The process of opting for female permanent contraception: A qualitative study of women’s experiences in Sweden

Abstract

ObjectivesWe aimed to explore Swedish women's decision-making experiences regarding permanent contraception. Study designIn this study, we included 17 women aged 30–48 who were scheduled to undergo female permanent contraceptive procedures. We conducted semistructured interviews using two broad open-ended questions. We analyzed these data using systematic text condensation based on the principles of psychological phenomenological analysis. ResultsThe interviewees experienced no counseling or support from health care workers regarding permanent contraception until they specifically asked for it. Participants reported that they themselves place the responsibility of permanent contraception solely on women. Consequently, our participants described feeling hesitancy and ambivalence in the process of deciding to have the procedure. Once the decision was made and the women were on the waiting lists for surgery, they experienced relief and empowerment. ConclusionsOur findings suggest that health care providers in Sweden miss opportunities to support patient-centered decision-making regarding permanent contraception. This study indicates that women make deliberate and considered decisions regarding permanent contraception and are best positioned to know when the procedure should take place in their reproductive lives. Implication statementsHealth care professionals should discuss permanent contraception as an option with all women desiring contraception to allow them to decide if that method is right for them.