Reassessing Unintended Pregnancy

Morse, Jessica E.; Ramesh, Shanthi; Jackson, Andrea V.

doi:10.1016/j.ogc.2016.10.003

Cited by 33 publications

(30 citation statements)

References 45 publications

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“…In these contexts, the results of this study can be explained and fit into tiered[14] and rights-based[15] and patient-centered themes. [16, 17] “A study in North Carolina found that oral contraceptive users, who had no intention of using LARC, gave it a try. As it turned out, they had overall positive experiences and avoided unintended pregnancy, as a whole, much better than if they had just stayed with the pill.…”

Section: Discussionmentioning

confidence: 99%

Not seeking yet trying long-acting reversible contraception: a 24-month randomized trial on continuation, unintended pregnancy and satisfaction

et al. 2018

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Section: Discussionmentioning

confidence: 99%

Not seeking yet trying long-acting reversible contraception: a 24-month randomized trial on continuation, unintended pregnancy and satisfaction

et al. 2018

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“…Holding women accountable in this way elides structural or institutional forces that shape their access to reproductive health services. This, in turn, contributes to the stigmatization of fertility among women who experience greater incidence of unintended pregnancy, including teens and women of color [24,25].…”

Section: Problems With Unintended Pregnancymentioning

confidence: 99%

Challenging unintended pregnancy as an indicator of reproductive autonomy

et al. 2019

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“…An approach to questioning which allows for (and does not invalidate) ambivalence and cognitive dissonance has been advocated [4]. We believe this is important for clinicians delivering remote area health services to Aboriginal people, and for clinicians working in reproductive health more broadly.…”

Section: Discussionmentioning

confidence: 99%

“…A third of pregnancies in Australia are estimated to be unintended [3]. At a population level, the rate of unintended pregnancy is sometimes used as a surrogate marker for women’s reproductive autonomy and access to health services [4]. At an individual level, assessment of pregnancy intention is important for the provision of appropriate contraceptive services and timely preconception care.…”

Section: Introductionmentioning

confidence: 99%

Pregnancy intentions in a group of remote-dwelling Australian Aboriginal women: a qualitative exploration of formation, expression and implications for clinical practice

et al. 2019

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Background Unintended pregnancies are associated with poorer obstetric outcomes and are sometimes measured at a population level as a surrogate marker for reproductive autonomy and access to health services, including contraception. Aboriginal Australians face many disparities in health outcomes, including in reproductive health and antenatal care. We aimed to explore the formation and expression of pregnancy intentions in an Aboriginal population to inform health service improvements. Methods Semi-structured interviews were conducted with 27 remote-dwelling Aboriginal women, aged 18–49 years. Content analysis was conducted; key themes were discussed with groups of women from participating communities to refine interpretation. Results Most (19/27) participants expressed pregnancy intentions congruent with reported contraceptive behaviour while eight expressed ambivalent or uncertain intentions. Intentions were shaped by traditional kinship practices, reproductive autonomy and desired family formation. Younger women tended to aspire to smaller family sizes than older women and support was expressed for the postponement of first pregnancy to achieve other life goals. Women in these communities hold strong traditional beliefs, including regarding conception, but did not use traditional methods of contraception in place of modern methods. Reproductive coercion, in the form of pressure to fall pregnant, was recognised as an important issue by women in the community. Conclusion Consultation strategies that promote rapport, allow space for uncertainty and are inclusive of important personal and cultural contexts are likely to improve shared understanding of pregnancy intention. Universal screening for reproductive coercion and broad counselling on contraceptive options (including discrete methods) may reduce unmet need for contraception. Community approaches supporting reproductive autonomy that is inclusive of men, and enhanced educational and occupational opportunities for young women are needed.

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Reassessing Unintended Pregnancy

Cited by 33 publications

References 45 publications

Not seeking yet trying long-acting reversible contraception: a 24-month randomized trial on continuation, unintended pregnancy and satisfaction

Not seeking yet trying long-acting reversible contraception: a 24-month randomized trial on continuation, unintended pregnancy and satisfaction

Challenging unintended pregnancy as an indicator of reproductive autonomy

Pregnancy intentions in a group of remote-dwelling Australian Aboriginal women: a qualitative exploration of formation, expression and implications for clinical practice

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