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Women’s experiences of dealing with fertility and side effects in contraceptive decision making: a qualitative study based on women’s blog posts
Division of Nursing Sciences and Reproductive Health, Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Division of Nursing Sciences and Reproductive Health, Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Division of Nursing Sciences and Reproductive Health, Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare.ORCID iD: 0000-0003-3597-9004
2023 (English)In: Reproductive Health, ISSN 1742-4755, E-ISSN 1742-4755, Vol. 20, no 1, article id 98Article in journal (Refereed) Published
Abstract [en]

Background: Worldwide, there is limited knowledge regarding women’s views of future fertility in relation to contraceptive use. Few studies include material where women share their experiences at peer-written public domain websites, in spite of a larger portion of women discontinuing use of contraceptives. The objective of this study was to explore women’s experiences of contraceptive methods based on data gathered from individual blog posts. Methods: Explorative qualitative study including 123 individual blog posts as the data source analysed with inductive thematic analysis. Results: Two themes were identified. Theme 1, ‘Seeking control over reproduction and optimise fertility’ including the sub-themes; Having the possibility to decide if, and when, to become pregnant, The value of effective contraceptive methods and the impact of women’s sexuality, A wish to understand the body’s normal fertility function and Limited knowledge—sharing information about the menstrual cycle during counselling and Theme 2, ‘Making the complex decision on their own’ including the sub- themes; Limited or subpar guidance in counselling and need for information from social media, Relational and environmental factors influencing contraceptive decision making and Considering beneficial effects and fears of adverse health effects when using hormonal contraceptive methods. Conclusions: During counselling, women desired an extended dialogue regarding effectiveness, health effects of different methods and an increased understanding of their menstrual cycle. Insufficient understanding of contraceptive methods can lead to use of methods not providing the expected level of protection. Hormonal contraceptives, especially Long-acting reversible contraception (LARC) were believed to inhibit fertility long after ending treatment.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2023. Vol. 20, no 1, article id 98
Keywords [en]
Birth control, Blogs, Contraceptive counselling, Fertility awareness, Thematic analysis, Contraceptive Agents, Contraceptive Devices, Decision Making, Drug-Related Side Effects and Adverse Reactions, Female, Fertility, Humans, Pregnancy, hormonal contraceptive agent, contraceptive agent, adolescent, adult, adverse outcome, Article, attitude to health, attitude to pregnancy, contraceptive behavior, contraceptive effectiveness, data analysis, environmental factor, fear, female fertility, health education, help seeking behavior, human, information processing, long-acting reversible contraception, major clinical study, menstrual cycle, patient attitude, patient counseling, personal experience, pilot study, qualitative research, reproduction, sexuality, social attitude, social media, adverse drug reaction
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
URN: urn:nbn:se:hj:diva-62116DOI: 10.1186/s12978-023-01642-8ISI: 001020881900001PubMedID: 37381022Scopus ID: 2-s2.0-85163627905Local ID: HOA;;895919OAI: oai:DiVA.org:hj-62116DiVA, id: diva2:1788030
Available from: 2023-08-15 Created: 2023-08-15 Last updated: 2023-08-15Bibliographically approved

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Kilander, Helena

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