The purpose of this study was to describe and assess certified nurse-midwives' (CNMs) knowledge and promotion of two modalities for child spacing, natural family-planning (NFP) and the lactational amenorrhea method (LAM). One thousand two hundred CNMs were randomly selected from a national membership list and mailed a 24-item questionnaire on NFP and LAM. Of the 514 respondents (42.8% return rate), 450 (87.5%) were currently practicing as CNMs. Respondents had an average age of 46 years, with an average of 10 years of practice. CNMs ranked NFP as the ninth most used and the eighth most effective family-planning method in their practice, with an average perceived method-effectiveness of 88% and use-effectiveness of 70%. Although most respondents felt somewhat prepared during their education program to provide NFP, only 22% would offer NFP as a family-planning option for child spacing.
nurse midwife knowledge natural family planning methods, lactational amenorrhea method LAM child spacing promotion, Fehring Stanford certified nurse midwives NFP survey, NFP effectiveness perception among healthcare providers, midwifery education natural family planning curriculum, barriers to NFP promotion by nurse midwives, fertility awareness based methods clinical practice adoption, child spacing breastfeeding lactational amenorrhea, healthcare provider attitudes toward natural family planning, CNM survey family planning method ranking effectiveness
PMID 11370692 11370692 DOI 10.1016/s1526-9523(01)00094-0 10.1016/s1526-9523(01)00094-0
Cite this article
Fehring, R. J., Hanson, L., & Stanford, J. B. (2001). Nurse-midwives' knowledge and promotion of lactational amenorrhea and other natural family-planning methods for child spacing. Journal of midwifery & women's health, 46(2), 68-73. https://doi.org/10.1016/s1526-9523(01)00094-0
Fehring RJ, Hanson L, Stanford JB. Nurse-midwives' knowledge and promotion of lactational amenorrhea and other natural family-planning methods for child spacing. J Midwifery Womens Health. 2001;46(2):68-73. doi:10.1016/s1526-9523(01)00094-0
Fehring, R. J., et al. "Nurse-midwives' knowledge and promotion of lactational amenorrhea and other natural family-planning methods for child spacing." Journal of midwifery & women's health, vol. 46, no. 2, 2001, pp. 68-73.
Keywords
Amenorrhea, Clinical Competence, Family Planning Services/methods, Female, Health Promotion, Humans, Lactation/physiology, Midwifery, Nurse Midwives/education/standards, Pregnancy, Surveys and Questionnaires
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