Primipar Kadınlara Verilen Çevrimiçi Kontrasepsiyon Danışmanlığı: Randomize Kontrollü Bir Çalışma

Abstract

Bu çalışmanın amacı, primipar kadınlarda doğum sonu dönemde çevrimiçi kontrasepsiyon danışmanlığının kontraseptif yöntem kullanımı üzerindeki etkisini incelemektir. Veriler araştırmacılar tarafından hazırlanan bir anket formu kullanılarak toplanmıştır. Randomize kontrollü tasarımlı bu çalışma 70 primipar kadın ile yürütülmüştür. Girişim grubuna, doğum sonu 2., 4. ve 6. aylarda bireyselleştirilmiş çevrimiçi kontrasepsiyon danışmanlığı verilmiştir. Kontrol grubuna herhangi bir girişimde bulunulmamıştır. Altıncı ay tamamlandıktan sonra hem girişim hem de kontrol gruplarındaki katıımcıların kontraseptif yöntem kullanımı değerlendirilmiştir. Girişim grubunda istenmeyen gebelik yaşanmazken, kontrol grubunda istenmeyen gebelikler meydana gelmiştir (p<0.05). Danışmanlık sonrası girişim grubunda modern yöntem kullanım oranı, kontrol grubuna göre istatistiksel olarak anlamlı şekilde yüksek olarak saptanmıştır (p<0.05). Ekonomik, coğrafi veya kültürel kısıtlılıklar nedeniyle danışmanlık hizmetlerine erişimin sınırlı olduğu bölgelerde, çevrimiçi danışmanlık kontraseptif yöntem kullanımını artırma, istenmeyen ve yakın aralıklı gebelikleri önleme ve emzirmeye devam etmeyi destekleme potansiyeline sahiptir.

Keywords

• aile planlaması
• danışmanlık
• emzirme
• primiparite
• kontrasepsiyon

Online Contraception Counseling for Primiparous Women: A Randomized Controlled Trial

Abstract

The aim of this study was to investigate the effect of contraception counseling on contraceptive method use in the postpartum period in primiparous women. Data were collected using a questionnaire form prepared by the researchers. The randomized controlled trial was conducted with 70 primiparous women. The intervention group received individualized online contraceptive counseling at 2, 4, and 6 months postpartum. The control group did not receive any intervention. After the sixth month is completed, contraceptive method use was evaluated in both intervention and control groups. While there was no unintended pregnancy in the intervention group, unintended pregnancies occurred in the control group (p<0.05). After counseling, the rate of modern method use in the intervention group was statistically significantly higher than in the control group (p<0.05). In regions where access to counseling services is limited due to economic, geographical, or cultural constraints, online counseling has the potential to increase contraceptive use, prevent unintended and closely spaced pregnancies, and support continued breastfeeding.

Keywords

• family planning
• counseling
• contraception
• Primiparity
• breastfeeding

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