Actual Situation of Family Planning Instruction for Married People and Future Challenges in Japan

Sunday, 28 July 2019: 12:00 AM

Akiko Kamezaki, PhD, MW
Graduate school of medicine, Yamaguchi university, Ube, Japan
Eri Kawamoto, PhD, MW
Graduate School of Medicine, Yamaguchi University, Ube, Japan
Misae Ito, PhD, NMW
Yamaguchi University, Ube, Japan
Mayumi Tanaka, MSN
Division of Midwifery, Seinan Jo Gakuin University, Kitakyusyu, Japan

Introduction: According to the 2012 survey by the Japan Family Planning Association, 33.6% of married women experienced induced abortion after a marriage. To reduce the induced abortion among married women is urgent issue, but there were very few previous studies about such issues in Japan.
Aim/Purpose: The purpose of this study was to clarify the actual situation of family planning instructed by healthcare professionals.
Methods: After the approval of the ethics committee of the institution, we distributed the anonymous self-administered questionnaire to 1,000 hospitals or clinics, and 741 maternity homes.
Results: 415 facilities replied and we analyzed 412 valid responses. There were 342 midwives (83.0%), 10 nurses (2.4%), 1 public health nurse (0.2%), and 59 doctors (14.3%). The facilities handling delivery are 249(60.4%). Among those facilities, the period of teaching the postpartum women about family planning were during the hospital admission after delivery at 231 facilities(92.8%), at outpatient visit at 5 facilities(2.0%). 6 facilities(2.4%)had no instruction about that.
The most common subjects of family planning instruction were all of the postpartum women at 195 facilities(84.4%). The instruction for their husbands were implemented when a husband could participate at 114 facilities(49.4%),when necessary at 15 facilities (6.5%), and no instruction 88 facilities(38.1%). One instruction time was less than 10 minutes at majority of facilities.
186 facilities (45.1%) had instructed married people about family planning. Most of family planning for married people was carried out before and after induced abortion, and the majority instruction time was less than ten minutes.
Conclusion: The result showed that healthcare professionals instructed few the postpartum women’s husbands, and healthcare professionals instructed family planning for them in a short period of time. Married people tended to have family planning instruction when they have unwanted pregnancies. Healthcare professionals also instructed family planning for married people in a short time.
It is difficult to carry out the family planning without husband’s cooperation, so healthcare professionals have to lecture about family planning not only postpartum women but also their husbands. It is necessary for married people to have family planning instruction by healthcare professionals in order to prevented pregnancy.
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