Health Indicator Report of Births from Unintended Pregnancies
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.
Women Who Reported Their Most Recent Pregnancy Was Unintended by Year, Utah, 1999-2013
NotesQuestion: "Thinking back to just before you got pregnant, how did you feel about becoming pregnant?" (check one answer). Answer Options: I wanted to be pregnant sooner, I wanted to be pregnant later, I wanted to be pregnant then, I didn't want to be pregnant then or at any time in the future, or I wasn't sure what I wanted. Women who wanted to be pregnant later or didn't want to be pregnant were categorized as having an unintended pregnancy. [[br]] [[br]]Beginning in 2012, the PRAMS survey added the response "I wasn't sure what I wanted". The addition of this response likely diluted the percentage of responses in the other categories so 2012 data not comparable to previous years.
Data SourceUtah Pregnancy Risk Assessment Monitoring System (PRAMS), Utah Department of Health
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.
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.
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 2012 and 2013, 23.8% of women reported that their birth resulted from an unintended pregnancy. Of the women who reported their pregnancies as unintended, 62.7% 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.?In 2011, the most recent year of comparable data, 31.8% of Utah women had a live birth that was the result of an unwanted or mistimed pregnancy. This was the second lowest rate of unintended pregnancy among states that participated in PRAMS. Of the states that reported their rates of unintended pregnancy in 2011, Georgia had the highest rate of 54.8% unintended births and Minnesota had the lowest rate of 31.5%.
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.
Page Content Updated On 09/05/2016, Published on 10/13/2016