Effect of structured contraceptive counselling on continuation and satisfaction of women attending gynecology outpatient departments: a case control study

Authors

  • Khiaynat Sarwar Hashmi Tertiary care hospital Nishtar-II Multan Pakistan
  • Sarwat Faridi Quaid-Azam Medical College, Bahawalpur Pakistan
  • Fareeha Saleem District Head Quater Hospital Lodhran Pakistan
  • Aashir Masood Quaid-Azam Medical College, Bahawalpur Pakistan
  • Naheed Fatima Combined Military Hospital, Bahawalpur Pakistan
  • Madiha Ahmed Tertiary Care Hospital Nishtar-II Multan Pakistan

DOI:

https://doi.org/10.59736/IJP.24.03.1126

Keywords:

Contraceptive Counselling, Contraceptive Continuation, Family Planning

Abstract

Background: Client-cantered contraceptive counselling has a positive impact on women's confidence in the choices of methods and their satisfaction with services. This study was planned to compare the effect of structured contraceptive counselling versus routine counselling on contraceptive continuation and satisfaction among women who attended the gynecology outpatient department of tertiary care hospitals in south Punjab, Pakistan.

Methods: A case control study was carried out in Gynecology outpatient departments (OPDs) of the Bahawal Victoria Hospital, Bahawalpur, Pakistan between January 2025 to December 2025 (Ref: 2669/DME/QMC, 19-10-2024). 200 women after taking informed consent were recruited and randomly divided into two groups of receiving routine contraceptive counselling and structured counselling.

Results: The structured counselling group also had significantly higher levels of satisfaction (84.0 vs 59.0, p=0.001), less switching of methods (13.0 vs 29.0, p=0.005), fewer side effects (21.0 vs 35.0, p=0.027), and better follow-up compliance (95.0 vs 84.0, p=0.011) than the routine counselling group.

Conclusion: The structured contraceptive counselling was associated with higher rates of contraceptive continuation, higher levels of patient satisfaction, and higher rate of follow-up compliance, as well as lower rates of contraceptive method switching for contraceptive discontinuation and side effect contraceptive discontinuation.

Author Biographies

  • Khiaynat Sarwar Hashmi, Tertiary care hospital Nishtar-II Multan Pakistan

    Department of Gynecology and Obstetrics

  • Sarwat Faridi, Quaid-Azam Medical College, Bahawalpur Pakistan

    Department of Gynecology and Obstetrics

  • Fareeha Saleem, District Head Quater Hospital Lodhran Pakistan

    Department of Obstetrics and Gynecology

  • Aashir Masood, Quaid-Azam Medical College, Bahawalpur Pakistan

    Department of Obstetrics and Gynecology

  • Naheed Fatima, Combined Military Hospital, Bahawalpur Pakistan

    Department of Obstetrics and Gynecology

  • Madiha Ahmed, Tertiary Care Hospital Nishtar-II Multan Pakistan

    Department of Obstetrics and Gynecology

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Published

2026-10-09

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Original article

How to Cite

1.
Hashmi KS, Faridi S, Saleem F, Masood A, Fatima N, Ahmed M. Effect of structured contraceptive counselling on continuation and satisfaction of women attending gynecology outpatient departments: a case control study. Int J Pathol [Internet]. 2026 Oct. 9 [cited 2026 Oct. 10];24(3):489-95. Available from: https://www.jpathology.com/index.php/OJS/article/view/1126