Sheriar Nozer, Joshi Ritu, Mukherjee Basab, Pal Bhaskar, Birla Ashish, Ray Subrat K
Department of Obstetrics and Gynecology, Breach Candy Hospital, 60 A, Bhulabhai Desai Road, Mumbai, Maharashtra 400026 India.
Department of Obstetrics and Gynecology, Monilek Hospital and Research Center, Sector 4, Jawahar Nagar, Jaipur, Rajasthan 302004 India.
J Obstet Gynaecol India. 2014 Aug;64(4):241-50. doi: 10.1007/s13224-014-0560-1. Epub 2014 Jun 14.
To determine the influence of "structured contraception counseling" on Indian women's selection of contraceptive methods.
Women (≥18 and ≤40 years) requesting contraception were enrolled at 36 sites. "Structured contraception counseling" was provided by a health care professional on the available contraceptive methods. Questionnaires on the women's pre- and post-counseling contraceptive choice, her perceptions, and the reasons behind her post-counseling decision were filled.
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 %; injectable-depot medroxyprogesterone acetate: 5.9 vs. 13.6 %; levonorgestrel-intrauterine system: 3.8 vs. 13.3 %).
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.
确定“结构化避孕咨询”对印度女性避孕方法选择的影响。
在36个地点招募了年龄在18岁至40岁之间、要求采取避孕措施的女性。由医疗保健专业人员就现有的避孕方法提供“结构化避孕咨询”。填写关于女性咨询前后避孕选择、其认知以及咨询后决定背后原因的问卷。
犹豫不决的女性比例显著降低（n = 260；咨询前为31.5%，咨询后为30人，占3.6% [P < 0.001]），选择非激素方法的女性比例也显著降低（咨询前为24.6%，咨询后为6.8%，[P < 0.001]）。在所有接受咨询的女性（n = 825）中，89.6%（739/825）的女性选择了激素避孕方法。咨询前后女性的避孕选择存在显著差异（P < 0.001），具体如下（复方口服避孕药：30.8%对40.7%；阴道环：1.8%对14.1%；仅含孕激素的药丸：1.6%对7.9%；注射用醋酸甲羟孕酮长效避孕针：5.9%对13.6%；左炔诺孕酮宫内节育系统：3.8%对13.3%）。
使用标准化方案和辅助工具进行结构化避孕咨询，导致现代避孕方法的选择显著增加。咨询后，大多数女性选择了激素方法，药丸和新的替代方法的选择有所增加。
