Unintended pregnancy rates for women aged 15 to 19 have been declining since the 1990s. Unintended pregnancy fact sheet wyoming, 2012 2015 unintended. This study explores a high prevalence of unintended pregnancies and important factors especially those related to family planning. Unintended pregnancy an overview sciencedirect topics. Unintended pregnancy mainly results from not using contraception, or inconsistent or incorrect use of effective contraceptive methods. About half of these unintended pregnancies result in live births and the other half are resolved by abortion. While safe, legal induced abortion has few health consequences for the woman, the need for abortion is an indication of unintended pregnancy. There are two methods of abortion, namely, medical abortion and surgical abortion. Unintended pregnancy is a core concept that is used to better understand the fertility of populations and the unmet need for contraception birth control and family planning. Cdcs division of reproductive health drh monitors maternal and infant mortality, the most serious reproductive health complications. The incidence of abortion and unintended pregnancy in india, 2015.
For decades, the guttmacher institute has estimated the incidence, consequences and costs of unintended pregnancy. Official statistics and national surveys provide incomplete coverage. Unintended pregnancy and the need for induced abortion will never be totally eliminated, but decreasing the incidence of unintended pregnancy is a realistic goal. Worldwide levels, trends, and outcomes susheela singh, gilda sedgh, and rubina hussain unintended pregnancy can carry serious consequences for women and their families. Unintended pregnancy among young people in the united states. Sep 14, 2017 the early medical literature on mental health outcomes following abortion is fraught with methodological flaws that can improperly influence clinical practice. Publicly funded services to address unintended pregnancy are described in family planning and teen pregnancy prevention. Unintended pregnancy and induced abortion in burkina faso. Unintended pregnancy among young people in the united. The turnaway study prospectively enrolled 956 women seeking abortion in the usa and followed their. Unintended pregnancy and unsafe abortion in the philippines. Reliable information on the incidence of induced abortion in india is lacking.
Intimate partner violence, abortion, and unintended. North america is the only region in which overall and unintended pregnancy rates have not declined. All women whose last pregnancy was unintended and ended in induced abortion or birth n645. These gaps in zimbabwes family planning program leave women at risk of experiencing an unintended pregnancy and abortion, but very little is known about the incidence of abortion or. That is an improvement, but some groups still tend to have higher rates of unintended pregnancy. Some unintended pregnancies end in abortion despite legal restrictions on and strong stigma around abortion, an estimated 22% of unintended pregnancies in rwanda end in induced abortion. Unintended pregnancy is a significant public health concern in the world. The early medical literature on mental health outcomes following abortion is fraught with methodological flaws that can improperly influence clinical practice. Methods national abortion incidence was estimated through three separate components.
We estimate the incidence of pregnancy by intention status and outcome at worldwide, regional, and subregional. These differences reflect the age, income, education and raceethnicity profile of women residing in these areas as well as access to contraceptive services and supplies. Onehalf of all pregnancies in the united states are unintended, and family physicians are often asked to provide. However, any reduction of abortion services would magnify risk and place additional burden on the healthcare system3. Unintended pregnancy fact sheet wyoming, 2012 2015. Among women aged 1517, the unintended pregnancy rate declined 44% during the same period, and the unplanned birth rate declined 47%. Unintended pregnancy was identified as either mistimed or unwanted at a time of conception 1, 2. A majority of all pregnancies in the united states are unintended. Read more on how to deal with if you find yourself in such a situation. Pdf unintended pregnancy and abortion access in the united. Unintended pregnancy is defined by the centers for disease control and prevention cdc as a mistimed, unplanned, or unwanted pregnancy at the time of conception. The impact of contraceptive failure on unintended pregnancy and abortion is related to overall levels of unintended pregnancy and termination. Induced abortion is both a medical service and a human right1.
The aim of this study was, therefore, to assess unintended pregnancy and associated factors among female sex workers in mekelle city, northern ethiopia. Emergency contraception fails to reduce unintended pregnancy and abortion. The turnaway study prospectively enrolled 956 women seeking abortion in the usa and followed their mental. Unintentional pregnancies are those that were not planned at the time of conception. Scope of the global epidemic outcomes of unintended pregnancy adverse impact of unintended pregnancy on women, children, and society factors that contribute to unintended pregnancy possible approaches to the problem including family planning hormonal contraception. Demography of unintended pregnancy the best intentions. This study examines the relationship between state restrictive abortion laws and the incidence of unintended pregnancy. Backgroundthe rate of unintended pregnancy in the united states increased slightly between 2001 and 2008 and is higher than that in many other industrialized countries. This is an ambiguous concept that is imperfectly measured.
