The role and possibilities of counseling in increasing knowledge of hormonal contraception benefits


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Abstract

Objective. To analyze the level of awareness of contraception and to study the opportunities for counseling women of Samara on the prevention of unwanted pregnancies. Subjects and methods. The investigation enrolled reproductive-aged women from the city of Samara who sought for medical advice for the first time. A questionnaire survey was employed in this investigation. A total of 250 questionnaires were analyzed using SPSS 21 software. Results. About 75% of the women know that a condom is a reliable means of protection against unwanted pregnancy and both HIV and other sexually transmitted diseases. More than half of the respondents (69.2%) are aware of emergency contraception; only 49.6% realize that coitus interruptus is an unreliable method of birth control while 29.2% of the respondents used this method. Only 47.2% of the respondents are aware of the high reliability of combined oral contraceptives (COC) while those who know about the high efficiency of COC apply the latter more commonly: 16.9% vs 5.3% (p < 0.001). Conclusion. Medical specialists should provide more information on safe sex, prevention of an unwanted pregnancy preferably before the onset of sexual activity; the knowledge and awareness of contraception in a woman plays a large role in her choosing its method.

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About the authors

Natalia V. Spiridonova

Samara State Medical University

Email: nvspiridonova@mail.ru
Doctor of Medicine, Professor of the Department of Obstetrics and Gynecology Obstetrics and Gynaecology of the Institution of Postgraduate Education

Anna V. Kazakova

Samara State Medical University

Email: amigo14021980@yandex.ru
PhD, Associate professor, Department of Obstetrics and Gynaecology of the Institution of Postgraduate Education

Elena V. Uvarova

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia; I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia

Email: elena-uvarova@yandex.ru
MD PhD, Professor, Head of the Department of Pediatric Gynecology

Marina V. Komarova

Academician S.P. Korolev Samara National Research University

Email: marinakom@yandex.ru
PhD, Associate professor, Department of laser and biotechnical systems; Researcher of the laboratory for analysis and processing of medical data, Center of IT-medicine

Alina A. Bezrukova

Samara State Medical University

Email: bezzrukovaa@yandex.ru
clinical resident of the Department of Obstetrics and Gynecology

