Abstract
OBJECTIVE: To analyze the perspectives and practices of personnel involved in family planning with women at reproductive risk due to chronic diseases. METHOD: Qualitative study in which physicians and nurses from primary care centers in a state in central Mexico were interviewed. Interviews were transcribed and analyzed under the Grounded Theory proposal. RESULTS: The perspectives and practices in family planning interventions are unilaterally framed in the biomedical model. Three categories of analysis emerged: "The battle", "Convince by imposing", "Monitor them and catch them". CONCLUSION: It is necessary to promote competencies in interculturality, gender perspective and human rights to make the intervention more of a counseling and less of a prescription for life projects.