Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN, 46(4), e129-e137
To analyze the effectiveness of an online, nurse-managed natural family planning (NFP) program among breastfeeding women and subgroups of these women.
Longitudinal comparative cohort study.
A university-based online NFP education program and menstrual cycle charting system.
Women (N = 816) with a mean age of 30.3 years (standard deviation = 4.5) who registered to use the online NFP system and indicated they were breastfeeding.
Participants tracked their fertile times with an electronic hormone fertility monitor (EHFM), cervical mucus monitoring, or both. All unintended pregnancies were evaluated by professional nurses.
The correct use pregnancy rates were 3 per 100 users over 12 cycles of use, and typical rates were 14 per 100 at 12 cycles of use. At 12 cycles of use, total pregnancy rates were 16 per 100 for electronic hormone fertility monitor users (n = 380), 81 per 100 among mucus-only users (n = 45), and 14 per 100 for electronic hormone fertility monitor plus mucus users (n = 391).
Use of a nurse-managed online NFP program for women can be effective to help women avoid pregnancy while breastfeeding, especially with correct and consistent use.
Fehring, R. J., Schneider, M., & Bouchard, T. (2017). Effectiveness of an Online Natural Family Planning Program for Breastfeeding Women. *Journal of obstetric, gynecologic, and neonatal nursing : JOGNN*, *46*(4), e129-e137. https://doi.org/10.1016/j.jogn.2017.03.010
Fehring RJ, Schneider M, Bouchard T. Effectiveness of an Online Natural Family Planning Program for Breastfeeding Women. J Obstet Gynecol Neonatal Nurs. 2017;46(4):e129-e137. doi:10.1016/j.jogn.2017.03.010
Fehring, R. J., et al. "Effectiveness of an Online Natural Family Planning Program for Breastfeeding Women." *Journal of obstetric, gynecologic, and neonatal nursing : JOGNN*, vol. 46, no. 4, 2017, pp. e129-e137.