How Many Unwanted Pregnancies Per Year

Iud Use Has Nearly Tripled Since 2007 That’s A Huge Part Of The Story

How Many Weeks In A Year

LARCs like IUDs and implants are amazingly, fantastically good at preventing pregnancy better than any other available birth control. The fact that usage of these contraceptives has nearly tripled since 2007 is a huge part of why unintended pregnancies are dropping.

Birth control pills and patches, which have to be taken regularly, are susceptible to human error. LARCs are different. Once inserted, they last for at least three years without any work on the patient’s behalf.

The birth control pill, one of the most common forms of contraception, has a 6 percent failure rate. So out of 1,000 women taking birth control pills, 60 will become pregnant in a typical year. Among women who use an IUD, that number will be between two and eight . For implant users, 0.5 of every 1,000 users will get pregnant in a given year.

LARCs still aren’t the most popular type of birth control in the United States. But usage has increased significantly, from 3.7 percent of birth control users choosing IUDs or implants in 2007 to 11.6 percent in 2012.

That change coincides pretty well with the decline in unintended births, which is why researchers believe these more effective contraceptives are largely to thank.

The Facts About Unplanned Pregnancies

Unplanned pregnancies represent nearly 30% of all pregnancies worldwide and are considered to be an epidemic here in the United States where nearly 3 million pregnancies each year are unplanned. Most unplanned pregnancies are not the result of failed birth control, but due to the absence of the use of contraceptives. Most of these unplanned pregnancies are in situations where parents did not want to get pregnant, but did not actively avoid it. Unplanned pregnancies occur in teen mothers, unwed couples, and married couples alike, although the numbers are much higher in teens and couples who live in poor socioeconomic areas.

Unplanned pregnancies include both those that are unwanted and those that are mistimed. Meaning that of the 3 million unplanned pregnancies, approximately 40% were to women who wanted children, but were not trying to get pregnant at the time mistimed. And, the other 60% are to those who never wanted children or pregnancy. Of all of the unwanted pregnancies, 42% result in abortion and 58% result in live birth. Of those 58% of pregnancies that are carried through, nearly one-third of the mothers considered adoption, but only half of that one-third took any action toward it.

The Importance Of Reproductive Health

Ensuring that women and men achieve and maintain good health in their reproductive years is a public health challenge that impacts on future health for both themselves and their child. Therefore, reproductive health should be about improving the general health of the whole population through increasing knowledge of healthy lifestyles, which should be an underlying philosophy of all health, education, and social care.

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Contraceptive Cost Of Covid: A Million Unplanned Pregnancies

By Anastasia Moloney

3 Min Read

BOGOTA – Nearly 12 million women in poorer countries lost access to contraception in the pandemic, leading to 1.4 million unplanned pregnancies, the United Nations said on Thursday.

Estimates by the U.N. sexual and reproductive health agency, UNFPA, showed women lost access to contraception as the pandemic drew resources away from family planning or hit supply chains.

Women also lost out due to coronavirus travel restrictions, clinic closures and stay-at-home orders, the UNFPA said.

We must ensure that women and girls have uninterrupted access to life-saving contraceptives and maternal health medicines, UNFPAs head, Natalia Kanem, said in a statement.

The devastating impact that COVID-19 has had on the lives of millions of women and girls in the past year underscores just how vital it is to ensure the continuity of reproductive health services.

The U.N. data highlighted the many ways in which women have suffered disproportionately in the pandemic, be it through greater job losses, increased domestic duties or rising incidents of domestic and sexual violence.

In 115 low- and middle-income countries, women faced an average disruption in their family planning services of 3.6 months over the past year, UNFPA data showed.

The U.N. said this showed how many health systems were resilient enough to eventually adapt and return to business sooner than it had expected.

