Indonesia has a population that is quite high compared to 2007, namely 237,641,326 people in 2014 or an increase of 1.5 percent, namely from 232,900,000 people and in 2020 there were 270,203,917 people. The distribution of the female population is 133,542,018 and the male population is 136,661,899. Based on the results of population projections, in 2019 the population of North Sumatra is 14,562,549 people consisting of 7,266,207 men and 7,296,342 women or with a sex ratio of 99.59 (every 100 women there are 99 men). The aim of the study was to find out the relationship between the decision to choose contraceptive devices and socio-economic conditions on the fertility of couples of childbearing age in the working area of the Bukit
Kapur Health Center in Dumai City in 2022. The research method is observational and the type of research is descriptive analytic with cross sectional, namely studying the correlation between risk factors with effects in the form of certain health status. The results of the study showed that there was a relationship between the decision to choose the type of contraception and fertility in the working area of the Bukit Kapur Health Center, Dumai City, in 2022 where the p-value was 0.003 (p <0.05) and there was no relationship between socio-economic status and fertility in the Bukit Kapur City Health Center work area. Dumai in 2022 where the p-value is 0.078 (p <0.05). Communities are able to seek information and increase knowledge about the Relationship between Contraceptive Selection Decisions