Perspectives on Contraceptives: Insights From Care Providers and Women With Lived Experiences of Unintended Pregnancy in the Netherlands.

IF 3.5 2区医学 Q1 DEMOGRAPHY

Perspectives on Sexual and Reproductive Health Pub Date : 2025-09-01 Epub Date: 2025-08-20 DOI:10.1111/psrh.70030

Clair A Enthoven, Hanan El Marroun, Simone Griesbergen, Femke Truijens, Hilmar H Bijma, Pauline W Jansen

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引用次数: 0

Abstract

Objectives: This study aims to develop a greater understanding of why unintended pregnancies happen by exploring views on contraceptive use of both care providers and women with lived experience of an unintended pregnancy in the Netherlands.

Methods: We interviewed seven care providers involved in the care of women with unintended pregnancy in a focus group and individually interviewed 10 women with unintended pregnancy. We used reflexive thematic analysis.

Results: Four themes emerged around the understanding of (lack of) contraceptive use in unintended pregnancies: "contraception perceived as unnecessary," "psychosocial adversities," "absence of suitable contraception," and "failing contraception." Among the care providers, the first two themes were most clearly present. Among women with unintended pregnancy, the last two themes were mainly emphasized.

Conclusions: Women with unintended pregnancies mention a lack of suitable contraceptive options and failing contraception as important factors for unintended pregnancy, whereas care providers view the perception of contraception as being unnecessary and psychosocial adversity as important factors in unintended pregnancies. These differences point to the importance of explicitly asking about and addressing the perspectives of women in contraceptive counseling.

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避孕药具的观点：从护理提供者的见解和妇女意外怀孕的生活经验在荷兰。

目的：本研究旨在通过探索荷兰护理提供者和有意外怀孕生活经验的妇女对避孕药具使用的看法，更好地了解意外怀孕发生的原因。方法：对7名参与意外怀孕妇女护理的医护人员进行焦点小组访谈，并对10名意外怀孕妇女进行单独访谈。我们使用了反身性主题分析。结果：四个主题出现在理解（缺乏）避孕措施在意外怀孕：“避孕被认为是不必要的”，“社会心理逆境”，“缺乏适当的避孕措施，”和“失败的避孕措施。”在护理人员中，前两个主题最为明显。在意外怀孕的妇女中，主要强调后两个主题。结论：意外怀孕的妇女提到缺乏合适的避孕选择和避孕失败是意外怀孕的重要因素，而护理提供者认为避孕是不必要的，心理社会逆境是意外怀孕的重要因素。这些差异表明了在避孕咨询中明确询问和处理妇女观点的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Perspectives on Sexual and Reproductive Health Multiple-

CiteScore

5.10

自引率

3.40%

发文量

期刊介绍： Perspectives on Sexual and Reproductive Health provides the latest peer-reviewed, policy-relevant research and analysis on sexual and reproductive health and rights in the United States and other developed countries. For more than four decades, Perspectives has offered unique insights into how reproductive health issues relate to one another; how they are affected by policies and programs; and their implications for individuals and societies. Published four times a year, Perspectives on Sexual and Reproductive Health includes original research, special reports and commentaries on the latest developments in the field of sexual and reproductive health, as well as staff-written summaries of recent findings in the field.