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The Impact of Using Online Media on Mental Health Literacy for the Prevention of Postpartum at Koh Kha Hospital, Lampang Province

The Current Status of Fertility Knowledge and Educational Interventions:
A Literature Review

1
A. Tokuda and K. Kawata 2

Midwifery, School of Nursing, Graduate School of Medicine, Kagawa University, Japan, and Midwifery
1 2
and Maternal Health Nursing, School of Nursing, Faculty of Medicine, Kagawa University, Japan

Background: Over the past few decades, family formation has been steadily delayed in many
countries. Therefore, it is necessary to consider fertility education methods so that individuals can plan
their futures with the appropriate knowledge.

Objective: To review the literature on fertility knowledge and educational interventions, and to
consider interventions to improve fertility knowledge.

Methods: We carried out a qualitative review based on healthcare databases, including Ichushi-Web
ver.6, CiNii Research, Google Scholar, and PubMed, which were searched using combinations of search
terms “fertility awareness,” “education,” and “fertility knowledge.” The search yielded 109 studies published
between 2012 and 2022. After screening, 28 full-text studies were assessed for eligibility, 13 of which were
excluded as irrelevant. Eight domestic and seven international studies met this review’s inclusion criteria.

Results: Both in Japan and overseas, the analysis revealed low fertility knowledge regarding the age
at which fertility declines. Highly educated individuals have higher levels of fertility knowledge.
Educational interventions aimed at improving fertility knowledge were rare. While interventions to improve
fertility knowledge achieved this aim, the desire for when to have children and how many tended not to
change. In Japan, even when people receive fertility education, they are likely to become anxious and
forget it after a few years. Some countries have succeeded in improving individuals’ fertility knowledge
by providing fertility counseling to examine their fertility and taking the government’s initiative to operate
reproductive health apps.
Poster Presentation Abstracts

Conclusion: The study’s findings suggest that continuous interventions to improve fertility knowledge
are warranted, especially those targeting people with low education and personalized by meeting
individuals’ fertility information needs. Interventions should be customized for life planning so that
people can make decisions about having children without experiencing anxiety.

Keywords: literature review, fertility awareness, fertility knowledge, education

_____________________________________________________________________________________________________
Correspondence: Ayano Tokuda, Midwifery, School of Nursing, Graduate School of Medicine, Kagawa
University, Japan
E-mail: s23g723@kagawa-u.ac.jp

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