{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T21:50:59Z","timestamp":1780696259718,"version":"3.54.1"},"reference-count":23,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2011,6,20]],"date-time":"2011-06-20T00:00:00Z","timestamp":1308528000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2011,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p> <jats:italic>Objective.<\/jats:italic> To study the influence of counseling on women's contraceptive decisions. <jats:italic>Design.<\/jats:italic> A cross\u2010sectional multicenter study. <jats:italic>Setting.<\/jats:italic> Seventy Swedish family planning clinics. <jats:italic>Population.<\/jats:italic> Women aged 15\u201340 years attending for a contraceptive consultation who expressed interest in a combined hormonal contraceptive (CHC) method. <jats:italic>Methods.<\/jats:italic> Structured counseling about three CHCs and questionnaires completed after counseling from the healthcare professional. <jats:italic>Main Outcome Measures.<\/jats:italic> Method originally requested, perceptions of CHC attributes, method chosen and reasons for the choice. <jats:italic>Results.<\/jats:italic> In all, 173 healthcare professionals and 1 944 women participated. The mean standard deviation (SD) age of the women was 22.6(6.1) years. After structured counseling, a majority of women (56.0%; <jats:italic>n<\/jats:italic>=1 069; 95% confidence interval (CI) 53.1\u201358.9) chose the daily pill, 6.2% (<jats:italic>n<\/jats:italic>=118; 95% CI 4.9\u20137.8) chose the weekly patch, and 22.5% (<jats:italic>n<\/jats:italic>=430; 95% CI 20.2\u201325.1) chose the monthly ring. The weekly patch was chosen more often after counseling (6.2 vs 2.4% before counseling; <jats:italic>p<\/jats:italic>&lt;0.0001). The greatest change was in the proportion of women who chose the contraceptive ring after counseling (22.5% vs. 8.5% before counseling; <jats:italic>p<\/jats:italic>&lt;0.0001). The proportion of undecided women after counseling was reduced considerably (3.9% vs. 27.8% before counseling). Among the 523 women who were undecided before counseling, 50.6% chose the pill, 10.2% the patch and 24.6% the ring, while 20.9% of women who initially requested the pill changed to another method. <jats:italic>Conclusions.<\/jats:italic> Structured counseling facilitated choice of contraceptive method for most women, leading to changes in women's selection of a CHC method.<\/jats:p>","DOI":"10.1111\/j.1600-0412.2011.01180.x","type":"journal-article","created":{"date-parts":[[2011,5,12]],"date-time":"2011-05-12T15:59:03Z","timestamp":1305215943000},"page":"869-877","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Comprehensive counseling about combined hormonal contraceptives changes the choice of contraceptive methods: results of the CHOICE program in 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