11. Contraception

Effective and safe contraception protects women against physical, psychological and socioeconomic consequences of an unwanted pregnancy and against the major decision of induced abortion. In the Netherlands, more than 95 % of contraceptive advice and contraception itself is provided by general practitioners. In addition, in sexual health centres (GGD-Sense) young people under the age of 25 years can get contraceptive advice free of charge. Midwives are involved in discussing or providing contraception after the delivery and in the period between consecutive pregnancies. Gynaecologists are specialized in contraception for women with specific medical conditions or needs, and instrumental or surgical methods. All health workers should have sufficient knowledge about the advantages and disadvantages of the available contraceptive methods. The health worker should provide information on the different contraceptive methods to the individual woman. Above all else, the health worker should take care that this information is objective, understandable and also includes non-contraceptive benefits such as cycle regulation and prevention of sexually transmitted diseases. Choices will be made in accordance with the person’s wishes, possibilities, life course and medical prerequisites. Effective and safe contraception will be different for each individual.