Document Detail


Family planning and the burden of unintended pregnancies.
MedLine Citation:
PMID:  20570955     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Family planning is hailed as one of the great public health achievements of the last century, and worldwide acceptance has risen to three-fifths of exposed couples. In many countries, however, uptake of modern contraception is constrained by limited access and weak service delivery, and the burden of unintended pregnancy is still large. This review focuses on family planning's efficacy in preventing unintended pregnancies and their health burden. The authors first describe an epidemiologic framework for reproductive behavior and pregnancy intendedness and use it to guide the review of 21 recent, individual-level studies of pregnancy intentions, health outcomes, and contraception. They then review population-level studies of family planning's relation to reproductive, maternal, and newborn health benefits. Family planning is documented to prevent mother-child transmission of human immunodeficiency virus, contribute to birth spacing, lower infant mortality risk, and reduce the number of abortions, especially unsafe ones. It is also shown to significantly lower maternal mortality and maternal morbidity associated with unintended pregnancy. Still, a new generation of research is needed to investigate the modest correlation between unintended pregnancy and contraceptive use rates to derive the full health benefits of a proven and cost-effective reproductive technology.
Authors:
Amy O Tsui; Raegan McDonald-Mosley; Anne E Burke
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review     Date:  2010-06-22
Journal Detail:
Title:  Epidemiologic reviews     Volume:  32     ISSN:  1478-6729     ISO Abbreviation:  Epidemiol Rev     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-07-07     Completed Date:  2010-10-27     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  7910703     Medline TA:  Epidemiol Rev     Country:  United States    
Other Details:
Languages:  eng     Pagination:  152-74     Citation Subset:  IM    
Affiliation:
Population, Family and Reproductive Health Department, Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe Street, W4041, Baltimore, MD 21205, USA. atsui@jhsph.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Contraception Behavior
Cost-Benefit Analysis
Costs and Cost Analysis
Family Planning Services* / economics
Female
HIV Infections / transmission
Health Surveys
Humans
Infectious Disease Transmission, Vertical
Middle Aged
Pregnancy
Pregnancy, Unplanned*
Young Adult
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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