Başaran Fatma, Duru Pınar, Eminov Elmin
Department of Midwifery, Faculty of Health Sciences, Ağrı İbrahim Çeçen University, Ağrı, Turkey.
Department of Public Health Nursing, Faculty of Health Sciences, Eskisehir Osmangazi University, Eskisehir, Turkey.
J Obstet Gynaecol India. 2025 Apr;75(Suppl 1):504-512. doi: 10.1007/s13224-025-02099-4. Epub 2025 Feb 15.
To assess women's preference and intention to use postpartum contraceptives according to the Interaction Model of Client Health Behavior (IMCHB).
The study was cross-sectional and conducted in the outpatient clinics of a university hospital between March and June 2023. The sample consisted of 951 women between the ages of 15 and 49, who had given birth at least once, and had no history of menopause. Descriptive Information Form, Family Planning Attitude Scale, Contraceptive Knowledge Assessment Scale, and Contraceptive Intent Questionnaire were used as data collection tools. Moreover, Cox's IMCHB constitutes the study's theoretical framework.
In the present study, it was determined that the contraceptive method used before pregnancy, emergency contraceptive experience, access and provision of contraceptive methods, and continuation of contraceptive method had a significant effect on contraceptive method preferences in the postpartum period. It was determined that each unit increase in the continuation of the contraceptive method used before pregnancy in the postpartum period increased the intention to use by 0.244 points, each unit increase in contraceptive knowledge level increased by 0.202 points, and each unit increase in positive attitude toward family planning increased by 0.102 points. Each unit increase in the desire to become pregnant again decreased the intention to contraceptive use by 0.230 points.
To increase the use of modern and effective contraceptives in the postpartum period and prevent unwanted pregnancies, it is necessary to evaluate the factors affecting contraceptive method use, preferences, and intentions of women and their husbands together.
根据客户健康行为互动模型（IMCHB）评估女性对产后避孕方法的偏好和使用意愿。
本研究为横断面研究，于2023年3月至6月在一家大学医院的门诊进行。样本包括951名年龄在15至49岁之间、至少生育过一次且无绝经史的女性。使用描述性信息表、计划生育态度量表、避孕知识评估量表和避孕意愿问卷作为数据收集工具。此外，考克斯的IMCHB构成了本研究的理论框架。
在本研究中，确定孕前使用的避孕方法、紧急避孕经历、避孕方法的获取和提供以及避孕方法的持续使用对产后避孕方法偏好有显著影响。确定产后孕前使用的避孕方法持续使用每增加一个单位，使用意愿增加0.244分，避孕知识水平每增加一个单位，增加0.202分，对计划生育的积极态度每增加一个单位，增加0.102分。再次怀孕的愿望每增加一个单位，避孕使用意愿降低0.230分。
为了增加产后现代有效避孕方法的使用并预防意外怀孕，有必要共同评估影响女性及其丈夫避孕方法使用、偏好和意愿的因素。
