Tags

Type your tag names separated by a space and hit enter

An intervention in contraceptive counseling increased the knowledge about fertility and awareness of preconception health-a randomized controlled trial.
Ups J Med Sci. 2019 Aug; 124(3):203-212.UJ

Abstract

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.

Authors+Show Affiliations

Maternal Health Care Unit, Faculty of Medicine and Health, Örebro University , Örebro , Sweden.Department of Obstetrics and Gynecology, Faculty of Medicine and Health, Örebro University , Örebro , Sweden.Clinical Epidemiology and Biostatistics, School of Medical Sciences, Örebro University , Örebro , Sweden.University Health Care Research Center, Faculty of Medicine and Health, Örebro University , Örebro , Sweden.Department of Women's and Children's Health , Akademiska Sjukhuset , Uppsala , Sweden.

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

31495254

Citation

Skogsdal, Yvonne, et al. "An Intervention in Contraceptive Counseling Increased the Knowledge About Fertility and Awareness of Preconception Health-a Randomized Controlled Trial." Upsala Journal of Medical Sciences, vol. 124, no. 3, 2019, pp. 203-212.
Skogsdal Y, Fadl H, Cao Y, et al. An intervention in contraceptive counseling increased the knowledge about fertility and awareness of preconception health-a randomized controlled trial. Ups J Med Sci. 2019;124(3):203-212.
Skogsdal, Y., 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. https://doi.org/10.1080/03009734.2019.1653407
Skogsdal Y, et al. An Intervention in Contraceptive Counseling Increased the Knowledge About Fertility and Awareness of Preconception Health-a Randomized Controlled Trial. Ups J Med Sci. 2019;124(3):203-212. PubMed PMID: 31495254.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - An intervention in contraceptive counseling increased the knowledge about fertility and awareness of preconception health-a randomized controlled trial. AU - Skogsdal,Yvonne, AU - Fadl,Helena, AU - Cao,Yang, AU - Karlsson,Jan, AU - Tydén,Tanja, Y1 - 2019/09/09/ PY - 2019/9/10/pubmed PY - 2020/2/26/medline PY - 2019/9/10/entrez KW - Contraceptive counseling KW - fertility KW - lifestyle factors KW - preconception care KW - preconception health KW - pregnancy KW - reproductive life plan SP - 203 EP - 212 JF - Upsala journal of medical sciences JO - Ups. J. Med. Sci. VL - 124 IS - 3 N2 - 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. SN - 2000-1967 UR - https://www.unboundmedicine.com/medline/citation/31495254/An_intervention_in_contraceptive_counseling_increased_the_knowledge_about_fertility_and_awareness_of_preconception_health_a_randomized_controlled_trial_ L2 - http://www.tandfonline.com/doi/full/10.1080/03009734.2019.1653407 DB - PRIME DP - Unbound Medicine ER -