One size does not fit all: a qualitative descriptive study on Swedish midwives' perceptions of fertility education...

Fertility awareness is a cornerstone of public health. For young people, such awareness is essential for making informed sexual and reproductive choices, empowering them to use their rights in deciding if, when, and how to form a family. However, little is known about the challenges and opportunities related to fertility awareness among young people attending youth health clinics. Therefore, this study aimed to explore midwives' perceptions of fertility education directed at young people.

A qualitative descriptive design using focus group interviews (N = 5) with 23 midwives working at youth health clinics in Sweden.

The overarching theme "Fertility education for young people: a crucial piece of the puzzle - but 'one size' does not fit all" reflects midwives' perceptions regarding barriers and facilitators to fertility education among young people. It emphasises the importance of providing fertility education, while at the same time recognizing the varying receptivity and needs among young people. It highlights the essential role of empowering young individuals to make informed decisions and addressing knowledge gaps. Finally, it acknowledges the importance of tailored support for diverse groups of young people and the need for a delicate approach to fertility education.

Midwives considered fertility awareness among young people important at both individual and societal levels. Young people were described as wanting fertility education, and the midwives viewed this as a relevant and meaningful part of their professional role. Future research should explore long term outcomes and investigate best practises as well as strategies for effective implementation.