{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T22:27:41Z","timestamp":1776896861960,"version":"3.51.2"},"reference-count":34,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2010,12,31]],"date-time":"2010-12-31T00:00:00Z","timestamp":1293753600000},"content-version":"vor","delay-in-days":244,"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":[[2010,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>Objective<\/jats:italic>. To investigate self\u2010reported practices of contraceptive provision among primary care physicians. <jats:italic>Design<\/jats:italic>. A cross\u2010sectional questionnaire study. <jats:italic>Setting<\/jats:italic>. All community health centers (<jats:italic>n<\/jats:italic> = 63) in an university hospital area in Western Finland. <jats:italic>Sample and methods<\/jats:italic>. A total of 122 health center physicians involved in contraceptive counseling (CC) were invited to participate in self\u2010administered survey. Data were obtained on initiation of contraceptive methods and the limits and contraindications applied when prescribing combined hormonal contraception (CHC), and they were assessed against Finnish and WHO guidelines. <jats:italic>Main outcome measures<\/jats:italic>. Distribution of initiated contraceptive methods and of examinations and tests included, application of limits and contraindications in relation to age, smoking, body mass index or weight, blood pressure (BP) and migraine with aura when prescribing CHC (combined oral contraceptives (COCs), vaginal ring and contraceptive patch). <jats:italic>Results<\/jats:italic>. Responded physicians (<jats:italic>n<\/jats:italic> = 83.68%) said they most frequently prescribed the COC pill. Progestin\u2010only pills, levonorgestrel\u2010releasing intrauterine system and copper\u2010releasing intrauterine device were also provided regularly. Most of the respondents routinely took numerous examinations and tests when initiating contraception, including also unnecessary ones. There were gaps in their knowledge about the limits and contraindications for CHC. For example, 41% of the respondents did not recognize migraine with aura as a contraindication and only 19% reported applying the recommended BP limit of 140\/90 mmHg. <jats:italic>Conclusions<\/jats:italic>. The range of contraceptives available and examinations and tests offered were comprehensive. However, the inadequate procedures regarding assessment of contraindications for CHC suggests that updating CC practices is challenging in primary care.<\/jats:p>","DOI":"10.3109\/00016341003650020","type":"journal-article","created":{"date-parts":[[2010,4,28]],"date-time":"2010-04-28T06:42:34Z","timestamp":1272436954000},"page":"636-645","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Provision of contraception: a survey among primary care physicians in Finland"],"prefix":"10.1111","volume":"89","author":[{"given":"TUIRE","family":"SANNISTO","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"ELISE","family":"KOSUNEN","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2010,12,31]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/102538239600300315"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/qshc.6.2.62"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1080\/13625180802460509"},{"key":"e_1_2_6_5_2","volume-title":"Medical eligibility criteria for contraceptive use","author":"World Health Organization","year":"2004"},{"key":"e_1_2_6_6_2","volume-title":"Medical eligibility criteria for contraceptive use 2008 update","author":"World Health Organization","year":"2008"},{"key":"e_1_2_6_7_2","volume-title":"Selected practice recommendations for contraceptive use","author":"World Health Organization","year":"2004"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2008.06.014"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1080\/02813430152706701"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2006.12.022"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/7.1.29"},{"key":"e_1_2_6_12_2","volume-title":"Sexual trends in the Baltic Sea area","author":"Haavio\u2010Mannila E","year":"2003"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1080\/13625180410001715681"},{"key":"e_1_2_6_14_2","volume-title":"World contraceptive use 2007","author":"United Nations, Department of Economic and Social Affairs, Population Division","year":"2008"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/140349489101900106"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2007.05.085"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2004.08.018"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2004.12.007"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1468-2982.2000.00145.x"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.108.531913"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2005.08.009"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.107.488395"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2005.08.005"},{"key":"e_1_2_6_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/0140-6736(92)92505-A"},{"key":"e_1_2_6_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2005.04.009"},{"key":"e_1_2_6_26_2","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dmh031"},{"key":"e_1_2_6_27_2","unstructured":"K\u00e4yp\u00e4 hoito \u2010suositus.Kohdunkaulan em\u00e4ttimen ja ulkosynnytinten solumuutokset \u2010 diagnostiikka hoito ja seuranta. [Diagnosis treatment and follow\u2010up of cytological changes in the cervix vagina and vulva] (in Finnish. English summary available). Available online at:http:\/\/www.kaypahoito.fi\/. (accessed 25 June 2009). Duodecim.2006;122:1808\u201033."},{"key":"e_1_2_6_28_2","doi-asserted-by":"publisher","DOI":"10.3322\/canjclin.52.6.342"},{"key":"e_1_2_6_29_2","doi-asserted-by":"publisher","DOI":"10.1783\/0000000042177018"},{"key":"e_1_2_6_30_2","first-page":"93","article-title":"ACOG Practice Bulletin. The use of hormonal contraception in women with coexisting medical conditions","volume":"75","author":"ACOG Committee on Practice Bulletins\u2010Gynecology","year":"2001","journal-title":"Int J Gynaecol Obstet"},{"key":"e_1_2_6_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1701-2163(16)32715-3"},{"key":"e_1_2_6_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2008.04.013"},{"key":"e_1_2_6_33_2","first-page":"2185","article-title":"Raskauden ehk\u00e4isyneuvonta terveyskeskuksissa [Contraceptive counselling at health centres] (in Finnish. English abstract available.)","volume":"62","author":"Sannisto T","year":"2007","journal-title":"Suom L\u00e4\u00e4k\u00e4ril"},{"key":"e_1_2_6_34_2","volume-title":"Recommended standards for sexual health services","author":"Medical Foundation for AIDS & Sexual Health","year":"2005"},{"key":"e_1_2_6_35_2","volume-title":"Seksuaali\u2010 ja lis\u00e4\u00e4ntymisterveyden edist\u00e4minen. Toimintaohjelma 2007\u20132011. 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