A comparative study on factors affecting the choice of contraceptive methods in women referred to health centers of shahrekord

Nowadays, climate change could potentially interrupt progress toward a world without hunger. The stability of whole food systems may be at risk under climate change because of short-term variability in supply [1]. Moreover, rapid population growth is a threat to wellbeing in the poorest countries, whereas very low fertility increasingly threatens the future welfare of many developed countries. Countries with rapid growth face adverse social, economic, and environmental pressures, whereas those with low or negative growth face rapid population ageing, unsustainable burdens on public pensions and health-care systems, and slow economic growth [2]. It is important to pay attention to population control programs in order to prevent unwanted pregnancies, reducing the number of abortions. Unwanted pregnancy has serious consequences for women and their families [3] and is related to modest increases in the risk of adverse family socioeconomic outcomes, family dysfunction, and poorer parent-child relationship [4]. Furthermore, women who had undergone an abortion experienced an increased risk of mental health problems [5]. Although developing countries have made much progress in use of family planning services, the need for effective contraception is high and growing [6] and the incidence of global unwanted pregnancy demonstrate the need for family planning programs [7]. The rate of contraceptive use in Iran is high, but because abortion is illegal in this country, many unintended pregnancies among married women are likely to be terminated by unsafe procedures, resulting in adverse health outcomes [8]. Women from puberty to menopause are faced with two issues of contraception and having a baby. The selection of a contraceptive method is a complex decision that involves both the woman and her partner, and several other factors are also involved in this regard [9]. In spite of the government's efforts, the prevalence of contraceptive use in Iran is only 55.4%. Health concerns, side effects, failure of the methods and some demographic issues, among which education, age, and number of daughters, have a great influence on the enforcement of contraceptive measures [10]. Among various contraceptive methods that are chosen according to particular conditions such as effectiveness, cost, level of comfort of couple of sexual contact and other factors, the method of sterilization the tube is raised. This method is not always reversible or its reversibility is possible by spending an exorbitant expenditure. Thus making decision about choosing this method requires careful consideration [9]. According to studies conducted in this regard and the growing use of tubectomy method by Chaharmahal Bakhtiari women, and considering the fact that this method will probably cause regret in women, the research team conducted their research with the aim of comparing the factors affecting the choice of a contraceptive method among local women so as to provide people with appropriate solutions about choosing the correct methods of contraception and effective training prior to choosing these methods in future.