In the United States approximately half of all pregnancies are unplanned, and half of those pregnancies occur in women between ages 16-24 years old (Kavanaugh, Frohwirth, Jerman, Popkin, & Ethier, 2013). This is a significant and important problem. In fact, one of the goals set forth by Healthy People 2020 is to improve the planning of pregnancy and prevent unplanned pregnancies (United States Department of Health and Human Services, 2014). Each year unplanned pregnancies cost taxpayers in the United States approximately $9.6 billion to 12.6 billion (Trussell et al., 2013). If more women were provided or had access to more reliable contraceptive methods, theoretically these costs could be prevented (Trussell et al., 2013). This can be achieved
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The Centers for Disease Control recommends increasing the access to long acting reversible contraceptives as a way to decrease the number of unplanned pregnancies (Centers for Disease Control and Prevention, 2015). In addition, the American College of Obstetricians and Gynecologists states LARCs are safe and appropriate to use in adolescents and nulliparous women (American College of Obstetricians and Gynecologists, 2011). In spite of these recommendations nearly all providers provide oral contraceptive pills, 9% and condoms, which has a failure rate of 9% and 18% respectively; while fewer offer intrauterine devices or implants, which have failure rates of less than 1% (Harper et al., 2015). In teenagers and other high-risk groups, the failure rate of oral contraceptive pills is even higher, 13% and 30% respectively (Winner et al., 2012). In comparison, to short acting reversible contraceptives such as oral contraceptive pills, the patch, and the ring, LARCs are not user-dependent, which accounts for the lower failure rates (Winner et al., 2012). In countries such as France and the United Kingdom that have a higher rate of usage of LARCs, they have fewer unplanned pregnancies than the United States (Winner et al., 2012). Intrauterine devices are usually offered to women who have had children and are married instead of young women who are at the highest …show more content…
The databases that were searched included: The Cochrane Library, CINAHL, and MEDLINE with Full Text. The keywords and MeSH terms that were used were unplanned pregnancy, unwanted pregnancy, intrauterine device, implant, and long active reversible contraceptives. Furthermore, articles that included the terms adolescent, teen, and young adult were included. The literature review excluded articles published prior to 2010 and those that did not include the target group, women between the ages of 16-24. Pertinent information was also found from the American College of Obstetricians and Gynecologist, Centers for Disease Control, and United States Health and Human Services websites. One study found was a cluster-randomized trial, three were prospective cohort studies, and the final study was a descriptive
The Centers for Disease Control recommends increasing the access to long acting reversible contraceptives as a way to decrease the number of unplanned pregnancies (Centers for Disease Control and Prevention, 2015). In addition, the American College of Obstetricians and Gynecologists states LARCs are safe and appropriate to use in adolescents and nulliparous women (American College of Obstetricians and Gynecologists, 2011). In spite of these recommendations nearly all providers provide oral contraceptive pills, 9% and condoms, which has a failure rate of 9% and 18% respectively; while fewer offer intrauterine devices or implants, which have failure rates of less than 1% (Harper et al., 2015). In teenagers and other high-risk groups, the failure rate of oral contraceptive pills is even higher, 13% and 30% respectively (Winner et al., 2012). In comparison, to short acting reversible contraceptives such as oral contraceptive pills, the patch, and the ring, LARCs are not user-dependent, which accounts for the lower failure rates (Winner et al., 2012). In countries such as France and the United Kingdom that have a higher rate of usage of LARCs, they have fewer unplanned pregnancies than the United States (Winner et al., 2012). Intrauterine devices are usually offered to women who have had children and are married instead of young women who are at the highest …show more content…
The databases that were searched included: The Cochrane Library, CINAHL, and MEDLINE with Full Text. The keywords and MeSH terms that were used were unplanned pregnancy, unwanted pregnancy, intrauterine device, implant, and long active reversible contraceptives. Furthermore, articles that included the terms adolescent, teen, and young adult were included. The literature review excluded articles published prior to 2010 and those that did not include the target group, women between the ages of 16-24. Pertinent information was also found from the American College of Obstetricians and Gynecologist, Centers for Disease Control, and United States Health and Human Services websites. One study found was a cluster-randomized trial, three were prospective cohort studies, and the final study was a descriptive