Türkiye'de Büyükşehirde Yaşayan Evli Kadınların Uyguladıkları Aile Planlaması Yöntemine İlişkin Görüşleri: Nitel Bir Araştırma

Year 2023, Volume: 17 Issue: 3 - Turkish Journal of Family Medicine and Primary Care, 389 - 397, 20.09.2023

Aysu Yıldız Karaahmet Fatma Şule Bilgiç

https://doi.org/10.21763/tjfmpc.1262567

Abstract

Amaç: Bu araştırma, kadınların kullandıkları dört farklı aile planlamasına yönelik görüşlerini incelemek amacıyla yapılmıştır.
Gereç ve Yöntem: Nitel tipte yapılan bu araştırma Ocak-Şubat 2023 tarihleri arasında gerçekleştirildi. Araştırmanın örneklemini İstanbul'da yaşayan 33 kadın oluşturdu. Araştırmaya katılan kadınlar rahim içi araç (RİA), kombine oral kontraseptif (KOK), kondom ve geri çekme yöntemlerine göre kategorize edildi ve maksimum çeşitlilik örnekleme tekniğiyle sağlandı.
Bulgular: Bu nitel çalışma, Türkiye'de yaşayan kadınlarla yapılan 33 görüşmeden elde edilen verilere dayanmaktadır. Makalede dört farklı aile planlaması yöntemi, karar verme süreci, aile planlamasının cinsel yaşama etkisi ile ilgili inançlar ve 4 ana tema belirlenmiştir. Kadınların aile planlaması yöntem seçimlerinde ve karar verme sürecinde çevre ve sağlık personelinden etkilendikleri, internetten yararlandıkları ve karar verme sürecinde eşlerinin yetkin oldukları görülmüştür.
Sonuç: Bu çalışmada cinsiyet normlarının erkeklere üreme konusunda karar verme yetkisi verdiği; bu, bir kadının sahip olduğu çocuk sayısı veya hamileliği planlaması konusunda son sözü genellikle eşlerinin söylediği anlamına gelir. Kadınların kendi tercihlerinin olmaması, sağlık personelinin bu tercih ve kaygılarının belgelenmesinin yanı sıra, müdahalelere karşı temkinli olmalarını dikkate alarak, müdahalenin tasarımı, uygulanması ve değerlendirilmesine entegre edilmesi açısından faydalıdır.

Keywords

Aile Planlaması, Kondom, Kombine oral kontraseptif, Rahim içi araç

The Opinions of Married Women Living in the Metropolitan Area of Turkey on the Family Planning Method they Use: A Qualitative Research

Abstract

Objective: This research was conducted to examine the views of women on four different types of family planning they use.
Materials and Methods: The period of time for this qualitative study was January through February 2023. 33 Istanbul-based women made up the study's sample. In order to create the greatest possible diversity, the study's participants' women were divided into groups according to their use of intrauterine devices (IUDs), combination oral contraceptives (COC), condoms, and withdrawal methods.
Results: Based on information from 33 interviews with Turkish women, this qualitative research. Four different family planning strategies, the decision-making process, attitudes regarding the impact of family planning on sexual life, and four major themes were identified in the article. It has been observed that women are influenced by the environment and health personnel in family planning method choices and decision-making processes, they benefit from the internet, and their spouses are competent in the decision-making process.
Conclusion: In this study, it was found that gender norms gave men the authority to decide on reproduction; this means that their partner usually has the final say on the number of children a woman has or planning a pregnancy. The fact that women do not have their own preferences is beneficial in terms of documenting these preferences and concerns of health personnel, as well as integrating them into the design, implementation and evaluation of the intervention, taking into account their caution towards interventions.

Keywords

Family planning, condom, combine oral controception, intro uterin device

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