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Related Experiment Videos

Contraception: from accessibility to efficiency.

Nathalie Bajos1, Henri Leridon, Hélène Goulard

  • 1INSERM-INED U569/IFR69, Hôpital de Bicêtre, 82 rue du General Leclerc, 94276 Le Kremlin Bicetre Cedex, France. bajos@vjf.inserm.fr

Human Reproduction (Oxford, England)
|May 2, 2003
PubMed
Summary

Contraceptive failure, often due to misuse, contributes to unplanned pregnancies in France. Improving family planning provider training is crucial for better method selection and use.

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Area of Science:

  • Reproductive Health
  • Public Health
  • Family Planning

Background:

  • Despite widespread contraceptive use in France, abortion rates remain stable.
  • A survey investigated contraceptive use, failure, and reasons for non-use.

Purpose of the Study:

  • To analyze current contraceptive practices in France.
  • To identify types and reasons for contraceptive failure.
  • To understand motivations behind non-contraceptive use.

Main Methods:

  • Cross-sectional, population-based survey of 2863 women in France.
  • Sample included women with recent abortions or unintended pregnancies, plus a random selection.
  • Data collected via questionnaire on contraceptive use and experiences.

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Main Results:

  • Only 2.7% of sexually active women aged 18-44 did not use contraception.
  • An estimated 33% of pregnancies were unplanned, with 50% resulting in abortion.
  • 65% of unplanned pregnancies occurred in women using contraception, primarily due to misuse or method failure.

Conclusions:

  • Contraceptive failure suggests a mismatch between women's needs and chosen methods.
  • Enhanced training for family planning providers is essential.
  • Ensuring appropriate method selection aligned with lifestyle is key.