Contraception counselling – induced abortion in women with
cesarean section scar
G. Fan
Union Hospital, Beijing, China
Objectives To
discuss the importance of counselling to clients when providing contraceptive
methods and to recommend the technique of counselling.
Methods Face to face
interview with clients
Results Some general tips in counselling: (1) Privacy
should be taken care of during counselling. The counselling doctor should be
friendly and show great interest to the needs of the client. (2) When asking
questions the doctor should encourage the client to participate in conversation
and to express her /his needs for contraception and should listen patiently to
any request. (3) Decision making: Help the client to make decision on choice of
contraceptive methods, help client to compare methods and find the one that
suits her needs and preferences, to narrow down options and to confirm method of
choice. (4) Provide information of methods that interest the client or that
suits her /his needs. Save details on using the method until client has
expressed a choice. Let clients change their minds if they wish, (5).Focus on
clients’ needs: Doctor is accepting the client’s concerns, values and lifestyle
and not expressing unhelpful judgments. Encourage clients to talk. (6) Problem
solving: Help new clients to plan for correct and consistent method. Help
returning clients with any problems. Take all concerns seriously.
Conclusion
Good counselling can raise acceptability of contraceptive methods and decrease
termination rate. Based on the full understanding of scientific knowledge of
each contraceptive method, the client could make her own correct choice of a
suitable .method Thus, good counselling may in turn raise the effectiveness of a
chosen contraceptive method.