Aile Planlaması Danışmanlık Hizmetinin Kadınların Kontraseptif Yöntem Tercihine Etkisi: Bir Tersiyer Merkez Deneyimi

Abstract

Aim: Everyone has the right to decide whether or not to have children, when to have children; to achieve effective and reliable family planning (FP) methods equally; and to receive FP counseling services. The aim of this study is to investigate the effects of women's characteristics and FP counseling service on women's choice of FP method. Material and Methods: This cross-sectional observational study was conducted with 18-45 year aged healthy volunteers who admitted to the Family Planning Unit of the Gynecology and Obstetrics Clinic of a tertiary center. A questionnaire including questions about FP counseling services and method preferences was applied to women. Pre and post counseling preferences were compared. Results: The median gravidity and the median number of living children of 334 women who participated in the study were both found 3, while the median time has passed 12 months since their last birth. Among the methods that women consider to prefer before counseling, copper intrauterine device (IUD) was the most common, condom in the second place, combined oral contraceptive (POP) in the third place, while the frequency of choice of copper IUD increased and the frequency of choice of other methods decreased. Women reported that they thought the method was safer as the most important factor affecting method preference after FP counseling. Another important finding of the study is that, as the number of living children increases, women prefer methods that provide longterm protection more frequently. However, 95.2% of the women preferred the method recommended by the FP counselling staff. Conclusion: FP counseling service has a significant impact on women's preferences. The availability and accessibility of these services will facilitate women's choice of contraceptive methods that are suitable for their characteristics and health status.

Preference of Contraceptive Methods of Married Women Between 18-49 and Reasons for Quitting

“…In a study conducted with 334 women, it was found that the IUD, condom, and combined oral contraceptive were the most common contraceptives that women thought to choose before consulting, while it was found that the preference of IUD among women increased and the preference of other methods decreased after counseling. In addition, it was determined that women thought that the most important factor affecting the choice of the method after contraception counseling was that they thought the method was safer, and 95.2% of them preferred the first method recommended by the contraception counseling staff (Kirici et al, 2020). In another study, it was found that the advice and information about the use of contraception from a general practitioner or specialist physicians have the greatest effect on women in choosing the type of contraceptives.…”

“…The availability and accessibility of contraception services facilitate the choice of contraceptive methods suitable for women's personal characteristics and health conditions (Kirici et al, 2020). In a study conducted with 334 women, it was found that the IUD, condom, and combined oral contraceptive were the most common contraceptives that women thought to choose before consulting, while it was found that the preference of IUD among women increased and the preference of other methods decreased after counseling.…”

Kars İlinde Kadınların Aile Planlamasına İlişkin Tutumlarının Belirlenmesi

“…Aile planlaması danışmanlık hizmeti veren sağlık profesyonellerinin bireyler ve ailelerle etkili iletişim kurması, yöntemlerin uygun şekilde kullanılması, yan etkileri gibi bilgilerin eksiksiz şekilde anlatılması, kadınların aile planlaması yöntemlerine devam etmesinde rol oynamaktadır. 13,14 Bu nedenle kişilere ve ailelere aile planlaması danışmanlık hizmeti veren sağlık profesyonellerinin doğum kontrol yöntemleri hakkında iyi bir danışmanlık hizmeti sunmaları, yöntemlerin etkinliği, güvenilirliği ve yan etkileri konusunda güncel bilgilere sahip olmaları gerekmektedir. Kadının eğitim durumu, yaşı, sosyo-ekonomik durumu, kadınların eşlerinin aile planlamasına yönelik tutumu ve dini inanışlar gibi pek çok faktör aile planlaması yöntemlerinin kullanımını etkilemektedir.…”