Teen Pregnancy And Birth Create Barriers To Success For Teens And Their Children

Lets Talk About Sex, Baby. Lets Talk About You and Me ...
  • Young women who are teen mothers are less likely to attain a high school diploma by age 22 than those who are not .
  • Less than two percent of teen mothers complete college by age 30.
  • When earnings are compared over the first 15 years of motherhood, women who were teen mothers earn significantly less than women who were not. Teen mothers are also more likely to be on welfare.
  • Teen parents are at risk of subsequent pregnancy: over one fifth of births to teens in the U.S. are second births. About one-fourth of teenage mothers have a second child within two years of their first birth. Subsequent pregnancies can compound educational and financial difficulties for young women.
  • Children of teen mothers are more likely to be born prematurely and/or at low birth weight than children of older mothers, placing them at higher risk for other health problems.

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I Was Constantly Worried

Maya Bohara, 32, in the Dasharathchand municipality of far-western Nepal, had been relying on injectable contraceptives for nine years. She married at age 17, and had four children by the time she was 24. She and her husband, a day labourer, thought they were done.

But when she visited her nearby health centre for a shot in June, it had no stock of the contraceptive during that time I was constantly worried about having an unwanted pregnancy.

Not long after missing her shot, she became pregnant. Her baby was born on 25 February, she told UNFPA.

Hira Lawad, a 30-year-old mother of two, visited the same health post in July to get her contraceptive injection. I was told there was no stock, she told UNFPA. Even though my husband and I already decided not to have more children, I became pregnant a third time.

The unintended pregnancies have put a great strain on both families, which were already struggling under pandemic-related financial burdens.

Although Maya is quick to clarify that her newest child is well loved, she acknowledges that their circumstances are more precarious than before.

“With a meagre income, raising our fifth child is going to be a tough battle for me and my husband,” she explained.

And the consequences of rising unintended pregnancy are not simply economic they are also linked to increased maternal morbidity and mortality, as well as rising numbers of unsafe abortions.

Local Authorities And Nhs Commissioners

Local authorities and NHS commissioners should align work in their local areas towards a focus on contraception and preconception health. They should prioritise including pregnancy prevention and planning in all relevant policies and embed it into existing services. Developing policies that recognise the role of wider determinants in providing optimal circumstances in which to choose if and when to have a child, should also be prioritised.

There should be system leadership and shared accountability mechanisms in place, as many of these areas cross commissioning boundaries.

All women should be able to access reproductive health services across their life course. Women identified as at risk should receive additional targeted prevention. Targeted prevention should be linked to individual risk factors as well as the wider determinants of health.

Commissioners should:

Dr Asha Kasliwal, President FSRH, outlines what commissioners and local authorities can do to ensure an integrated reproductive health and pregnancy planning service.

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% Of Women Smoke During Pregnancy In England And Scotland

In 2018/19, 12% of all women in England smoked during their pregnancy. This is most prevalent in women under the age of 20 at a rate of 30%. This falls to 16.8% of women aged 20-29, 7.6% of women aged 30-39 and 6.2% of women aged 40 and over.

The picture is similar in Scotland, with 32.6% of women aged under 20 smoking during their pregnancy. However, there is a higher rate of smoking in Scotland compared to England of women in their 20s, with 26.8% of women in this age bracket admitting to smoking during pregnancy.

Health Matters: Reproductive Health And Pregnancy Planning

World Birth and Death Rates

This publication is licensed under the terms of the Open Government Licence v3.0 except where otherwise stated. To view this licence, visit nationalarchives.gov.uk/doc/open-government-licence/version/3 or write to the Information Policy Team, The National Archives, Kew, London TW9 4DU, or email: .

Where we have identified any third party copyright information you will need to obtain permission from the copyright holders concerned.