Unintended pregnancy and induced abortion in rwanda. This was a small shift from 2008, when 40% ended in abortion and 60% ended in birth. For example, 75% of pregnancies were unintended among teens aged 15 to 19 years. Between 2008 and 2011, the unintended pregnancy rate declined 44% among women aged 1517 years old and 20% among women aged 1819 years old. Unintended pregnancies can lead to unsafe abortion, which may have adverse outcomes for the mother 3. Emergency contraception fails to reduce unintended pregnancy. By 2011, the percentage of unintended pregnancies declined to 45%. The vast majority of abortions occur in response to unintended pregnancies, which typically result from ineffective use or nonuse of contraceptives.
In addition, attention is focused on gathering data to better understand the extent of maternal and infant morbidity, adverse behaviors during pregnancy, and longterm consequences of pregnancy. Psychological aspects of contraception, unintended pregnancy. The type of procedure used for aborting a child from an unwanted pregnancy will depend on how far a woman is into her pregnancy. Reducing early and unintended pregnancies among adolescents. A precoded questionnaire was used to obtain information from 540 female adolescents of mean age 15.
Other signs of pregnancy can be feeling sick nausea or vomiting, having sore or larger breasts and feeling dizzy or tired, but not all women who are pregnant have these signs. Unintended pregnancy is a worldwide problem that affects women, their families and societies at large. Unintended pregnancy is a pregnancy that was not wanted at the time conception occurred, irrespective of whether or not contraception was being used. Causes and consequences of unintended pregnancy in developing. Women with a history of ipv had significantly higher odds of unintended pregnancy in 8 of 14 sites and of abortion in 12 of 15 sites. The incidence of abortion and unintended pregnancy in india. Unintended pregnancies are pregnancies that are mistimed, unplanned or unwanted at the time of conception sexual activity without the use of effective contraception through choice or coercion is the predominant cause of unintended pregnancy. A 2010 institute of medicine report on womens health identified unintended pregnancy as one research area showing little progress, in part because the proportion of pregnancies that are unintendedapproximately halfhas remained high and steady for 20 years guttmacher institute, 20. Mar 06, 2018 unwanted pregnancy is a reality many couples have to face while in a relationship. Using 2006 data about pregnancy intentions, the empirical results found that. Unintended pregnancies are defined here as being comprised of unplanned births, induced abortions, and.
Prevalence and determinants of unintended pregnancies. Counseling patients with unintended pregnancy commentary by david a. Moss, md, nellis air force base family medicine residency, las vegas, nevada see related article on. About 40% of unplanned pregnancies end in abortion, while the other 60% result in a birth. Since the early 2000s, medication abortion has become increasingly available, improving the way women obtain abortions. Unintended pregnancy womens midlife health biomed central. Unplanned pregnancy an overview sciencedirect topics. Unintended pregnancy among female sex workers in mekelle. The empirical results find that the abortion ratio and the abortion rate of unintended pregnancies are more sensitive to increases in the abortion price than previous estimates that analyzed total pregnancies unintended and intended. Jun 22, 2010 while safe, legal induced abortion has few health consequences for the woman, the need for abortion is an indication of unintended pregnancy. Using multiple logistic regression analyses, associations between physical andor sexual partner violence and abortion and unintended pregnancy were explored.
Womens life cycle and abortion decision in unintended. The proportion of married women with an unmet need for contraceptionthat is, they want to postpone or stop childbearing, but are not using any contraceptive methodhas fallen from 36% in 2000 to 19% in 2010. Options for women with unintended pregnancy american. In 2011, 42% of unintended pregnancies excluding miscarriages ended in abortion, and 58% ended in birth. We conclude with a brief discussion of global and regional program and policy implications.
An unintended pregnancy is one that occurs at a time that a woman does not. Comprehensive abortion care is the textbook of the national abortion federation and serves as the standard, evidencebased reference text in abortion care. Some unintended pregnancies result from rape and incest. The unintended pregnancy rate among teens has been declining in the us. In the us and worldwide, improved contraception access and education are fundamental to decreasing the. The incidence of abortion and unintended pregnancy in. Worldwide, the unintended pregnancy rate is approximately 45% of all pregnancies, but rates of unintended pregnancy vary in different geographic areas. Unintended pregnancies consist of unplanned births, induced abortions, and. Even in countries where contraception is commonly used and easily available, the number of unintended pregnancies remains high. Describing the prevalence of contraception counseling, contraception use, abortion, and unplanned pregnancy will clarify unmet familyplanning needs among women with cancer. Unintended pregnancy, induced abortion, and mental health. According to a population based survey from the united states, 2 54% of unintended pregnancies end in abortion 27% of all pregnancies. Particularly, female sex workers are exposed to the risk of unintended pregnancy, abortion and their consequences. Each year, two percent of women aged 1544 have an abortion.
