Skip to main content
main-content

01.12.2015 | Research article | Ausgabe 1/2015 Open Access

BMC Women's Health 1/2015

Observational, prospective, multicentre study to evaluate the effects of counselling on the choice of combined hormonal contraceptives in Italy—the ECOS (Educational COunselling effectS) study

Zeitschrift:
BMC Women's Health > Ausgabe 1/2015
Autoren:
Alessandro Gambera, Fedela Corda, Rosetta Papa, Carlo Bastianelli, Sandra Bucciantini, Salvatore Dessole, Pasquale Scagliola, Nadia Bernardini, Daniela de Feo, Fabiola Beligotti
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​s12905-015-0226-x) contains supplementary material, which is available to authorized users.

Competing interests

This study was sponsored through an unrestricted grant from Merck, Sharp & Dohme Corp. (MSD) Italy, a subsidiary of Merck & Co., Inc., Whitehouse Station, NJ, USA.
N. Bernardini, F. Beligotti and D. de Feo are employed by MSD, Italy. All authors report no conflicts of interest. Although the study was funded by MSD, the authors alone are responsible for oversight of the study and the content and the writing of the paper.

Authors’ contributions

AG contributed to study conception and design, acquisition of data, analysis and interpretation of data, drafting of manuscript and critical revision; he read and approved the final manuscript. FC contributed to study conception and design, acquisition of data, analysis and interpretation of data, drafting of manuscript and critical revision; she read and approved the final manuscript. RP contributed to study conception and design, acquisition of data, analysis and interpretation of data, drafting of manuscript and critical revision; she read and approved the final manuscript. CB contributed to study conception and design, acquisition of data, analysis and interpretation of data, drafting of manuscript and critical revision; he read and approved the final manuscript. SB contributed to study conception and design, acquisition of data, analysis and interpretation of data, drafting of manuscript and critical revision; she read and approved the final manuscript. SD contributed to study conception and design, acquisition of data, analysis and interpretation of data, drafting of manuscript and critical revision; he read and approved the final manuscript. PS contributed to study conception and design, acquisition of data, analysis and interpretation of data, drafting of manuscript and critical revision; he read and approved the final manuscript. NB contributed to study conception and design, acquisition of data, analysis and interpretation of data, drafting of manuscript and critical revision; she read and approved the final manuscript. DdF contributed to study conception and design, acquisition of data, analysis and interpretation of data, drafting of manuscript and critical revision; she read and approved the final manuscript. FB contributed to study conception and design, acquisition of data, analysis and interpretation of data, drafting of manuscript and critical revision; she read and approved the final manuscript.

Abstract

Background

Adequate counselling on contraceptive methods can help users choose the most appropriate method. The aim of this study was to assess the effects of structured counselling provided by gynaecologists on selection of a combined hormonal contraception method.

Methods

Women aged 18–40 years (n = 1871) who were considering the use of a combined hormonal contraception method (pill, transdermal patch or vaginal ring) underwent a structured counselling session in which gynaecologists provided comprehensive information. Pre- and post-counselling questionnaires on combined hormonal contraception choice were completed by participants.

Results

After counselling, many women (38 %) selected a combined hormonal contraception method that was different from the originally intended one. Preferences for the transdermal patch approximately doubled (from 3.2 % pre-counselling to 7 %; p < 0.0001) and those for the vaginal ring increased four-fold (from 5.2 to 21.2 %; p < 0.0001), while preference for the pill remained unchanged (from 64.5 % [pre-] to 64.1 % [post-counselling]). The proportion of undecided women decreased from 18 to 2.1 % (p < 0.0001). The main reasons for choosing a method were related to ease of use (all methods), and preferences for administration frequency (daily, weekly or monthly). The number of patients requiring post-counselling contact with the physician’s office was low (5.1–6.9 %), as was the incidence of adverse events (1.8–3.1 %).

Conclusions

Counselling has a significant impact on women’s choice of combined hormonal contraception and encourages them to consider alternative methods to combined oral contraceptives. Moreover, it also enables women to use their chosen method with confidence.

Trial registration

NCT01181778, Trial registration date: August 12, 2010
Zusatzmaterial
Additional file 1: Partecipating centers. The file includes the complete list of the participating centers, together with the name of the principal investigator. (XLS 100 kb)
12905_2015_226_MOESM1_ESM.xls
Additional file 2: Questionnaire. The file provides the questionnaire compiled by the subjects. (DOC 193 kb)
12905_2015_226_MOESM2_ESM.doc
Additional file 3: Leaflet. The file provides the counselling leaflet distributed to the subjects. (PDF 2810 kb)
12905_2015_226_MOESM3_ESM.pdf
Literatur
Über diesen Artikel

Weitere Artikel der Ausgabe 1/2015

BMC Women's Health 1/2015 Zur Ausgabe


 

Neu im Fachgebiet Gynäkologie und Geburtshilfe

Meistgelesene Bücher aus dem Fachgebiet

2014 | Buch

Perikonzeptionelle Frauenheilkunde

Fertilitätserhalt, Prävention und Management von Schwangerschaftsrisiken

Ein Praxisbuch für alle, die in der Beratung und Betreuung von Schwangeren und Paaren mit Kinderwunsch tätig sind. Die Herausgeber und Autoren haben alle wichtigen Informationen zusammengetragen, um Frauen sicher zu beraten, zu betreuen und kompetent Verantwortung zu übernehmen.

Herausgeber:
Christian Gnoth, Peter Mallmann

2019 | Buch

Praxisbuch Gynäkologische Onkologie

Dieses kompakte und praxisrelevante Standardwerk richtet sich alle Ärzte in Klinik und Praxis, die Patientinnen mit bösartigen Tumoren des Genitales und der Mamma behandeln. Die 5. Auflage wurde komplett aktualisiert und auf der Basis …

Herausgeber:
Prof. Dr. Edgar Petru, Dr. Daniel Fink, Prof. Dr. Ossi R. Köchli, Prof. Dr. Sibylle Loibl

Mail Icon II Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Gynäkologie und bleiben Sie gut informiert – ganz bequem per eMail.

Bildnachweise