DefinitionPercentage of Utah women with live births who reported their most recent pregnancy was unintended.
NumeratorNumber of unintended births among Utah women.
DenominatorNumber of Utah women with a live birth.
Data Interpretation IssuesA stratified random sampling approach is used in selecting women 2-4 months postpartum to participate in PRAMS. The data are weighted by the CDC to represent the birth population for that year, adjusted for sampling probabilities, nonresponse, and noncoverage. Each strata must achieve a weighted response rate of 60% or it is not considered representative of that population.
See the PRAMS website at [http://www.cdc.gov/prams/methodology.htm] for more detailed information on PRAMS and its methodology.
Why Is This Important?In the United States, unintended pregnancy is a major public health problem. Unintended pregnancy is a general term that includes pregnancies that a woman reports were either mistimed or unwanted at the time of conception. Women with unintended pregnancies are less likely to seek early prenatal care or receive adequate prenatal care, they are more likely to smoke or drink during pregnancy, and are less likely to initiate or maintain breastfeeding.
Other ObjectivesUtah's 42 Community Health Indicators
Similar to HP2020 Objective FP-1: Increase the proportion of PREGNANCIES that ARE intended.
Similar to HP2020 Developmental Objective MICH-16.6 (Developmental) Increase the proportion of women delivering a live birth who used contraception to plan pregnancy.
How Are We Doing?During the years 2014 and 2015, 21.9% of women reported that their birth resulted from an unintended pregnancy. Of the women who reported their pregnancies as unintended, 63.5% said they were using some method to avoid pregnancy at the time of conception. Contraceptive failure rates vary between methods used but are very low when used correctly. This high rate of contraceptive failure signals the need to increase education, services, and coverage of methods of long-acting reversible contraception that may be less prone to human error.
How Do We Compare With the U.S.?Current national PRAMS data are not available.
What Is Being Done?In order to reduce unplanned pregnancies, public health efforts may include:
__Health Education__ - increase knowledge of human reproduction, conception, and proper use of available contraceptive methods; and promote optimal spacing of pregnancies for healthy outcomes.
__Reproductive Health Services__ - increase dialogue between health care providers and women regarding reproductive health and family planning options.
__Access to Health Care__ - improve insurance coverage for family planning services.
As of August 1, 2012, non-grandfathered plans and issuers are required to provide coverage for preventive women's health care including contraception and counseling without cost sharing.
Evidence-based PracticesVarious studies have indicated that the use of long-acting reversible contraceptive (LARC) devices such as Implants and Intrauterine Devices (IUD) effectively lower the incidence of unplanned pregnancy in population and clinic settings.
Additionally a 2012 study conducted by Piepert et al. looked at the impact of providing free LARC and found that increased access to contraception effectively reduced unintended pregnancy.