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Link to original content: http://pubmed.ncbi.nlm.nih.gov/20570955
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Review
. 2010;32(1):152-74.
doi: 10.1093/epirev/mxq012. Epub 2010 Jun 22.

Family planning and the burden of unintended pregnancies

Amy O Tsui  1 , Raegan McDonald-Mosley, Anne E Burke
Affiliations
Review

Family planning and the burden of unintended pregnancies

Amy O Tsui et al. Epidemiol Rev. 2010.

Abstract

Family planning is hailed as one of the great public health achievements of the last century, and worldwide acceptance has risen to three-fifths of exposed couples. In many countries, however, uptake of modern contraception is constrained by limited access and weak service delivery, and the burden of unintended pregnancy is still large. This review focuses on family planning's efficacy in preventing unintended pregnancies and their health burden. The authors first describe an epidemiologic framework for reproductive behavior and pregnancy intendedness and use it to guide the review of 21 recent, individual-level studies of pregnancy intentions, health outcomes, and contraception. They then review population-level studies of family planning's relation to reproductive, maternal, and newborn health benefits. Family planning is documented to prevent mother-child transmission of human immunodeficiency virus, contribute to birth spacing, lower infant mortality risk, and reduce the number of abortions, especially unsafe ones. It is also shown to significantly lower maternal mortality and maternal morbidity associated with unintended pregnancy. Still, a new generation of research is needed to investigate the modest correlation between unintended pregnancy and contraceptive use rates to derive the full health benefits of a proven and cost-effective reproductive technology.

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Figures

Figure 1.
Figure 1.
Pathways between sexual, reproductive, maternal, and newborn health outcomes. Motivational pathways are represented by dashed lines, behavioral pathways by solid lines.
Figure 2.
Figure 2.
Relation between national rates of unintended pregnancy and modern contraceptive prevalence among women aged 15–49 years across 158 Demographic and Health Surveys in developing countries, 1991–2007 (47).
See this image and copyright information in PMC

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References

    1. Ten great public health achievements—United States, 1900–1999. MMWR Morb Mortal Wkly Rep. 1999;48(12):241–243. - PubMed
    1. United Nations. Levels and Trends of Contraceptive Use as Assessed in 1988. New York, NY: Department of International Economic and Social Affairs, United Nations; 1989. (ST/ESA/SER.A/110)
    1. Population Reference Bureau. Family Planning Worldwide 2008 Data Sheet. Washington, DC: Population Reference Bureau; 2008.
    1. Robinson WC, Ross JA. The Global Family Planning Revolution: Three Decades of Population Policies and Programs. Washington, DC: World Bank; 2007.
    1. Wu J, Meldrum S, Dozier A, et al. Contraceptive nonuse among US women at risk for unplanned pregnancy. Contraception. 2008;78(4):284–289. - PubMed

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