Shakuntla Kumar1, Dipti Nabh2, Rupam Arora3, Praveen Garg4. 1. Gynecology and Obstetrics, Nulife Hospitals, 1616, Outram Lines, GTB Nagar, Kingsway Camp, New Delhi, 110009 India. 2. Department of Gynecology and Obstetrics, Mother and Child Hospital, # 20, Old Anarkali, Krishna Nagar, Landmark: lm-Jain Mandir, New Delhi, India. 3. Department of Gynecology and Obstetrics, Dr. Rupam Arora Clinic, House No. 78, Mausam Vihar, Krishna Nagar, New Delhi, India. 4. Department of Gynecology and Obstetrics, Hitaishi Hospital, E-15/154, Pradeep Bhatia Marg, Sector 8E, Rohini, New Delhi, 110085 India.
Abstract
OBJECTIVE: The study was designed to determine the impact of structured counseling by trained contraceptive counselors in a real-life clinical setting on the adoption of modern contraceptive methods in comparison with past contraceptive experience. METHODS: Current study was a retrospective, non-interventional design, from the data collected in the time period of March to September 2013 across four clinics with predominant obstetric and gynecological practice. Three hundred and fifty-one women consulting for contraception were counseled by trained counselors using standardized counseling tools. RESULTS: Of the 351 women counseled, 40.74 % (n = 143) had never used a contraceptive (no method) and 42.74 % (n = 150) women whose partner had or were using a "male condom." Post-counseling by a trained counselor, there was a significant (p < 0.001) increase in modern contraceptive use (91.74 %, n = 322) versus prior counseling (52.14 %, n = 183) proportion of women who had or were using a modern contraceptive. The change observed for each method pre-counseling (usage history) to post-counseling was as follows: combined oral contraceptive (COC) 1.99-5.41 %, progesterone-only pill (POP) 0.85-30.48 %; copper intrauterine device (Cu-IUD) 4.27-29.4 %; injectable contraceptive 1.71-20.51 %; male condom 42.74-1.42 %; no method 40.74-7.41 %; traditional 7.12-0.85 %; and sterilization 0.28-1.71 %. CONCLUSION: This study is a first of its kind, conducted in the private sector, and clearly highlights the benefits of a trained counselor in contraceptive counseling with a significant proportion of women choosing a modern contraceptive. With a busy private practice, a trained counselor facilitates the clinician's role and helped the women to choose a suitable modern contraceptive method.
OBJECTIVE: The study was designed to determine the impact of structured counseling by trained contraceptive counselors in a real-life clinical setting on the adoption of modern contraceptive methods in comparison with past contraceptive experience. METHODS: Current study was a retrospective, non-interventional design, from the data collected in the time period of March to September 2013 across four clinics with predominant obstetric and gynecological practice. Three hundred and fifty-one women consulting for contraception were counseled by trained counselors using standardized counseling tools. RESULTS: Of the 351 women counseled, 40.74 % (n = 143) had never used a contraceptive (no method) and 42.74 % (n = 150) women whose partner had or were using a "male condom." Post-counseling by a trained counselor, there was a significant (p < 0.001) increase in modern contraceptive use (91.74 %, n = 322) versus prior counseling (52.14 %, n = 183) proportion of women who had or were using a modern contraceptive. The change observed for each method pre-counseling (usage history) to post-counseling was as follows: combined oral contraceptive (COC) 1.99-5.41 %, progesterone-only pill (POP) 0.85-30.48 %; copper intrauterine device (Cu-IUD) 4.27-29.4 %; injectable contraceptive 1.71-20.51 %; male condom 42.74-1.42 %; no method 40.74-7.41 %; traditional 7.12-0.85 %; and sterilization 0.28-1.71 %. CONCLUSION: This study is a first of its kind, conducted in the private sector, and clearly highlights the benefits of a trained counselor in contraceptive counseling with a significant proportion of women choosing a modern contraceptive. With a busy private practice, a trained counselor facilitates the clinician's role and helped the women to choose a suitable modern contraceptive method.
Authors: R Baveja; K Buckshee; K Das; S K Das; M N Hazra; S Gopalan; A Goswami; B S Kodkany; C N Sujaya Kumari; K Zaveri; M Roy; S Datey; L N Gaur; N K Gupta; R N Gupta; N C Saxena; R Singh; S Kumar; S C Yadav; B N Saxena Journal: Contraception Date: 2000-02 Impact factor: 3.375
Authors: Christian Egarter; Brigitte Frey Tirri; Johannes Bitzer; Vyacheslav Kaminskyy; Björn J Oddens; Vera Prilepskaya; Arie Yeshaya; Maya Marintcheva-Petrova; Steven Weyers Journal: BMC Womens Health Date: 2013-02-28 Impact factor: 2.809