning clinics in Victoria, Australia. BMC Public Health. 2012; 12: 1108.
- Finer LB, Zolna MR. Declines in Unintended Pregnancy in the United States, 2008-2011. N Engl J Med. 2016; 374(9): 843–852.
- Committee on Health Care for Underserved Women. Committee opinion no. 615: Access to contraception. Obstet Gynecol. 2015; 125(1): 250–255.
- Donnelly KZ, Foster TC, Thompson R. What matters most? The content and concordance of patients' and providers' information priorities for contraceptive decision making. Contraception. 2014; 90(3): 280–287.
- United Nations, Department of Economic and Social Affairs, Population Division . Trends in Contraceptive Use Worldwide. 2015; 2016.
- Caetano C, Peers T, Papadopoulos L, et al. Millennials and contraception: why do they forget? An international survey exploring the impact of lifestyles and stress levels on adherence to a daily contraceptive regimen. Eur J Contracept Reprod Health Care. 2019; 24(1): 30–38.
- Frost JJ, Darroch JE. Factors associated with contraceptive choice and inconsistent method use, United States, 2004. Perspect Sex Reprod Health. 2008; 40(2): 94–104.
- ESHRE Capri Workshop Group. Why after 50 years of effective contraception do we still have unintended pregnancy? A European perspective. Hum Reprod. 2018; 33(5): 777–783.
- Sedlecky K, Rašević M, Bitzer J. Education and training of health care workers for contraceptive service delivery in 21 countries across Europe. Sex Reprod Healthc. 2020; 24: 100498.
- Alkema L, Kantorova V, Menozzi C, et al. National, regional, and global rates and trends in contraceptive prevalence and unmet need for family planning between 1990 and 2015: a systematic and comprehensive analysis. Lancet. 2013; 381(9878): 1642–1652.
- Cahill N, Sonneveldt E, Stover J, et al. Modern contraceptive use, unmet need, and demand satisfied among women of reproductive age who are married or in a union in the focus countries of the Family Planning 2020 initiative: a systematic analysis using the Family Planning Estimation Tool. Lancet. 2018; 391(10123): 870–882.
- Çağatay Seçkiner P, Akadlı Ergöçmen B, Abbasoğlu Özgören A. Aile Planlaması. Hacettepe Universitesi Nufus Etutleri Enstitusu (HUNEE) Turkiye Nufus ve Saglik Arastirmasi. T.C. Kalkinma Bakanligi ve TUBITAK, Publication No. NEE-HÜ.09. 01 ISBN 978-975-491-274-6 Ankara, Türkiye. ; 2013.
- Kahramanoglu I, Baktiroglu M, Turan H, et al. What influences women's contraceptive choice? A cross-sectional study from Turkey. Ginekol Pol. 2017; 88(12): 639–646.
- Chin-Quee DS, Janowitz B, Otterness C. Counseling tools alone do not improve method continuation: further evidence from the decision-making tool for family planning clients and providers in Nicaragua. Contraception. 2007; 76(5): 377–382.
- Schunmann C, Glasier A. Specialist contraceptive counselling and provision after termination of pregnancy improves uptake of long-acting methods but does not prevent repeat abortion: a randomized trial. Hum Reprod. 2006; 21(9): 2296–2303.
- Langston AM, Rosario L, Westhoff CL. Structured contraceptive counseling--a randomized controlled trial. Patient Educ Couns. 2010; 81(3): 362–367.
- Nobili MP, Piergrossi S, Brusati V, et al. The effect of patient-centered contraceptive counseling in women who undergo a voluntary termination of pregnancy. Patient Educ Couns. 2007; 65(3): 361–368.
- Dehlendorf C, Kimport K, Levy K, et al. A qualitative analysis of approaches to contraceptive counseling. Perspect Sex Reprod Health. 2014; 46(4): 233–240.
- WHO Medical Eligibility Criteria for Contraception Use, 5th Edition, 2015, ISBN: 978. ; 92: 4.
- Committee on Gynecologic Practice Long-Acting Reversible Contraception Working Group. Committee Opinion No.642: Increasing access to contraceptive implants and intrauterine devices to reduce unintended pregnancy. Obstet Gynecol. 2015; 126(4): e44–8.
- Erol N, Durusoy R, Ergin I, et al. Unintended pregnancy and prenatal care: a study from a maternity hospital in Turkey. Eur J Contracept Reprod Health Care. 2010; 15(4): 290–300.
- Dehlendorf C, Levy K, Kelley A, et al. Women's preferences for contraceptive counseling and decision making. Contraception. 2013; 88(2): 250–256.
- Caetano C, Peers T, Papadopoulos L, et al. Millennials and contraception: why do they forget? An international survey exploring the impact of lifestyles and stress levels on adherence to a daily contraceptive regimen. Eur J Contracept Reprod Health Care. 2019; 24(1): 30–38.
- Oppelt PG, Baier F, Fahlbusch C, et al. What do patients want to know about contraception and which method would they prefer? Arch Gynecol Obstet. 2017; 295(6): 1483–1491.
- Dehlendorf C, Fitzpatrick J, Fox E, et al. Cluster randomized trial of a patient-centered contraceptive decision support tool, My Birth Control. Am J Obstet Gynecol. 2019; 220(6): 565.e1–565.e12.
- Fox E, Reyna A, Malcolm NM, et al. Client Preferences for Contraceptive Counseling: A Systematic Review. Am J Prev Med. 2018; 55(5): 691–702.
- Dehlendorf C, Fox E, Sobel L, et al. Patient-Centered Contraceptive Counseling: Evidence to Inform Practice. Current Obstetrics and Gynecology Reports. 2016; 5(1): 55–63.
- Secura GM, Allsworth JE, Madden T, et al. The Contraceptive CHOICE Project: reducing barriers to long-acting reversible contraception. Am J Obstet Gynecol. 2010; 203(2): 115.e1–115.e7.
- Erfani A, Yuksel-Kaptanoglu I. The use of withdrawal among birth limiters in Iran and Turkey. Stud Fam Plann. 2012; 43(1): 21–32.
- Eskicioglu F, Gur EB, Tatar S, et al. The evaluation of regret status in women following tubal ligation in Turkey. Clin Exp Obstet Gynecol. 2017; 44(1): 93–97.
- Kısa S, Savaş E, Zeyneloğlu S, et al. Opinions and Attitudes About Vasectomy of Married Couples Living in Turkey. Am J Mens Health. 2017; 11(3): 531–541.
