Factors affecting women's selection of a combined hormonal contraceptive method: the TEAM-06 Spanish cross-sectional study

Lete, Iñaki; Doval, José Luis; Pérez-Campos, Ezequiel; Sánchez-Borrego, Rafael; Correa, Marta; Viuda, Esther de la; Gómez, Mari Angeles; González, José Vicente; Lertxundi, Roberto; Martínez, María Teresa; Mendoza, Nicolás; Robledo, J. González

doi:10.1016/j.contraception.2007.04.014

Cited by 61 publications

(43 citation statements)

References 19 publications

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“…Availability of a variety of contraceptive methods is important if individual needs are to be met, and to choose a method that optimally fits with their life stages and requirements [22]. In conformity with many studies, there were varied reasons reported by women for selecting a contraceptive method.…”

Section: My Friends Use It 61mentioning

confidence: 99%

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Impact of Structured Counseling on Choice of Contraceptive Method Among Postpartum Women

Chhabra

Mohanty

et al. 2015

J Obstet Gynecol India

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Background of the Study In India, although a number of contraceptive choices are available, the usage of contraceptive methods among postpartum women is rather low. The current study intended to determine the impact of ''structured contraception counseling'' on women's decision making on selection of contraceptive methods and the reasons behind the selection of a contraceptive method. Methods One-hundred-and-seventeen postpartum women in the age group of 18-35 years, requesting contraception, were enrolled in the study. ''Structured contraception counseling'' was provided using a standardized protocol with balanced and comprehensive education material on the available hormonal and nonhormonal contraceptive methods. Questionnaires with information on the women's pre-and post-counseling contraceptive choice, her perceptions, and the reasons behind her postcounseling decision were filled by the participating women. Results Maximum women enrolled for the study were in the age group of 21-25 years. In pre-counseling, 36 % postpartum women selected a contraceptive method, 23.1 % a nonhormonal method, and 12.8 % a hormonal method. After ''structured contraception counseling, '' 92. Conclusion ''Structured contraception counseling'' using standardized protocol resulted in significant improvements in the selection of contraceptive methods by postpartum women.

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Section: My Friends Use It 61mentioning

confidence: 99%

“…In conformity with many studies, there were varied reasons reported by women for selecting a contraceptive method. The most common reasons reported by postpartum women for selecting contraceptive methods were ''breast feeding'' for POP, ''long action'' for IUD, and ''3-monthly use'' for injectable-DMPA [22].…”

Section: My Friends Use It 61mentioning

confidence: 99%

Impact of Structured Counseling on Choice of Contraceptive Method Among Postpartum Women

Chhabra

Mohanty

et al. 2015

J Obstet Gynecol India

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“…A multi-national European study provided compelling evidence that structured contraception information and counseling provided by HCPs enabled women to select alternative forms of contraception which better corresponded to their lifestyle and needs [3]. Similarly, the TEAM-06 study conducted in Spain showed that contraceptive counseling provided by HCPs often influence women to opt for another contraceptive method rather than the one they had originally intended to use [4].…”

Section: Introductionmentioning

confidence: 99%

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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“…The relatively large representation of non-oral routes of administration was attributed to the fact that vaginal contraceptive ring has a strong support among gynecologists in Spain. However, even in Spain, out of 9700 women, 46% of chose the vaginal ring, 39% opted for the pill and 15% for the patch after receiving detailed advice from a doctor on all methods of combined hormonal contraception [6].…”

Section: Discussionmentioning

confidence: 99%

“…The CHOICE project was inspired by a large Spanish study performed in 2006, which determined that 65% of women on combined hormonal contraception take the pill, 23% use vaginal ring and 12% use transdermal patch [6]. The relatively large representation of non-oral routes of administration was attributed to the fact that vaginal contraceptive ring has a strong support among gynecologists in Spain.…”

Section: Discussionmentioning

confidence: 99%

Combined hormone contraceptive choice experience in Czech Republic

Fait

2011

Open Medicine

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AbstractThe aim of the prospective, multicenter project was to evaluate the effect of standardized information on the decision of woman when selecting application routes for combined hormonal contraceptives (CC). Selection the route of CC’s administration before and after consultation with the physician was evaluated on the group of 1326 women in 125 centres in the Czech Republic using a questionnaire. Analysis of the difference between the intended (4,1%) and selected (33,9%, CI 95% 31%–38%, 451 women) contraception shows that the vaginal ring preference increased by 29,8% (CI 97,5% 26,9%–32,8%, p < 0,0001). The difference for the weekly patch after (5,7%) and prior (4,2%) to the counseling of 1,4% was borderline statistically significant (CI 97,5%–0,002%–3,0%, p = 0,05). Preference of COC remained practically unchanged at 53,5%. Vaginal ring was selected by 45,2% of undecided women and 28,0% of women, who considered other than combined hormonal contraception. Easibility of application, efficacy and cycle control are the most important predictors for contraception choice. Following expert advice, including information on all forms of combined oral contraceptives, more than 33% of women chose the latest application form of combined hormonal contraceptives - vaginal ring.

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Factors affecting women's selection of a combined hormonal contraceptive method: the TEAM-06 Spanish cross-sectional study

Cited by 61 publications

References 19 publications

Impact of Structured Counseling on Choice of Contraceptive Method Among Postpartum Women

Impact of Structured Counseling on Choice of Contraceptive Method Among Postpartum Women

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

Combined hormone contraceptive choice experience in Czech Republic

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