Impact of Long-Acting Reversible Contraceptive Counseling on Postpartum Contraceptive Choice [17G]

AbstractAdolescents are at risk for unwanted pregnancy when they become sexually active, and contraception is an important part of mitigating this risk. Use of contraceptive methods, and long-acting reversible contraceptive methods such as implants and intrauterine devices in particular, has increased among adolescents. Although sexual activity has declined and contraceptive use has increased among adolescents in the United States in recent years, the unintended pregnancy rate remains high. All of the currently available contraceptive methods are safe and effective for adolescents to use; however, adolescents may have specific concerns about side effect profiles and unscheduled bleeding that should be addressed during contraceptive counseling. Healthcare providers should prioritize adolescents' needs and preferences when approaching contraceptive counseling, and also consider the unique access and confidentiality issues that adolescents face when accessing contraception.

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Effects of immediate postpartum contraceptive counseling on long-acting reversible contraceptive use in adolescents

Adolescent Health Medicine and Therapeutics ◽

10.2147/ahmt.s148434 ◽

2017 ◽

Vol Volume 8 ◽

pp. 115-123 ◽

Cited By ~ 6

Author(s):

Kasemsis Kaewkiattikun

Keyword(s):

Contraceptive Use ◽

Contraceptive Counseling ◽

Long Acting ◽

Long Acting Reversible Contraceptive

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Different Perceptions among Women and Their Physicians Regarding Contraceptive Counseling: Results from the TANCO Survey in Brazil

Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics ◽

10.1055/s-0040-1712145 ◽

2020 ◽

Vol 42 (05) ◽

pp. 255-265

Author(s):

Rogério Bonassi Machado ◽

Thaís Emy Ushikusa ◽

Ilza Maria Urbano Monteiro ◽

Cristina Aparecida Falbo Guazzelli ◽

Zsuzsanna Jarmy di Bella ◽

...

Keyword(s):

Health Professionals ◽

Online Survey ◽

Contraceptive Use ◽

Current Method ◽

Contraceptive Methods ◽

Contraceptive Counseling ◽

Comprehensive Information ◽

Individual Needs ◽

Long Acting ◽

Long Acting Reversible Contraceptive

Abstract Objective The optimal use of contraceptive methods requires that women participate in targeted choice of methods that meet their individual needs and expectations. The Thinking About Needs in Contraception (TANCO) study is a quantitative online survey of the views of health professionals and women on aspects of contraceptive counseling and contraceptive use. Methods Physicians and women attending clinics for contraception were invited to complete online questionnaires. The research explored the knowledge and use of contraceptive methods, satisfaction with the current method and interest in receiving more information on all methods. Aspects related to contraceptive practice among physicians were gathered in parallel. The results obtained in the Brazilian research were compared with those of the European research, which involved 11 countries. Results There was a high prevalence of contraceptive use and general satisfaction with the current method. A total of 63% of the women were using short-acting contraceptive (SAC) methods, and 9% were using a long-acting reversible contraceptive (LARC). Sixty-six percent of women were interested in receiving more information on all methods; 69% of women said they would consider LARC if they received more comprehensive information about it. Health professionals tend to underestimate the interest of women in receiving information about contraception in general, and more specifically about LARCs. Conclusion Despite the high levels of use and satisfaction with the current methods, women were interested in receiving more information on all contraceptive methods. Structured contraceptive counseling based on individual needs and expectations may lead to greater knowledge and a greater likelihood of proper contraceptive choice.

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