Aim To explore how women and their partners navigate (pre)conception healthcare and the role of Natural Cycles fertility awareness technology in this process. Methods In-depth interviews with 24 cisgender women aged 24–43 years who had used Natural Cycles’ ‘Plan a Pregnancy’ mode, and six partners of Natural Cycles users, all cisgender men aged 30–39 years. Participants were recruited via direct messaging in the Natural Cycles app, social media and, for partners, snowball sampling. Purposive sampling was conducted to ensure diversity among participants. Interviews were audio-recorded and transcribed verbatim. An iterative, inductive approach was adopted for thematic data analysis. Results Natural Cycles helped most users better understand their menstrual cycles and fertility. Fertility awareness and preconception counselling with healthcare providers were uncommon. Women felt discussions about planning pregnancy in healthcare settings were often fraught with difficulties. They described not wanting to be an extra burden to overworked staff, being concerned that their worries about trying for pregnancy would be dismissed, or feeling staff did not have expertise in fertility awareness. Some women had shared their Natural Cycles data with healthcare professionals to demonstrate their menstrual cycle data or time of conception. However, it was not always clear to those not accessing services when they should seek further advice, for example, those using the app for longer time periods who had not yet conceived. Conclusions Digital technologies can provide information and support for those wanting to conceive. They should, however, complement care in statutory services, and be accompanied by greater investment in fertility awareness and preconception support. No data are available.

中文翻译：

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（不）谈论生育：数字技术和健康服务在帮助计划怀孕方面的作用。定性研究

目的探讨女性及其伴侣如何导航（预）受孕保健以及自然周期生育意识技术在此过程中的作用。方法对24名24-43岁使用过Natural Cycles“计划怀孕”模式的顺性别女性和6名Natural Cycles用户伴侣进行深度访谈，均为30-39岁顺性别男性。参与者是通过 Natural Cycles 应用程序中的直接消息、社交媒体以及对于合作伙伴的雪球抽样来招募的。进行有目的的抽样以确保参与者之间的多样性。采访被录音并逐字转录。主题数据分析采用了一种迭代的归纳方法。结果 Natural Cycles 帮助大多数用户更好地了解他们的月经周期和生育能力。与医疗保健提供者的生育意识和孕前咨询并不常见。女性认为在医疗机构中关于计划怀孕的讨论往往充满了困难。他们描述了不想成为过度劳累的员工的额外负担，担心他们对尝试怀孕的担忧会被打消，或者觉得员工没有生育意识方面的专业知识。一些女性与医疗保健专业人员分享了她们的自然周期数据，以展示她们的月经周期数据或受孕时间。然而，对于那些未访问服务的人来说，他们并不总是清楚何时应该寻求进一步的建议，例如，那些使用该应用程序时间较长但尚未怀孕的人。结论 数字技术可以为想要怀孕的人提供信息和支持。他们应该，然而，补充法定服务中的护理，同时加大对生育意识和孕前支持的投资。没有可用的数据。