Diaphragm method contraceptors: implications for service organization and delivery

Area of Science:

• Reproductive Health
• Contraception Research
• Public Health

Background:

• Unplanned pregnancies and abortions are significant health issues for college women.
• Modern contraceptive methods, including the diaphragm, are widely available but may have varying effectiveness.

Purpose of the Study:

• To estimate pregnancy occurrence among college women using diaphragms.
• To identify factors influencing successful diaphragm use and service utilization patterns.
• To inform improvements in family planning services for college students.

Main Methods:

• A study involving 495 college women using diaphragms.
• Data collected through medical record audits and client surveys.
• Analysis of demographic, personal history, and behavioral variables related to contraceptive outcomes.

Main Results:

• Fifteen percent of clients reported diaphragm-related pregnancies, with an 88% clinical effectiveness rate (9.75 pregnancies per 100 woman-years).
• Demographic, personal history, and behavioral factors influenced pregnancy, consistent use, and accurate use.
• Twenty-seven percent of subjects reported at least one unplanned pregnancy (diaphragm-related or not), with 98% opting for abortion.

Conclusions:

• Despite available family planning services, unintended fertility persists among college women.
• Enhanced education, information, and service delivery protocols are needed to improve contraceptive outcomes.
• Research implications focus on refining counseling, education, and systems strategies within clinic services.