Women's Attitudes toward Family Planning in the Postpartum Period and Affecting Factors: Turkiye Sample.
Çiğdem Bilge, Meltem Kaydırak, Büşra Altınsoy and 2 others
PMID 39475405WHAT IT FOUND
Women in eastern Turkiye held significantly less positive attitudes toward family planning than those in the west.
Higher education, employment, and income were linked to more positive attitudes. Nearly half of the participants used modern contraceptive methods postpartum, while over a third received no family planning counseling after birth.
Key findings
01Participants living in eastern Turkiye had significantly lower mean scores on the Family Planning Attitude Scale, attitudes toward society's view of family planning, and attitudes toward childbirth compared to those in the west.
02Higher levels of education for women and their spouses, along with employment and middle-to-high income, were associated with significantly more positive attitudes toward family planning.
03While 63.1% of women received family planning counseling in the postpartum period, 36.9% did not; additionally, 42.6% did not receive counseling during pregnancy.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study relied on snowball sampling via social media, meaning it only included women who were literate, had internet access, and had social media accounts. This excludes potentially vulnerable populations and limits generalizability. The online nature of the survey may have introduced selection bias toward more digitally connected and potentially more educated participants. The study design is cross-sectional and correlational, so it cannot establish causality between socioeconomic factors and family planning attitudes. Self-reported data on counseling receipt and contraceptive use may be subject to recall or social desirability bias.
Declared interests
The authors declared no conflicts of interest and received no financial support for the study.
The easy way to misread this
Do not assume that general positive attitudes toward family planning equate to adequate clinical care or access. While mean scores were high, a significant minority of women received no counseling, and attitudes varied sharply by region and socioeconomic status. A nurse should not assume a patient is well-informed simply because she expresses a positive attitude toward family planning in general.