Effectiveness of Purpose-Oriented Counseling on Postpartum Contraceptive Decision-Making Among Women Open Access

Authors

  • 1 Iva Gamar Dian Pratiwi Universitas Wiraraja
  • 2 Dian Permatasari Department Midwifery Professional Study Program, Faculty of Health Siencesy, Wiraraja University, Sumenep, East Java, Indonesia
  • 3 Nailiy Huzaimah Department of Nursing, Faculty of Health Siencesy, Wiraraja University, Sumenep, East Java, Indonesia
  • 4 Akhmad Feri Fatoni Department Midwifery Professional Study Program, Faculty of Health Siencesy, Wiraraja University, Sumenep, East Java, Indonesia
  • 5 Sylvina Rahmawati Aifa Husada Midwifery Academy, Madura., Pamekasan, East Java, Indonesia

https://doi.org/10.55018/ihc.v11.3 Published: 2025-05-01

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Abstract

Background: Postpartum contraception is essential for ensuring safe birth spacing and reducing maternal-infant morbidity. However, decision-making regarding contraceptive use remains suboptimal due to inadequate and generalized counseling. This study aimed to evaluate the effectiveness of the One-Purpose Counseling Technique in improving postpartum women's decisions on appropriate contraceptive selection.

Methods: A pre-experimental post-test-only control group design was used, involving 40 postpartum women within 40 days of delivery. Participants were divided into two groups: 20 received structured One-Purpose Counseling and 20 received standard counseling. Data were collected at the Pamolokan Community Health Center and analyzed using chi-square and independent samples t-test with SPSS 26.

Result: Among women who received One-Purpose Counseling, 75% selected an appropriate contraceptive method, compared to only 15% in the control group. The difference was statistically significant (p = 0.00047), indicating a strong effect of the intervention on informed contraceptive decision-making.

Conclusion: The One-Purpose Counseling Technique significantly enhances postpartum women's ability to choose suitable contraception by focusing on goal-oriented, personalized interaction. Health practitioners, especially in low-resource settings, are recommended to adopt this model to improve contraceptive uptake and reproductive autonomy. Future research should assess long-term contraceptive adherence and satisfaction following this intervention.

Keywords:

Postpartum, Contraception, Counseling

License

Copyright (c) 2025 Iva Gamar Dian Pratiwi, Dian Permatasari, Nailiy Huzaimah, Akhmad Feri Fatoni, Sylvina Rahmawati (Author)

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Permission is granted subject to the terms of the License under which the work was published. Permission will be required if your reuse is not covered by the terms of the License.

How to Cite

Pratiwi, I. G. D., Permatasari, D., Huzaimah, N., Fatoni, A. F., & Rahmawati, S. (2025). Effectiveness of Purpose-Oriented Counseling on Postpartum Contraceptive Decision-Making Among Women. International Journal of Health Concord, 1(1), 1-8. https://doi.org/10.55018/ihc.v11.3

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