Despite many advances in contraceptive care, little progress has been made in reducing the unacceptably high rate of unintended pregnancy in the United States, even though the Department of Health and Human Services identified reduction of these rates as a key public health priority since 1990. Health disparities are still a major challenge in the US, with the highest rates of unintended pregna...

CONTEXT Although Guatemalan law permits induced abortion only to save a woman's life, many women obtain abortions, often under unsafe conditions and in response to an unintended pregnancy. Recent studies indicate that unsafe abortion is a key factor contributing to maternal morbidity and mortality in the country, but no national data on the incidence of abortion exist. METHODS Surveys of all ...

declining as modernization is increasing, Nigeria is still one of the poorest nations in the world and has the largest population in Sub-Saharan Africa. Many women are experiencing unwanted and mistimed pregnancies, with consequences ranging from interruption of schooling to health risks and economic hardship, all of which hinder efforts to improve their socioeconomic status. By educating and e...

OBJECTIVE To determine the efficacy of using natural family planning (NFP) methods to avoid unintended pregnancy among women of perimenopause age (i.e., age 40-55 years). DESIGN A secondary analysis of subset data from two prospective observational cohort studies. SETTING A university based in-person and online NFP service program. PARTICIPANTS One hundred and sixty couples who used eithe...

OBJECTIVES To calculate the cost of an unintended pregnancy in 2011 and use this cost in a cost-effectiveness model comparing ulipristal acetate (UPA) with levonorgestrel (LNG) for emergency hormonal contraception (EHC). DESIGN Retrospective analysis of published data sources and published cost-effectiveness model. SETTING Women presenting in primary care in England for EHC within 24 or 72 ...

BACKGROUND The rate of unintended pregnancy in the United States is much higher than in other developed nations. Approximately half of unintended pregnancies are due to contraceptive failure, largely owing to inconsistent or incorrect use. METHODS We designed a large prospective cohort study to promote the use of long-acting reversible contraceptive methods as a means of reducing unintended p...

BACKGROUND It is estimated that approximately one-third of pregnancies in Canada are unintended, meaning they were either mistimed (the woman wanted to be pregnant at a different point in time) or undesired (the woman did not want to be pregnant). This study aimed to assess the impact of socioeconomic variables and method of contraception on the decision to either terminate or continue and unin...