This publication is available at https://www.gov.uk/government/publications/health-matters-reproductive-health-and-pregnancy-planning/health-matters-reproductive-health-and-pregnancy-planning

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Do Unplanned Pregnancies Ruin Relationships

The new analyses presented in this research brief clearly show that parents who have an unplanned birth are more likely to be outside of a committed relationship, less likely to move into to a more formal union with the other parent, and more likely to experience unstable relationships during the first 24 months after

Dismantling Structural Barriers To Prevention

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Largely due to increased contraceptive use, teen pregnancy and birth rates have declined since their peak in 1990. But 750,000 teens become pregnant each year the vast majority of these pregnancies unintended. Teens need youth-friendly services and complete, accurate information about abstinence, condoms, and contraception in order to protect themselves from unintended pregnancy. But they also need to be able to envision a positive future for themselves: one in which education, employment, and healthy relationships are possible. Helping young people prevent unintended pregnancy is a challenge that teens, parents, youth serving professionals, policy makers, and society as a whole must face.

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What Can We All Do To Help

The first thing we can all do for women who are facing a pregnancy that was caused by a rape is to not be judgmental of them. Theyve already been a victim once. We dont need to be making them a victim a second time or worse, a pawn in some political or religious movement.

We can also create support groups that will help women be able to talk about the decisions that they do make. About 4 in 10 pregnancies from rape will see a child born and sometimes that means a woman becomes a single parent. It might also mean the child will be given over for adoption. Either way, the stresses that women face from either decision can be immense.

Lets also not forget that some women struggle with the idea of abortion. They may not see any other outcome and deserve the same level of support, no matter what ones personal beliefs about the matter may be. By knowing the real facts about victims becoming pregnant from a rape, we can all provide the individualized support that is often needed.

Unplanned Pregnancy In Australia

Unintended Pregnancy in the United States

It is estimated that almost half of all pregnancies in Australia are unplanned .

No contraception method is 100% effective. While some methods may technically be 98-99% effective, the effectiveness of some methods like the pill and condoms are reduced when allowing for human error – what’s referred to as ‘typical use’ is often lower than ‘perfect use’ . Even when used correctly and consistently, contraceptive methods can fail: the World Health Organisation estimates that if every couple used contraception perfectly every single time they had sex, there would still be six million unplanned pregnancies each year worldwide . Abstinence is usually not a realistic contraception option for most people across their entire reproductive lifespan.

Sometimes women may not be in a position to negotiate contraceptive use, due to the effects of alcohol or other drugs, lack of power in relationship decision-making, or being forced or coerced into having sex. Other barriers to women accessing contraception include lack of information about options, geographic location , cost, lack of culturally appropriate services or health workers, privacy concerns, or medical practitioners refusing to prescribe due to their personal beliefs and values.

Family Planning NSW’s ‘Reproductive and sexual health in Australia’ resource states:

Counselling for unplanned pregnancy

Outcomes

There is no national data collection on pregnancy outcomes in Australia. One study conducted in 2006 found that:

Parenting

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Unsafely Performed Abortion Is Widespread Especially Where Abortion Is Illegal

Nearly one in 10 pregnancies worldwide ends in unsafely performed abortion, defined by the WHO as a procedure for terminating an unwanted pregnancy either by persons lacking the necessary skills or in an environment lacking the minimal medical standards, or both. WHO estimates that one in eight pregnancy-related deaths globally are a result of an unsafely performed abortion. The toll at country levels is more devastating: Unsafely performed abortions are responsible for as many as 50 percent of maternal deaths in sub-Saharan Africa.

Estimates of Annual Incidence of Unsafely Performed Abortion, 2000

World

Source: WHO, Unsafe Abortion: Global and Regional Estimates of the Incidence of Unsafe

Abortion and Associated Mortality in 2000, 4th ed. .

In countries where abortion is illegal, women who can afford to can often find a private physician, nurse, or midwife willing to perform a safe abortion women who cannot afford or access services may resort to unsafe practices or unskilled practitioners. However, even legalization does not guarantee sufficient care. In countries such as India where abortion has been legal for decades, other factorspoverty, inaccessibility, and social pressuresprevent women from getting skilled care.

