Akademik Veri Yönetim Sistemi
17th ESC Congress Sexual Rights and contraception in a turbulent World, Bilbao, İspanya, 1 - 04 Mayıs 2024, ss.141
Abstract Objec&ves: Postpartum clients are among the most important who have a special need for contracep&on. If the woman is not fully breasòeeding during the first 6 months after childbirth, she can get pregnant again as soon as 4 weeks after childbirth. Family planning(FP) services in the postpartum period contribute to protecting and improving the health of mothers and children by ensuring conscious planning of intervals between births which should be at least 24 months according to WHO. In 2010, implementing the Health Transforma&on Program in Turkiye, access to FP counseling and services in primary health care became very difficult. It is objected to determine the knowledge and preferences of mothers who gave birth in the last 7 months about FP.
Method: This is a cross-sec&onal study. The mothers who applied to Paediatrics Polyclinics of a
University Hospital in September 2023, for their babies within the first 7 months were enrolled(n:183).
Ethical and formal permissions and informed consent were obtained(09.2023.1108)
Data were collected with the specific ques&onnair(44 ques&ons). The 20 questions were related to the
knowledge of FP and scored 0-100 points. Data were analyzed in SPS.
Results: The median age of mothers was 29(18-47) and 22.4% of their age were ≥35 years. The 30.0% of participants were graduated from high school and over. 73.8% of the last pregnancies were intended,
while 48(26.2%) did not. 45.8% of unintended pregnancy mothers said that any contraceptive method
was not used before pregnancy.
While 36.1% had only one child, only 4.3% of women had 5 or more. The median number of children of
mothers age≥35, was 3(min-1,max-6).
Half of the mothers were exclusively breasòeeding(99,54.1%), the remaining used formula or did not
breasòeed, and 73.8% of mothers who did not exclusively breasòeeding were using any modern
method. While 34.4% of mothers had already started to use any method, 17.5%consider later and
48.1% never used it. Among the using contracep&ves;21(33.3%) was ıud, 11(17.5%) was tubal liga&on,
11(17.5%) was condom, 10(15.9%) was oral contracep&ves, 3(4.7%) was other modern methods and
7(11.1%) was withdrawal. Most of the risky group(age≥35 years) was using any modern method(85.4%) .
When we look at the status of receiving counseling, 87 out of 183 mothers received counseling from a
healthcare professional during pregnancy, 42 after birth, 79 did not receive at all.
Half of the mothers said that ge}ng FP counselling services during their antenatal period from any
health workers(104,56.8%). Mothers who received counseling services used more modern methods
than those who did not (respectively 90.4%,68.4%,p<0.001). While 25 of these 48 mothers had used
modern methods in the past 22 did not use any.
Conclusions: We emphasize the importance and necessity of FP counseling and services for the health
of mothers and children so that all pregnancies are wanted and planned in the &me period when the
mothers and children will be healthy. Our results showed that FP counseling services during the
antenatal period were helpful for this special, risk period for women, during childbirth.