بررسي علل تمايل به استفاده از روش هاي پيشگيري از بارداري از ديدگاه زنان سن باروري تحت پوشش مراكز بهداشتي درماني شهري دامغان در سال 1380

A Study on The Factors That Divert The Women’s Attitude From Using Effective Contraceptive Methods

Introduction: One of the most important factors which leads to unintended pregnancies is the use of coitus interruptus as a contraceptive method. It is a traditional method and has high failure rate. Coitus interruptus may by the cause of unpleasant sexual experience for women, decreased libido, minimal the rate of orgasms,…. So we decided to study the factors that motivated the Women to Choose this uneffective method and revert their attitudes toward using effective contraceptive methods in 36 women between the ages of 15-49 in Damghan, Iran. Material and Methods: This was a qualitative study which was done in focus group discussion method in the women who had chosen coitus interruptus as their contraceptive method. They were devided into 4 groups: In 2 groups Coitus interruptus was a Child Spacing method and in the other groups it was Chosen at the end of the Child bearing period. All of these women participated in the group discussions and their belives were Classified for analysis. Results: Most of the women belived that “The Couple’s desire” and “recomendations of family and friends” were the major determinants for Choosing a Contraceptive method. In group discussions, Some believes were common in different groups: for example likelihood of weightgain and depression by ocp use, probable uterine bleeding and unintended pregnancy while using IUD and men`s disapproval of Vasectomy and condom use . Conclusion: we concluded that there is a special need for couples to know more about mechanisms of action, benefits, complications and failure rates of contraceptive methods. We must encourage the men to participate in family planning programs.