Influence of Motivation on the Efficacy of Natural Family Planning

Fehring, Richard J.; Schneider, Mary; Barron, Mary Lee; Pruszynski, Jessica

doi:10.1097/nmc.0b013e3182a1ecc0

Cited by 16 publications

(12 citation statements)

References 13 publications

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“…Another factor that might have influenced low unintended pregnancy rates in this study is motivation. Motivation in avoiding pregnancy is important for NFP efficacy as was recently determine with the MM of NFP (Fehring, Schneider, Barron, & Pruszynski, ). Assessing motivation to avoid whether using NFP or any other behavioral methods of family planning is important.…”

Section: Discussionmentioning

confidence: 99%

Cohort Efficacy Study of Natural Family Planning among Perimenopause Age Women

Fehring¹,

Mu²

2014

Journal of Obstetric, Gynecologic & Neonatal Nursing

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Objective To determine the efficacy of using natural family planning (NFP) methods to avoid unintended pregnancy among women of perimenopause age (i.e., age 40–55 years). Design A secondary analysis of subset data from two prospective observational cohort studies. Setting A university based in‐person and online NFP service program. Participants One hundred and sixty couples who used either a website or an in‐person NFP service to learn how to avoid pregnancy from January 2001 to November 2012. Methods A prospective 12‐month effectiveness study among 160 women (between ages 40–55) who used NFP to avoid pregnancy. The women used either a hormonal fertility monitor, cervical mucus monitoring, or both to estimate the fertile phase of their menstrual cycles. Survival analysis was used to determine the pregnancy rate over 12 months of use. Results There were a total of five unintended pregnancies among the participants. The typical use pregnancy rate was six per 100 women over 12 months. The monitor alone participants (n = 35) had a 12‐month pregnancy rate of three, the participants (n = 73) who used mucus alone had a pregnancy rate of four, and the participants (n = 42) who used the fertility monitor plus mucus had a pregnancy rate of six. Conclusion Natural family planning methods can be effective for older women to avoid an unintended pregnancy with correct use and adequate instructions. The pregnancy rate most likely was affected by diminished fertility and motivation to limit family size.

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Section: Discussionmentioning

confidence: 99%

Cohort Efficacy Study of Natural Family Planning among Perimenopause Age Women

Fehring¹,

Mu²

2014

Journal of Obstetric, Gynecologic & Neonatal Nursing

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“…In addition, the compliance and motivation of the patient and the spouse are important for the calendar method. Increased motivation has been shown to increase the success rate ( Fehring et al, 2013 ; Abma et al, 2010 ). It is necessary to know the cycle pattern and monitor ovulation findings to increase effectiveness.…”

Section: Discussionmentioning

confidence: 99%

Postpartum Contraception in Adolescents: Data From a Single Tertiary Clinic in Southeast of Turkey

Kaplanoğlu

Usman

2014

GJHS

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Aim:We aimed to evaluate the postpartum contraception preferences of adolescent women in this study.Material and Method:This descriptive study was prepared after a retrospective analysis of file records of primigravida women who had given birth at the Adiyaman University School of Medicine Training and Research Hospital Department of Obstetric and Gynecology between January 2010 and June 2012. More than 12 months had passed after birth. The adolescents who were included in the study and the control group women were called by phone and invited to our clinic. A total of 506 adolescents and 1,046 control group women came to the clinic and were evaluated. The control group was formed of women between the age of 20-35 years who gave given birth in our clinic during the same period and were randomly selected. Postpartum obstetric history, contraception methods and data of these patients were recorded.Results:The mean age was 18.3±0.4 years and 28.2±4.9 years in the adolescent group and control group respectively. No contraception other than lactation amenorrhea was used by 256 women of the adolescent group (50.6%) and 345 women of the control group (33%). The most commonly used contraceptive method in both groups other than lactation amenorrhea was condoms (160 women (64%) and 230 women (32.8%) respectively). The annual contraceptive failure rate was 3.95% in the adolescent group and 1.72% in the control group. The highest failure rate was with lactation amenorrhea in both groups.Discussion:Adolescent women mostly use contraceptive methods with low reliability such as lactation amenorrhea and the calendar method in the postpartum period. Providing adequate contraceptive education is therefore important. On the other hand, starting such training starting in the early postnatal period will prevent recurring adolescent pregnancies with a short pregnancy interval.

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“…The failure rate: 16.2% (pregnant: 6 subjects), caused by indiscipline sexual behavior during the fertile period: 66.7% (4 subjects) and miscount fertil period: 33.3% (2 subjects). Fehring et al, report high motivation to avoid pregancy by both the female user a behavioral method of family planning and her male partner is required for high efficacy [10]. Asessing motivation of both the women and her male partner before prescribing NFP methodes is recommended.…”

Section: Resultsmentioning

confidence: 99%

Combination Condom Use and Natural Family Planning Method To Control Pregnancy Among Fertile-Aged Couples In Moslem Community

Azis¹,

Idris²,

Mulawarman³

2017

Proceedings of the 2nd International Conference on Education, Science, and Technology (ICEST 2017)

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Abstract-This quasi experiment research concerned and to increase knowledge level fertile aged couple in Makassar Moslem's community, the various attitudes about birth control among subjects after intervention, Husband's engagement after intervention, the effectiveness of the combination between natural family planning; and condom use among subject and The influence of knowledge, attitudes, social norms, beliefs, to support from the couple to succeed the intervention process. All fertileaged couples in community used as population subject. Selected sample (n = 37) by purposive sampling method. The data collected by questionnaires. The effectiveness was assessed by failure and successful to pregnant or not pregnant during this research is independent variable, meanwhile the dependent variables incorporates social, cultural and individual factors. This research conducted a descriptive analysis, Shapiro Wilk method was used as a normality test, bivariate analysis with the Wilcoxon and Chi square test and multivariate analysis using logistic regression analysis (α = 5%). Natural family planning with the use of combination condom had influenced the success of Moslem woman's pregnancy through 5 factors: knowledge (OR=7), support from partners (OR=5), social norms (OR=4), belief (OR=3), and attitude (OR=1).

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Influence of Motivation on the Efficacy of Natural Family Planning

Cited by 16 publications

References 13 publications

Cohort Efficacy Study of Natural Family Planning among Perimenopause Age Women

Cohort Efficacy Study of Natural Family Planning among Perimenopause Age Women

Postpartum Contraception in Adolescents: Data From a Single Tertiary Clinic in Southeast of Turkey

Combination Condom Use and Natural Family Planning Method To Control Pregnancy Among Fertile-Aged Couples In Moslem Community

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