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

Yıl 2021, Cilt: 4 Sayı: 1, 29 - 38, 18.04.2021

Zehra Kaya Nevin Hotun Şahin , Fatma Nur Demirci

https://doi.org/10.38108/ouhcd.851213

Cited By: 4

Öz

Amaç: Bu çalışmanın amacı, 18-49 yaş arası evli kadınların kontraseptif yöntem kullanma tercihleri ve bırakma nedenlerinin belirlenmesidir.
Yöntem: Araştırma Mart-Temmuz 2019 tarihleri arasında bir Aile Sağlığı Merkezine başvuran 200 evli kadın ile tanımlayıcı tipte yürütülmüştür. Araştırma verileri araştırmacılar tarafından oluşturulan katılımcı tanıtım formu ile elde edilmiştir.
Bulgular: Kadınların yaş ortalamasının 35.80±7.35 olduğu, %93’ünün (modern yöntem: %63.9, geleneksel yöntem: %36.02) bir yöntem kullandığı belirlendi. Geri çekme ve kondom yöntemlerinin kullanım kolaylığı nedeniyle (%46.2-%37.5), RİA'nın ise yüksek koruyuculuk nedeniyle (%62.5) kadınlar tarafından en sık tercih edilen kontraseptif yöntemler oldukları saptandı. Kadınların %22.5'inin kullandığı yöntemden memnun olmadığı, %56.5'inin yöntem kullanımını bıraktığı bulundu. En sık bırakılan yöntemlerden kondomun partner isteği (rahatsızlık) nedeniyle (%82.5), kombine oral kontraseptif ve RİA'nın sağlık sorunları nedeniyle (%48.5-%70), geri çekmenin ise istenmeyen gebelik nedeniyle (%60) bırakıldığı belirlendi. Yöntem kullanma durumu ile ekonomik durum, istenmeyen gebelik öyküsü ve danışmanlık alma öyküsü arasında istatistiksel olarak anlamlı bir ilişki bulundu (p<0.05).
Sonuç: Kadınların yöntem tercih etme nedenleri arasında çoğunlukla; kullanım kolaylığı ve yüksek koruyuculuğun yer aldığı saptandı. Kadınların kullandığı kontraseptif yöntemi veya yöntemleri gelişen sağlık sorunları, istenmeyen gebelik durumu ve gebe kalma isteği gibi nedenlerle birçok kez bıraktığı belirlendi. Bu nedenle sağlık profesyonelleri tarafından kontraseptif yöntemlerin etkin kullanımının artırılması amacıyla çiftlere kontrasepsiyon danışmanlığı verilmelidir.

Anahtar Kelimeler

Kontrasepsiyon, kontraseptif yöntemler, kadın sağlığı, üreme sağlığı, evli kadın

18-49 Yaş Arası Evli Kadınların Kontraseptif Yöntem Kullanma Tercihleri ve Bırakma Nedenleri

Öz

Objective: The purpose of this study was to determine the contraceptive preferences of married women between the ages of 18-49 and the causes of contraceptive discontinuation.
Methods: The research was conducted descriptive type with 200 married women who applied to a Family Health Service between March-July 2019. The data were collected through the participant introduction form created by the researchers.
Results: It was determined that the mean age of the women was 35.80 ± 7.35, 93% of them used a contraceptive (modern method: 63.9%, traditional method: 36.02. It was found that the withdrawal and condom were the most preferred contraceptives by women due to the ease of use (46.2% -37.5%) and the IUD because of high protection (62.5%). It was found that 22.5% of the women were not satisfied with the contraceptive they used, and 56.5% of them discontinued using contraceptive. It was determined that condom was discontinued due to partner request (discomfort) (82.5%), combined oral contraceptive and IUD due to health problems (48.5% -70%), and withdrawal due to unwanted pregnancy (60%). A statistically significant relationship was found between the use of the method and economic status, unwanted pregnancy, and counseling (p <0.05).
Conclusion: Among the reasons for women to prefer a contraceptive are mostly; ease of use and high protection. Women discontinued using the contraceptive method or methods they used many times due to health problems, unwanted pregnancy, and desire to become pregnant. Therefore, contraception counseling should be provided to couples by health professionals in order to increase the effective use of contraceptive methods.

Anahtar Kelimeler

Contraception, contraceptive, women health, reproductive health, married women

Kaynakça

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