ArticleKorean journal of family medicine2026
Exploring the determinants of family planning practices among women with diabetes and no pregnancy intention in Malaysia: women's voices.
Article in Korean journal of family medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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- Family medicine for all stages of life: turning knowledge into actionable care.Korean journal of family medicine · 2026Article
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Abstract
backgroundContraception is essential for women with diabetes to reduce adverse pregnancy outcomes. However, the contraception rate among this high-risk group remains low. This study explored the determinants of contraceptive practices among multi-ethnic Asian women with diabetes.
methodsThis exploratory qualitative study on the preconception care of multi-ethnic, reproductive-age women with diabetes was conducted at four public health clinics in Negeri Sembilan, Malaysia. Semi-structured, in-depth interviews were conducted, audio-recorded, and transcribed. An interpretive thematic analysis was performed on data regarding contraception among 19 women who expressed no desire for pregnancy.
resultsHealth concerns, perceived susceptibility to pregnancy, lack of knowledge regarding contraception and conception, and prevailing pregnancy norms influenced contraceptive practices. Many factors affecting pregnancy planning were unrelated to diabetes, such as perceived pregnancy susceptibility, religious orientation, societal norms, husband's preferences, and inadequate contraception knowledge.
conclusionFamily planning and reproductive health must be included in routine clinical consultations for women with diabetes. While this study re-emphasizes the influence of diabetes on women's decisions to use contraception, their choices are also shaped by personal and social factors. Healthcare providers must adopt a more open approach toward women's perspectives on pregnancy planning and further explore their values and underlying issues to promote effective contraception, considering the benefits.
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