References

  1. Калачикова О.Н. Регулирование репродуктивного поведения населения. Вологда: ИСЭРТ РАН; 2012. [Kalachikova ON. Regulation of reproductive behavior of the population. Vologda: ISERT RAN; 2012. (in Russian)]
  2. Кротин П.Н., Кожуховская Т.Ю., Таенкова А.А. Репродуктивное поведение и контрацептивный выбор подростков и молодежи. РМЖ. 2004; 12(5): 341-6.
  3. Дикке Г.Б., Ерофеева Л.В. Особенности репродуктивного поведения молодёжи. Акушерство и гинекология. 2013; 12: 96-101. [Dikke G.B., Erofeeva L.V. Features of reproductive behavior of young people. Akusherstvo i ginekologiya/Obstetrics and Gynecology. 2013; 12: 96-101. (in Russian)]
  4. Юрьев В.К., Теблеев Ц.М., Пузырев В.Г. Особенности медико-социальной характеристики женщин, прерывающих беременность. Современные проблемы науки и образования: научный электронный журнал. 2015; 5: 275. [Yryev V.K., Tebleev C.M., Puzyrev V.G Features of the medical and social characteristics of women interrupting pregnancy. Sovremennye problemy nauki i obrazovaniya: nauchnyy elektronnyy jurnal. 2015; 5: 275. (in Russian)]
  5. Ильин В.А., Колинько А.А., Гулин К.А., Шабунова А.А., Копейкина М.А., Вологдина Е.Л. Репродуктивный потенциал региона: состояние, тенденции, перспективы. Вологда: ВНКЦ ЦЭМИ РАН; 2005. 208с. [Ilyin V.A., Kolinko A.A., Gulin K.A., Shabunova A.A., Kopeikina M.A., Vologdina E.L. Reproductive potential of the region: state, trends, prospects. Vologda: VNKC CEMI RAN; 2005. 208 p. (in Russian)]
  6. Медицинские критерии приемлемости методов контрацепции РФ. М.; 2012. [Medical eligibility criteria for contraceptive methods in the Russian Federation. Moscow, 2012. (in Russian)]
  7. Чернуха Г.Е. Консультирование - залог правильного выбора метода контрацепции. Гинекология. 2014; 16(3): 22-6. [Chernukha G.E. Counseling is the key to choosing the right method of contraception. Ginekologiia. 2014; 16(3): 22-6. (in Russian)]
  8. Lidegaard Ø., Løkkegaard E., Jensen A., Skovlund C.W., Keiding N. Thrombotic stroke and myocardial infarction with hormonal contraception. N. Engl. J. Med. 2012; 366(24): 2257-66.
  9. Дубницкая Л.В. Лечебные аспекты применения эстрогенгестагенных контрацептивов. РМЖ. 2004; 12(13): 743. [Dubnickaya L.V. Therapeutic aspects of the use of estrogen-gastritis contraceptives. RMJ. 2004. 12(13): 743. (in Russian)]
  10. Блак М., Макай М., Брауде П., Вон Джоунз С., Маргессон Л. Кожные болезни в акушерской и гинекологической практике. Пер. с англ. Прилепская В.Н., Липова Е.В., ред. М.: ГЭОТАР-Медиа; 2008. [Blak M., Makai M., Braude P., Won Jones S., Margesson L. Skin diseases in obstetric and gynecological practice. Trans. from English. Prilepskaya V.N., Lipova E.V., ed. Moscow: GEOTAR-Media; 2008. (in Russian)]
  11. Zimmerman Y., Eijkemans M.J., Coelingh Bennink H.J., Blankenstein M.A., Fauser B. C. The effect of combined oral contraception on testosterone levels in healthy women: a systematic review and meta-analysis. Hum. Reprod. Update. 2014; 20(1): 76-105.
  12. Уварова Е.В., Савельева И.С. Благотворные свойства комбинированных оральных контрацептивов как основа современной стратегии охраны репродуктивного здоровья сексуально активных подростков и молодежи. Репродуктивное здоровье детей и подростков. 2005; 1: 66-73. [Uvarova E.V., Savel’eva I.S. Beneficial properties of combined oral contraceptives as the basis of the modern strategy for reproductive health of sexually active adolescents and yout. Reproduktivnoe zdorov’e detey i podrostkov. 2005; 1: 66-73. (in Russian)]
  13. Прилепская В.Н., ред. Руководство по контрацепции. 3-е изд. М.: МЕДпресс-информ; 2014. [Prilepskaya V.N., ed. Contraceptive guide. 3rd ed. Moscow: MEDpress-inform; 2014. (in Russian)]
  14. Резниченко Г.И., Гордейчук А.Б., Резниченко Н.Ю. Современные методы планирования беременности. Киев: РВХ Ферзь; 2012. Available at: https:// medjournal.info/kombinirovannye-oralnye-kontraceptivy-vidy-preimushhestva-primeneniya-protivopokazaniya/ [Reznichenko G.I., Gordeychuk A.B., Reznichenko N.Yu. Modern methods of pregnancy planning. Kiev: RVH Ferz; 2012. Available at: https://medjournal.info/kombinirovannye-oralnye-kontraceptivy-vidy-preimushhestva-primeneniya-protivopokazaniya/ [in Russian].
  15. Прилепская В.Н., Шулятьева Н.Н. Клинические аспекты применения оральных контрацептивов с антиандрогенным действием. Гинекология. 2005; 7(2): 49-53. [Prilepskaya V.N., Sulyat’eva N.N. Clinical aspects of the use of oral contraceptives with antiandrogenic action. Ginekologiya. 2005; 7(2): 49-53. (in Russian)]
  16. Уварова Е.В. Современные возможности использования оральных контрацептивов в пубертатном периоде жизни. РМЖ. 2003; 11(16): 896-98. [Uvarova E.V. Modern possibilities of using oral contraceptives in the pubertal period of life. RMJ. 2003; 11(16): 896-98. (in Russian)]

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