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 55% 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 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 HP2030 Objective FP-1: Reduce the proportion of unintended pregnancies
Similar to HP2030 Objective FP-10: Increase the proportion of women at risk for unintended pregnancy who use effective birth control.
How Are We Doing?During the years 2016 - 2018, 21.2% of women reported that their birth resulted from an unintended pregnancy.
Contraceptive failure rates vary between methods used but are very low when used correctly. A 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.?National PRAMS data in 2016 and 2017, the latest data available, show that 25.7% of women reported that their birth resulted from unintended pregnancy.
What Is Being Done?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 maternal and infant outcomes.
Women's health and maternal health information and education are available from the Utah Department of Health's Maternal and Infant Health Program at https://mihp.utah.gov/.
Preconception and interpregnancy health information are available from the Utah Department of Health at http://poweryourlife.org/.
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Access to family planning services: Family planning services are available in Utah from several sources: community health centers, Planned Parenthood Association of Utah clinics, Family Planning Elevated, and private providers. Utah law requires unmarried minors' parental consent to obtain contraception information and services from community health centers and clinics.
A 2018 Utah law allows pharmacies to dispense three contraception types - pills, patch, or ring - through a standing order signed by the Utah Department of Health's executive director. Women 18 years and older can go to any participating pharmacy to receive her pills, patch, or ring directly from the pharmacist. For more information and to see a list of participating pharmacies, see https://mihp.utah.gov/birthcontrol.
As of August 1, 2012, non-grandfathered plans must provide coverage for preventive women's health care, including contraception and counseling, without cost-sharing. Medicaid also provides family planning counseling and FDA-approved contraceptive methods 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.