Increasing use of Long-Acting Reversible Contraception to Decrease Unplanned Pregnancy
Lotke, P.S.
Obstetrics and Gynecology Clinics of North America 42(4): 557-567
2015
ISSN/ISBN: 1558-0474 PMID: 26598299 DOI: 10.1016/j.ogc.2015.07.008Document Number: 640989
Unintended pregnancy remains high in the United States, accounting for one-half of pregnancies. Both contraceptive nonuse and imperfect use contribute to unplanned pregnancies. Long-acting reversible contraception (LARC) have greater efficacy than shorter acting methods. Data from large studies show that unplanned pregnancy rates are lower among women using LARC. However, overall use of LARC is low; of the reproductive age women using contraception, less than 10% are LARC users. Barriers include lack of knowledge and high up-front cost, and prevent more widespread use. Overcoming these barriers and increasing the number of women using LARC will decrease unplanned pregnancies and abortions.
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