This research examines Filipino couples' attitudes toward the occurrence and timing of their most recent pregnancies. Differences between processes operating in rural and urban areas are highlighted. Specific topics include the role of couples' fertility preferences in predicting the intention status of pregnancies, the effect of personal agency in decision making about contraception and childbearing, and whether women who are better able to communicate with their husbands about sex and related matters are more able than other women to avoid unintended births. These topics are explored through survey data and in‐depth interviews.