Tags

Type your tag names separated by a space and hit enter

Contraceptive counselling of women seeking abortion - a qualitative interview study of health professionals' experiences.
Eur J Contracept Reprod Health Care. 2017 Feb; 22(1):3-10.EJ

Abstract

OBJECTIVES

A substantial proportion of women who undergo an abortion continue afterwards without switching to more effective contraceptive use. Many subsequently have repeat unintended pregnancies. This study, therefore, aimed to identify and describe health professionalś experiences of providing contraceptive counselling to women seeking an abortion.

METHODS

We interviewed 21 health professionals (HPs), involved in contraceptive counselling of women seeking abortion at three differently sized hospitals in Sweden. The interviews were recorded and transcribed verbatim and analysed using conventional qualitative content analysis.

RESULTS

Three clusters were identified: 'Complex counselling', 'Elements of counselling' and 'Finding a method'. HPs often experienced consultations including contraceptive counselling at the time of an abortion as complex, covering both pregnancy termination and contraceptive counselling. Women with vulnerabilities placed even greater demands on the HPs providing counselling. The HPs varied in their approaches when providing contraceptive counselling but also in their knowledge about certain contraception methods. HPs described challenges in finding out if women had found an effective method and in the practicalities of arranging intrauterine device (IUD) insertion post-abortion, when a woman asked for this method.

CONCLUSIONS

HPs found it challenging to provide contraceptive counselling at the time of an abortion and to arrange access to IUDs post-abortion. There is a need to improve their counselling, their skills and their knowledge to prevent repeat unintended pregnancies.

Authors+Show Affiliations

a Department of Medical and Health Sciences , Linköping University , Linköping , Sweden. b Department of Obstetrics and Gynaecology , Eksjö Hospital, Jönköping County , Sweden.a Department of Medical and Health Sciences , Linköping University , Linköping , Sweden.c Jönköping Academy for Improvement of Health and Welfare, Jönköping University , Jönköping , Sweden.d Department of Obstetrics and Gynaecology and Department of Clinical and Experimental Medicine , Linköping University , Linköping , Sweden.a Department of Medical and Health Sciences , Linköping University , Linköping , Sweden.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27689407

Citation

Kilander, Helena, et al. "Contraceptive Counselling of Women Seeking Abortion - a Qualitative Interview Study of Health Professionals' Experiences." The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception, vol. 22, no. 1, 2017, pp. 3-10.
Kilander H, Salomonsson B, Thor J, et al. Contraceptive counselling of women seeking abortion - a qualitative interview study of health professionals' experiences. Eur J Contracept Reprod Health Care. 2017;22(1):3-10.
Kilander, H., Salomonsson, B., Thor, J., Brynhildsen, J., & Alehagen, S. (2017). Contraceptive counselling of women seeking abortion - a qualitative interview study of health professionals' experiences. The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception, 22(1), 3-10. https://doi.org/10.1080/13625187.2016.1238892
Kilander H, et al. Contraceptive Counselling of Women Seeking Abortion - a Qualitative Interview Study of Health Professionals' Experiences. Eur J Contracept Reprod Health Care. 2017;22(1):3-10. PubMed PMID: 27689407.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Contraceptive counselling of women seeking abortion - a qualitative interview study of health professionals' experiences. AU - Kilander,Helena, AU - Salomonsson,Birgitta, AU - Thor,Johan, AU - Brynhildsen,Jan, AU - Alehagen,Siw, Y1 - 2016/09/30/ PY - 2016/10/1/pubmed PY - 2017/6/18/medline PY - 2016/10/1/entrez KW - Contraception KW - decision-making KW - family planning KW - pregnancy termination KW - prevention KW - providerś perspective KW - repeat abortion SP - 3 EP - 10 JF - The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception JO - Eur J Contracept Reprod Health Care VL - 22 IS - 1 N2 - OBJECTIVES: A substantial proportion of women who undergo an abortion continue afterwards without switching to more effective contraceptive use. Many subsequently have repeat unintended pregnancies. This study, therefore, aimed to identify and describe health professionalś experiences of providing contraceptive counselling to women seeking an abortion. METHODS: We interviewed 21 health professionals (HPs), involved in contraceptive counselling of women seeking abortion at three differently sized hospitals in Sweden. The interviews were recorded and transcribed verbatim and analysed using conventional qualitative content analysis. RESULTS: Three clusters were identified: 'Complex counselling', 'Elements of counselling' and 'Finding a method'. HPs often experienced consultations including contraceptive counselling at the time of an abortion as complex, covering both pregnancy termination and contraceptive counselling. Women with vulnerabilities placed even greater demands on the HPs providing counselling. The HPs varied in their approaches when providing contraceptive counselling but also in their knowledge about certain contraception methods. HPs described challenges in finding out if women had found an effective method and in the practicalities of arranging intrauterine device (IUD) insertion post-abortion, when a woman asked for this method. CONCLUSIONS: HPs found it challenging to provide contraceptive counselling at the time of an abortion and to arrange access to IUDs post-abortion. There is a need to improve their counselling, their skills and their knowledge to prevent repeat unintended pregnancies. SN - 1473-0782 UR - https://www.unboundmedicine.com/medline/citation/27689407/Contraceptive_counselling_of_women_seeking_abortion___a_qualitative_interview_study_of_health_professionals'_experiences_ DB - PRIME DP - Unbound Medicine ER -