General discussion and future directions 255 and dignity; develop respectful social and sexual relationships; consider how their choices affect their own well-being and that of others; and understand and ensure the protection of their rights throughout their lives’’78. Figure 9.7 - Tailored interventions per level. Conclusion This thesis illustrates that the impact of psychiatric vulnerability on family planning matters, not only through the high prevalence of UPs in comparison to women without psychiatric vulnerability, but also through the profound impact of psychiatric vulnerability on lived experiences with family planning and desire for children. From the previous quantitative chapters, it is shown that psychiatric vulnerability challenges reproductive decision-making, creates insecurities regarding parenting, negatively impacts sexual enjoyment and gives risk for UPs. From qualitative chapters, we learned how women with psychiatric vulnerability make sense of experiencing an unexpected pregnancy and what MHPs and patients expect from conversations about family planning in psychiatric healthcare. This thesis gives also valuable insights in the opportunity of UPs to install growth and behavioral change. Ultimately, women’s concerns for the transgenerational transmission of trauma and hereditary psychiatric vulnerability greatly impact their family planning behavior ideations and behavior. Future studies could further explore the possibilities that arise from continued pregnancies. Women with psychiatric vulnerability deserve reproductive health counseling tailored to their needs and require support in this area, most definitely when expecting the unexpected! Individuals with psychiatric disorders Significant others (Mental) health professionals Society Open conversations, stigma Family check discussion tool Open conversations, stigma Family check discussion tool Reproductive health training Open conversations, stigma reduction, comprehensive sexuality education
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