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How contraceptive use patterns differ by pregnancy intention: implications for counseling.

R Petersen1, J A Gazmararian, K Anderson Clark

  • 1Cecil G. Sheps Center for Health Services Research and Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, USA.

Women'S Health Issues : Official Publication of the Jacobs Institute of Women'S Health
|September 22, 2001
PubMed
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Many unintended pregnancies result from inconsistent or ineffective birth control use. Healthcare providers should counsel women on effective contraception, especially those not planning pregnancy, to reduce unintended pregnancies.

Area of Science:

  • Reproductive Health
  • Public Health
  • Sociology

Background:

  • Unintended pregnancies remain a significant public health concern.
  • Contraceptive counseling is crucial for effective family planning.
  • Understanding factors associated with unintended pregnancy is vital for intervention.

Purpose of the Study:

  • To examine associations between contraceptive use patterns, method effectiveness, sociodemographics, and unintended pregnancy.
  • To compare healthcare utilization between women with intended and unintended pregnancies.
  • To identify relationships between contraceptive practices and sociodemographic characteristics.

Main Methods:

  • In-person interviews with 279 women in a Medicaid managed care plan who had been pregnant within 5 years.

Related Experiment Videos

  • Self-reported data on pregnancy intention, contraceptive use (including non-use and method effectiveness), and healthcare use.
  • Statistical analysis to assess relationships between variables.

    • Main Results:

    • Seventy-eight percent of participants reported an unintended pregnancy.
    • Non-use of contraception the month before conception occurred in 57% of women with unintended pregnancies versus 84% with intended pregnancies.
    • Low-effectiveness contraceptive use was reported by 20% of women with unintended pregnancies compared to 8% with intended pregnancies.

    Conclusions:

    • Women with unintended pregnancies frequently did not use contraception or used methods of low effectiveness.
    • Contraceptive non-use or low-effectiveness use did not significantly differ across sociodemographic groups.
    • Healthcare providers must emphasize effective contraceptive use and counseling for women, particularly those not desiring pregnancy.