Misrepresentation of contraceptive effectiveness rates for fertility awareness methods of family planning

Author(s):  
Joseph V. Turner
2021 ◽  
Author(s):  
Bola Grace ◽  
Jill Shawe ◽  
Geraldine Barrett ◽  
Nafisat Ohunene Usman ◽  
Judith Stephenson

Abstract Introduction The importance of improving men’s and women’s knowledge of sexual and reproductive health has been emphasised in numerous global health policies. Fertility awareness literature highlights a disproportionately higher number of articles related to pregnancy-prevention compared to pregnancy-planning, which is justifiable in many contexts. However, the recent concerted effort to improve fertility awareness warrants a closer investigation of basic terminologies in the field. For example, although the term family planning encompasses attaining the desired number of children and spacing pregnancies, it is typically attributed to the practice of limiting the number of children.MethodsWe conducted 35 qualitative in-depth interviews on men, women and healthcare professionals who were sampled from a UK cross-sectional survey. We asked participants about terms such as ‘family planning’ and ‘family building’ to elicit views and explored the appropriateness of the term “family building.” Data were transcribed and analysed via Framework analysis. Results When asked what ‘family planning’ meant to them, study participants stated that the term meant the avoidance of pregnancy. They viewed it as an “umbrella term for the use of contraception methods,” that “paradoxically, the term family planning almost has a negative connotation regarding having a family,” but could not state similar terminology for planning a family. Reasons cited for this perspective include the focus of school education and usage in clinical settings. Conclusions In the absence of an explicit definition in literature, we generated a new definition for family building as follows: “Family building refers to the construction or formation of a family, which can include steps or actions taken by an individual towards having children. In contrast to family planning, the intent focuses on pregnancy planning and childbearing rather than pregnancy prevention. However, it can also include actions taken to space the number of children one has.” Some balance in the global public health messages, including bridging the gap in reproductive health literature, may contribute to the effort to improve fertility knowledge. Additionally, this has implications for promotion of preconception and optimising reproductive health in order to enable men and women achieve their desired fertility intentions, whatever they may be.


2017 ◽  
Vol 9 (3) ◽  
pp. 263-268
Author(s):  
Philby B Menachery ◽  
Judith A Noronha ◽  
Sweety J Fernandes

ABSTRACT Background “Standard Days Method” is a fertility awareness method of family planning that helps to identify the fertile days in a menstrual cycle during which a woman is likely to get pregnant. It is calculated to be 12 days ranging from day 8 through 19 in a menstrual cycle of 26 to 32 days. This study aimed to assess the knowledge and attitude on the “Standard Days Method” of family planning, correlation between knowledge and attitude, and the association between knowledge and attitude with the selected demographic variables. Materials and methods A cross-sectional survey was carried out among 540 female students aged 21 to 25 years from selected postgraduate colleges of selected district in Karnataka State of South India. Self-administered questionnaires were used to collect the data. Results Majority (94%) of the students surveyed had poor knowledge regarding “Standard Days Method” but majority (54.2%) of them favored the “Standard Days Method”. There was significant weak positive correlation between knowledge and attitude scores (r = 0.292, p < 0.001). The knowledge scores and attitude score had significant association with certain demographic variables. Conclusion Awareness program on fertility awareness-based methods of family planning is essential to provide cogent information to young adults, thus empowering them to take wise decisions on planned parenthood. How to cite this article Menachery PB, Noronha JA, Fernandes SJ. Knowledge and Attitude on “Standard Days Method” of Family Planning among Female Postgraduate Students: A Cross-sectional Study. J South Asian Feder Obst Gynae 2017;9(3):263-268.


2005 ◽  
Vol 38 (6) ◽  
pp. 763-777 ◽  
Author(s):  
IRIT SINAI ◽  
MARCOS ARÉVALO

Fertility awareness-based methods of family planning help women to identify the days of the cycle they should avoid unprotected intercourse to prevent pregnancy. Therefore using fertility awareness-based methods influences the timing of sexual activity, which may affect the nature of the sexual relationship. Data are used from the clinical trials of two fertility awareness-based methods – the Standard Days Method and the TwoDay Method – to determine the frequency and timing of intercourse during the cycle, and the determinants of coital frequency. The mean coital frequency of study participants was similar to that reported by users of other methods. Results suggest that coital frequency increases with consecutive cycles of method use. At the same time the frequency of intercourse during the identified fertile days and during menses decreases. This evidence implies a behavioural change as couples get more experience using their method and communicating about the fertile days. Coital frequency was also influenced by the method used and by the study sites. Potential differences between the methods and sites that may contribute to this effect are discussed.


2019 ◽  
Vol 133 (5) ◽  
pp. S162-S223
Author(s):  
Simon Rowland ◽  
Helena Kopp Kallner ◽  
Kristina Gemzell-Danielsson ◽  
James Trussell ◽  
Elina Berglund Scherwitzl ◽  
...  

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