Document Type




Format of Original

11 p.

Publication Date




Source Publication

Journal of Obstetric, Gynecologic, & Neonatal Nursing

Source ISSN


Original Item ID

doi: 10.1111/j.1552-6909.2011.01237.x


Objective: To evaluate the efficacy, knowledge of fertility, and acceptability of a web-based natural family planning (NFP) education and service program.

Design: A 6-month repeated measure longitudinal evaluation pilot study.

Setting: A university based online website.

Participants: The website was piloted with 468 volunteer women seeking NFP services. Of these participants, 222 used the automatic online fertility charting system to avoid pregnancy. The 222 charting participants had a mean age of 29.9 years (SD=5.6), 2.2 children (SD=1.9), 37% were postpartum, and 47% had regular menstrual cycle lengths.

Intervention: Nurse-managed web-based NFP education and service program.

Outcomes: Pregnancies were confirmed by an online self-assessed pregnancy evaluation form. A 10-item fertility quiz and 10-item acceptability survey was administered online.

Results: Among the 222 users avoiding pregnancy, at 6 months of use, there were two correct-use unintended pregnancies that provided a pregnancy rate of 2% and seven total unintended pregnancies providing a typical use pregnancy rate of 7%. Mean knowledge of fertility increased significantly from time of registration (8.96, SD=1.10) to 1 month of use (9.46, SD=.10), t=4.60, pSD=8.98) to 6 months of use (48.4; SD=8.77).

Conclusion: The nurse-managed online NFP system seems to provide adequate knowledge of fertility and help participants meet pregnancy intentions. Acceptability of such a system of NFP is still in question.


Accepted version. Journal of Obstetric, Gynecologic, & Neonatal Nursing, Vol. 40, No. 3 (May/June 2011): 281-291. DOI. © 2011 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses. Published by Elsevier Inc. Used with permission.

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