In 2016, 623,471 legal induced abortions were reported to cdc from 48 reporting areas. Unintended pregnancy in the united states guttmacher institute. Prevalence and associated factors of unintended pregnancy. Unintended pregnancy uip and abortion amongst cambodian adolescent. Poor filipino women are more likely than nonpoor women to use riskier methods. Although abortion rates are similar across developed and developing regions, many abortions that take place in the latter areas are unsafe 53, 54. Prevalence and determinants of unintended pregnancies amongst. The global epidemic of unintended pregnancies figo. The aim of this study was to estimate the national incidence of abortion and unintended pregnancy for 2015. The step up strengthening evidence for programming on unintended pregnancy research programme consortium generates policyrelevant research to promote an evidencebased approach for improving access to family planning and safe abortion.
The majority of unintended pregnancies can be prevented through reducing unmet need for effective, appropriate contraceptive methods 4. Scope of the global epidemic outcomes of unintended pregnancy adverse impact of unintended pregnancy on women, children, and society. Pregnancy intention is a difficult concept to measure. Family planning and the burden of unintended pregnancies. Psychological aspects of contraception, unintended. Unintended pregnancy and abortion abortion is a reality in every country regardless of its legal status.
The incidence of abortion and unintended pregnancy in india, 2015 susheela singh, chander shekhar, rajib acharya, ann m moore, melissa stillman, manas r pradhan, jennifer j frost, harihar sahoo, manoj alagarajan, rubina hussain, aparna sundaram, michael. It has the potential to disrupt perfectly normal lives but a little bit of common sense and loads of patience can help you to tide over it. This translates to an annual rate of 114 unintended pregnancies per 1,000 women aged 1544. Out of 210 million pregnancies worldwide each year, approximately 22 percent, or 46 million, end in abortion. Pdf unintended pregnancy and induced abortion in the. The personal cost of experiencing unintended pregnancy is high, as are the costs borne by the healthcare system to manage people with unintended pregnancy2. Abortion and unintended pregnancy are closely linked to contraceptive use and other indicators of womens status, such as age at marriage, literacy and level of urbanization. Unintended pregnancy can carry serious consequences for women and their families. Younger womens abortion decisions were mainly related to being a student and being single.
Pdf the incidence of abortion and unintended pregnancy in india. Causes and consequences of unintended pregnancy in. Unintended pregnancy unintended pregnancy reproductive. Unintended pregnancy abortion finding out you are pregnant most women will find out they are pregnant after their period is more than a week late. This study examines the effect restrictive state abortion laws have on the pregnancy resolution decisions of women with unintended pregnancies. Supporters of plan b and other types of emergency contraception ec used to claim that easier access to ec could result in a greater than 50% reduction in abortion rates.
A gap between wanted and actual fertility implies unintended pregnancy. Between 2008 and 2011, the unintended pregnancy rate among women aged 1819 declined 20%, and the unplanned birth rate declined 21%. Factors associated with the abortion decision varied strongly according to age. This chapter explores these two facts in detail after first defining unintended, mistimed, and unwanted pregnancies and. Intimate partner violence, abortion, and unintended pregnancy. Each year, nearly half 47% of all pregnancies in the country are unintended, meaning they come too soon or are not wanted at all. Apr 15, 2015 unintended pregnancy refers to unwanted, unplanned, or mistimed pregnancies.
Unintended pregnancies can lead to unwanted births, which may have adverse outcomes for mother and children 2. The urdu version of the lmup scale was found to be acceptable, valid and reliable with the cronbachs alpha of 0. First, we will estimate pregnancy and abortion rates simultaneously, and. Unintended pregnancies, restrictive abortion laws, and. Unintended pregnancy, abortion and postabortion care in. These gaps in zimbabwes family planning program leave women at risk of experiencing an unintended pregnancy and abortion, but very little is known about the incidence of abortion or unintended pregnancy in the country. Comprehensive abortion care is the textbook of the national abortion federation, and serves as the standard, evidencebased reference text in abortion care. Pdf unintended pregnancy and abortion access in the. Unintended pregnancy in the united states guttmacher. Options for women with unintended pregnancy american family. Little is known about unintended pregnancy, abortion, contraception use, and contraception counseling in the context of cancer care. Unintended pregnancy rates per 1,000 women were highest among women who. Declines in unintended pregnancy in the united states. This study examines the prevalence and determinants of adolescents unintended pregnancy and induced abortion in owerri, nigeria.
Regardless of the terminology, procedural abortion in volves the removal of pregnancy and supporting endo metrial tissue from the uterus via electric or manual. Unintended pregnancy refers to unwanted, unplanned, or mistimed pregnancies. About onethird of unintended teen pregnancies end in abortion. At least half of american women will experience an unintended pregnancy by age 45, and, at current rates, one in 10 women will have an abortion by age 20, one in four by age 30 and three in 10 by age 45. Emergency contraception fails to reduce unintended. Other factors are also important drivers of unin tended pregnancy and the decision to have an abortion. In the us and worldwide, improved contraception access and education are fundamental to decreasing the incidence of unintended pregnancy. Using multiple logistic regression analyses, associations between physical and or sexual partner violence and abortion and unintended pregnancy were explored.
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