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Increasing Use of Long-Acting Reversible Contraception to Decrease Unplanned Pregnancy.

Pamela S Lotke1

  • 1Division of Family Planning and Preventive Care, Department of Obstetrics and Gynecology, MedStar Washington Hospital Center, 110 Irving Street, Northwest, Washington, DC 20010, USA.

Obstetrics and Gynecology Clinics of North America
|November 25, 2015
PubMed
Summary
This summary is machine-generated.

Unintended pregnancies are common, but long-acting reversible contraception (LARC) is highly effective. Increasing LARC use can significantly reduce unplanned pregnancies and abortions.

Keywords:
ContraceptionContraception counselingFamily planningLong-acting reversible contraceptionUnintended pregnancy

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Area of Science:

  • Reproductive Health
  • Contraception Research
  • Public Health Policy

Background:

  • Unintended pregnancy affects half of all pregnancies in the US.
  • Contraceptive nonuse and imperfect use are major contributors to unplanned pregnancies.
  • Long-acting reversible contraception (LARC) offers superior efficacy compared to shorter-acting methods.

Purpose of the Study:

  • To highlight the high rates of unintended pregnancy in the US.
  • To emphasize the effectiveness of LARC in preventing unplanned pregnancies.
  • To identify barriers to LARC adoption and propose solutions.

Main Methods:

  • Review of data from large-scale studies on contraceptive efficacy.
  • Analysis of current LARC usage rates among reproductive-age women.
  • Identification of barriers hindering widespread LARC adoption.

Main Results:

  • Unplanned pregnancy rates are significantly lower for women using LARC.
  • Less than 10% of reproductive-age women using contraception currently use LARC.
  • Key barriers to LARC use include lack of knowledge and high initial costs.

Conclusions:

  • Increasing LARC use is crucial for reducing unintended pregnancies and abortions.
  • Addressing barriers like cost and awareness can promote wider LARC adoption.
  • Widespread LARC use can lead to significant public health benefits.