Midwives' Perspectives on Family Planning With Pregnant and Postpartum Women in the Philippines' Mindanao Region: A Qualitative Study

Background This study sought to identify factors significantly impacting access to and utilization of modern contraceptive methods among Filipinas from the perspective of midwives who are caring for women during pregnancy and the postpartum period. Methods In-depth, semi-structured interviews were conducted with 10 midwives working at three birthing clinics within the Mindanao region of the Philippines. Data were coded and analyzed for major themes using a grounded theory approach. Results Logistics of obtaining the desired contraceptive method, superstitions associated with family planning (FP) methods, opinions of community leaders and partners, and education regarding fertility and birth spacing benefits are significant factors impacting Filipina family planning use. Religion and midwives' preferences are not significant factors. Conclusions Cultural and social factors play a large role in family planning decisions. There is a need for enhanced education, beginning in schools, regarding the fertility cycle, birth spacing benefits, and the importance of individual family planning. Filipino public health infrastructure operating consistently is a key factor for women to reliably access contraception.