Incidence Of Unintended Pregnancy

Global levels and trends

Unintended pregnancy rate per 1000 women aged between 1549 years Abortion rate per 1000 women aged between 1549 years Unintended pregnancies ending in abortion
199094 Change from 199094 to 201519 Probability of change Change from 199094 to 201519 Probability of change Change from 199094 to 201519 Probability of change
West Asia and north Africa 126
Oceania 82

World Bank income groups

SDG regional groupings

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One Year Into The Pandemic Unfpa Estimates 12 Million Women Have Seen Contraceptive Interruptions Leading To 14 Million Unintended Pregnancies

  • 11 March 2021

KATHMANDU, Nepal/UNITED NATIONS, New York An estimated 12 million women have experienced disruptions in their family planning services due to the COVID-19 pandemic, leading to 1.4 million unintended pregnancies, according to new estimates released today by UNFPA and Avenir Health.

The projections which take into consideration real-world observations and data were announced on 11 March, one year since the uncontrolled spread of COVID-19 was officially .

These latest figures come even as many countries, particularly high-income countries, show early signs of steeply . Together, the findings demonstrate how severely womens reproductive destinies have been altered, and their preferences undermined, by the pandemic.

UNFPAs projections look at contraceptive service disruptions in 115 lower- and middle-income countries from over the previous year. Data from UNFPA and partner surveys, as well as Google Mobility data, found that access to family planning was widely disrupted by factors including travel restrictions, interrupted supply chains, stock-outs and overwhelmed health facilities.

The results, for many women, have been life-changing.

How Many Unplanned Pregnancies Occur In The United States

How Many Children Can A Human Have In A Lifetime?

About 90 percent of sexually active women use some form of contraception. The 10 percent of women who do not use contraception account for approximately half of unplanned pregnancies. Of the 50 percent of unplanned pregnancies in the US, 43 percent of those women will choose to terminate the pregnancy.

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Outcomes Of Unintended Pregnancy

  • In 2011, 42% of unintended pregnancies ended in abortion, and 58% ended in birth. This was a small shift from 2008, when 40% ended in abortion and 60% ended in birth.2
  • The unplanned birth rate in 2011 was 22 per 1,000 women aged 1544.8 In that same year, the abortion rate was 17 per 1,000 women.6
  • The proportion of unintended pregnancies ending in birth decreased across all racial and ethnic groups between 2008 and 2011. The proportion of women experiencing an unintended pregnancy and choosing to end it in abortion was higher among black women than among women in other racial and ethnic groups .2
  • In 2011, a lower proportion of women below poverty than of women at 100199% of poverty or of higher-income women chose to end an unintended pregnancy by abortion. Consequently, women below poverty had a relatively high unplanned birth rate compared with women above poverty .2
  • The proportion of births that fathers report as unplannedabout four in 10 in a 20062010 studyis similar to that reported by mothers. The proportion varied significantly according to fathers union status, age, education level, and race and ethnicity.7

What Can Be Done To Reduce Unintended Pregnancies In Europe

It is unlikely that the age of onset of first sexual intercourse will increase, that age at first childbirth will decrease or that desired family size will change much in years to come in Europe. The only realistic option for reducing unintended pregnancy further is to increase contraceptive prevalence, increase use of the most effective LARC methods, improve correct and consistent use of the less effective methods, and provide easy access to effective back-up methods for use when people make mistakes. Contraceptive prevalence is already high in Europe and it may be difficult to increase it by much. However, non-use contributes significantly to abortion rates. In a French study of 1525 teenagers undergoing abortion, while two-thirds of pregnancies occurred as a result of contraceptive misuse or failure, one-third followed use of no method . In a Spanish survey of 2475 women attending for abortion 36% of women had used no contraceptive at the time of conception , while in a similar study from Italy almost 20% of 1782 women were using no method of contraception .

Better training of providers to educate women and men about the risks of pregnancy and help them to choose the most effective method best suited to their individual circumstances is also required

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