Use policyThe full-text may be used and/or reproduced, and given to third parties in any format or medium, without prior permission or charge, for personal research or study, educational, or not-for-prot purposes provided that:• a full bibliographic reference is made to the original source • a link is made to the metadata record in DRO • the full-text is not changed in any way The full-text must not be sold in any format or medium without the formal permission of the copyright holders.Please consult the full DRO policy for further details. To investigate the causes of unintended pregnancies and in particular, reasons for non-use of contraception among young women attending a day unit for surgical abortion.
Methods:Women between the ages of 16 and 20 attending a day unit at a hospital in the north of England who were due to have, or had recently had, a surgical abortion were interviewed about their knowledge of and views on contraception, sex education, and sexual health services. Twenty-four young women were interviewed, 22 on the day unit, one in her home and one over the phone, after the abortion. Interviews were recorded with the consent of the interviewees and fully transcribed. Transcripts were analysed using a grounded theory approach.
Results:The most common reasons for non-use of contraception related to forgetting or "not thinking", being "in the moment" (i.e.,being "in the mood", not wishing to "break a spell"), the influence of alcohol, and pressure from young men not to use condoms. Lack of knowledge was rarely cited as a reason.
Conclusions:Young people are aware of the need to use contraception, and knowledgeable about its availability; however, they often do not think about using it, especially where sex is unplanned. Alcohol and being "in the moment" are key factors which diminish the likelihood of contraceptive use.