- The majority of unplanned adolescent pregnancies result from lack of contraception.
Why this matters
- 50% of unintended pregnancies occur in adolescent women worldwide.
- Many of these unintended adolescent pregnancies end in unsafe abortions; adolescents are more likely to pursue abortions from untrained providers or to have a self-induced abortion compared with older women.
- 72.2% used no contraception within the last 5 years.
- Of those using contraception, pregnancy occurred because of failure of:
- Traditional methods: 5.1%;
- Short-acting modern methods: 7.2%; and
- Long-acting modern methods: 0.1%.
- For those who discontinued medications at any time in the last 5 years:
- 2% discontinued traditional methods,
- 13.2% discontinued short-acting modern methods, and
- 0.4% discontinued long-acting modern methods.
- Reasons for discontinuation included failure, side effects, health concerns.
- Living in a rural area (P<.05 and no education were associated with contraception nonuse.>
- Cohort taken from the Demographic and Health Survey program, a representative household survey carried out in over 90 low- and middle-income countries since 1984.
- Women between ages 15 and 19 years with an unintended pregnancy were identified (n=2173).
- Reasons for discontinuing contraception were abstracted.
- Funding: None.
- Not all reasons for discontinuation captured.