Joerg Dreweke ,Guttmacher Institute First published online: December 9, Among the many storylines coming out of the November midterm elections are two centered on birth control.
Women Having Abortions in Rachel K. Jones,Guttmacher Institute Stanley K. Henshaw First published online: November 1, DOI: Knowing the extent to which contraceptive nonuse, incorrect or inconsistent use, and method failure account for unintended pregnancies ending in abortion, as well as reasons for nonuse and imperfect use, can help policymakers and family planning providers support effective contraceptive use.
Contraceptive use patterns among a nationally representative sample of 10, women receiving abortion services in were examined, as well as reasons for nonuse, problems with the most frequently used methods and the impact emergency contraceptive pills have had on abortion rates.
As many as 51, abortions were averted by use of emergency contraceptive pills in Women and men need accurate information about fertility cycles and about the risk of pregnancy when a contraceptive is not used or is used imperfectly.
Increased use of emergency contraceptive pills could further reduce levels of unintended pregnancy and abortion. Perspectives on Sexual and Reproductive Health,34 6: Approximately one-half of unintended pregnancies end in abortion.
It is unknown, however, what proportion of pregnancies among method users were due to inconsistent or incorrect contraceptive use and what proportion were accounted for by method failure.
In this article, we describe the extent to which contraceptive nonuse, problems with contraceptive use and failure of contraceptive methods account for unintended pregnancies ending in abortion in the United States. We also examine variations in these three factors among subgroups of women.
Data for the analyses come from a national survey of women having abortions, conducted by The Alan Guttmacher Institute AGI in It also includes information on use of emergency contraceptive pills, from which we estimate the impact of emergency contraception on abortion levels since METHODS Data Collection We used a self-administered questionnaire to gather information about social and demographic characteristics and contraceptive practices from a representative sample of women obtaining abortions.
We provide below an overview of the data collection method; procedures of sampling and weighting are described in detail elsewhere. We computed multistage weights to compensate for differential nonresponse in specific facilities and among subgroups of women, as well as for deviations from the original sampling plan.
It included a description of the purpose of the survey, as well as an explanation that participation was voluntary, confidential and anonymous, and would not affect the services that the woman would receive. Women were asked what contraceptive method, if any, they had last used before finding out they were pregnant, for how long they had been using that method and when they had stopped using it.
Included in this category were women who had started using a method before becoming pregnant and had stopped after the month of conception. If the month of conception was unknown, a woman was considered a user if she had been using a method up to one month before the abortion, and a nonuser if she had stopped using a method at least three months before the abortion.
These women were classified as users if, in response to another question, they reported the use of a method during the month they became pregnant. Women who had used oral contraceptives or barrier methods in the month that they had become pregnant were asked to indicate their perceived reason for the pregnancy from a list of potential reasons.
The list included an opportunity to write in other reasons, as well as the option of indicating "I used it perfectly, but the method failed. Statistical Analysis We present data that were weighted to be nationally representative of women having abortions during the month study period.
We used t-tests to determine whether subgroups differed significantly from one another in their contraceptive method use, perceived reasons for nonuse and perceived reasons for pregnancy while using the pill or condom.
Tests of significance were performed using STATA version 7, which took into account the clustering and weighting of the sample. We used SPSS version The distribution of women having abortions by contraceptive method used is a function not only of the contraceptive use pattern of all women, but also of the rate of accidental pregnancy among method users the use-failure rate and of the proportion of women with accidental pregnancies who have abortions.
Pill users were underrepresented among women having abortions, whereas women using condoms and withdrawal were overrepresented. These patterns reflect the fact that women using oral contraceptives are more successful in avoiding accidental pregnancy than are those who rely on barrier or nonprescription methods.
Decreases in income and education are associated with increased contraceptive nonuse: Union status was barely associated with nonuse of contraception. Women who were the most likely to be nonusers were also the most likely never to have used a contraceptive method.
In these analyses, adolescents were as likely as women aged 30 or older to have been using no method when they became pregnant; differences in nonuse by poverty status also disappeared.
However, the likelihood of nonuse was higher among nonwhites and Hispanics than among whites odds ratios, 1. In addition, women who were divorced, separated or widowed had a higher likelihood than married women of not having used a contraceptive method when they became pregnant 1.
Slightly more than one in five women had been ambivalent about contraception. One-third of nonusers indicated multiple categories of reasons for not having used a method.Abortion should be banned because too many babies are being killed from abortion, baby’s have been reported to survive abortions, and if you don't want a child or you don’t feel you could raise it you could always put it up for adoption.
We have fought to ensure that US tax dollars were not used to perform or promote abortions overseas. We have worked to secure legislation that allows prosecutors to charge those who harm or kill a pregnant woman, with harming or .
The good news is that the abortion rate for women under 18 has gone down. There was a per cent decrease in the rate between and ‘On repeat abortions, the news is not so good. The proportion of repeat abortions for women who had abortions in .
If a particular federal or state abortion restriction should apply to this method of contraception, then there is no reason why the gamut of federal and state abortion restrictions should not apply to it as well—or, for that matter, why all abortion policies should not apply to .
Regarding the protester who said she has had two abortions: If you undergo one abortion, should that not be your last? Regarding the protester who said she has had two abortions: If you undergo.
Fetal tissue from induced abortions should not be used in medical research without the prior consent of the pregnant woman. Her consent to donate fetal remains is sufficient for the use of fetal tissue.