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Skogsdal, Yvonne Rosalie ElisabethORCID iD iconorcid.org/0000-0003-2412-4676
Publications (2 of 2) Show all publications
Skogsdal, Y. R., Fadl, H., Cao, Y., Karlsson, J. & Tydén, T. (2019). An intervention in contraceptive counseling increased the knowledge about fertility and awareness of preconception health-a randomized controlled trial. Upsala Journal of Medical Sciences, 124(3), 203-212
Open this publication in new window or tab >>An intervention in contraceptive counseling increased the knowledge about fertility and awareness of preconception health-a randomized controlled trial
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2019 (English)In: Upsala Journal of Medical Sciences, ISSN 0300-9734, E-ISSN 2000-1967, Vol. 124, no 3, p. 203-212Article in journal (Refereed) Published
Abstract [en]

Background: Reproductive life plan counseling (RLPC) is a tool to encourage women and men to reflect upon their reproduction, to avoid unintended pregnancies and negative health behavior that can threaten reproduction. The aim was to evaluate the effect of RLPC among women attending contraceptive counseling. Outcomes were knowledge about fertility and awareness of preconception health, use of contraception, and women's experience of RLPC.

Material and methods: Swedish-speaking women, aged 20-40 years, were randomized to intervention group (IG) or control group (CG). Participants (n = 1,946) answered a questionnaire before and two months after (n = 1,198, 62%) the consultation. All women received standard contraceptive counseling, and the IG also received the RLPC, i.e. questions on reproductive intentions, information about fertility, and preconception health.

Results: Women in the IG increased their knowledge about fertility: age and fertility, chances of getting pregnant, fecundity of an ovum, and chances of having a child with help of IVF. They also increased their awareness of factors affecting preconception health, such as to stop using tobacco, to refrain from alcohol, to be of normal weight, and to start with folic acid before a pregnancy. The most commonly used contraceptive method was combined oral contraceptives, followed by long-acting reversible contraception. Three out of four women (76%) in the IG stated that the RLPC should be part of the routine in contraceptive counseling.

Conclusions: Knowledge about fertility and awareness of preconception health increased after the intervention. The RLPC can be recommended as a tool in contraceptive counseling.

Place, publisher, year, edition, pages
Taylor & Francis, 2019
Keywords
Contraceptive counseling, fertility, lifestyle factors, preconception care, preconception health, pregnancy, reproductive life plan
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:oru:diva-76430 (URN)10.1080/03009734.2019.1653407 (DOI)000485618600001 ()31495254 (PubMedID)
Note

Funding Agencies:

Research, Development and Education (ALF) from Uppsala County Council  AS 2014-0831

Region Örebro County  OLL-640211 OLL-734371

Bayer AB 

Available from: 2019-09-16 Created: 2019-09-16 Last updated: 2020-01-16Bibliographically approved
Skogsdal, Y. R., Karlsson, J. Å., Cao, Y., Fadl, H. & Tydén, T. A. (2018). Contraceptive use and reproductive intentions among women requesting contraceptive counseling. Acta Obstetricia et Gynecologica Scandinavica, 97(11), 1349-1357
Open this publication in new window or tab >>Contraceptive use and reproductive intentions among women requesting contraceptive counseling
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2018 (English)In: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 97, no 11, p. 1349-1357Article in journal (Refereed) Published
Abstract [en]

Introduction: Limited attention has been paid to the use of contraception in relation to women's family planning intentions. The aim of this study was to investigate the use of contraception during the most recent intercourse as well as the reproductive intentions of Swedish-speaking women requesting contraceptive counseling.

Material and methods: Across-sectional baseline survey in a randomized controlled trial regarding reproductive life planning (before randomization). Women requesting contraceptive counseling answered questions about contraception and whether they wanted to have children/more children in the future.

Results: In total, 1946 women participated: 33.7% (n = 656) parous and 65.7% (n = 1279) nulliparous. The majority, 87.1% (n = 1682), had used contraception during their latest intercourse; 64.6% (n = 1239) used short-acting reversible contraception, 22.8% (n = 443) used long-acting reversible contraception (LARC), and 12.9% (n = 251) had not used any contraception. A combined oral contraceptive was more common among nulliparous and LARC among parous. Among all women, 64.8% (n = 1253) intended to have children/more children in the future, among parous women 35.7% (n = 220) and among nulliparous 80.0% (n = 1033). Among women who did not intend to have children/more children, 22.6% (n = 60) of parous and 10% (n = 8) of nulliparous had not used contraceptives during their most recent intercourse.

Conclusions: Women did not always use contraceptives that were suitable for their reproductive intentions. Questioning women who request contraceptive counseling about their pregnancy intention can give healthcare providers better opportunities for individualized counseling.

Place, publisher, year, edition, pages
John Wiley & Sons, 2018
Keywords
Contraception, counseling, long-acting reversible contraception, preconception care, reproductive health, unintended pregnancy, unplanned pregnancy
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:oru:diva-69535 (URN)10.1111/aogs.13426 (DOI)000446155300010 ()30007091 (PubMedID)2-s2.0-85052671672 (Scopus ID)
Note

Funding Agencies:

ALF founding Region Örebro län  

Research Council of Örebro Region County  

Bayer AB 

Available from: 2018-10-17 Created: 2018-10-17 Last updated: 2018-11-06Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-2412-4676

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