TL;DR: Increased patient-physician discussion and education may improve satisfaction with birth control methods now used, and new methods of contraception may be needed to prevent unplanned pregnancies.
Abstract: Contraception is a major component of preventive health care for women. There are indications that women are not satisfied with the methods of birth control currently available. Dissatisfaction with contraceptive methods may lead to unplanned pregnancies. Adult women visiting the family health center over a 1-year period were invited to participate in a research interview. Questions were asked about demographic variables and the womens use of and their satisfaction with contraceptive methods. Many women were displeased with the present methods of birth control. This is reflected in the numerous methods used by each women and by frequent use of permanent sterilization as a contraceptive method. Women were as dissatisfied with oral contraceptives as they were with the less efficacious methods such as condoms foams gels and rhythm. The only methods that has a greater than 70% satisfaction rate were tubal ligations and partners vasectomies. There is significant dissatisfaction with the methods of contraception currently available. Increased patient-physician discussion and education may improve satisfaction with birth control methods now used. New methods of contraception may be needed to prevent unplanned pregnancies. (authors)
TL;DR: Interviews were conducted with 211 single adolescent girls, free of known psychiatric disturbance, who had undergone an elective abortion at a metropolitan municipal hospital, to what extent they were acquainted with birth control methods and had actually attempted to avoid their pregnancy.
Abstract: Interviews were conducted with 211 single adolescent girls, free of known psychiatric disturbance, who had undergone an elective abortion at a metropolitan municipal hospital. Besides providing help for the possible emotional stress connected with their situation, it was learned to what extent they were acquainted with birth control methods and had actually attempted to avoid their pregnancy. Similar data relating to birth control were obtained in interviews with a group of 200 single adolescents pregnant for the first time, and from 50 girls serving as controls who had effectively practiced birth control for at least 6 months. The great majority of the girls came from the same socioeconomic background, close to the subsistence level. The results indicate that about three-fourths of the pregnancies were unintended. Besides the implied external difficulty involved in finding a congenial low-cost birth control clinic, three psychological cognitive mechanisms were uncovered which virtually block the conversion of birth control knowledge into its successful practice. This finding suggests that adolescent out-of-wedlock pregnancies do not exclusively arise from motivational factors.
TL;DR: The recent decline in female adolescent reports of parent-communication about birth control and STDs, and the increase in female teenager reports of no discussion of either topic suggest that public health officials, educators, and clinicians should invigorate their efforts to encourage parents to talk with their children about STDs and birth control.
TL;DR: To estimate the need for family planning services in the psychiatric hospital, attitudinal, informational, and behavioral data relevant to fertility were collected in interviews with 60 consecutive female inpatient admissions, aged 13 to 28, to two state hospitals.
Abstract: To estimate the need for family planning services in the psychiatric hospital, attitudinal, informational, and behavioral data relevant to fertility were collected in interviews with 60 consecutive female inpatient admissions, aged 13 to 28, to two state hospitals. More than two thirds of the sample were sexually active, half had used some birth control method, but only 11 had used birth control on the occasion of last coitus. Seventeen had been pregnant for a total of 26 pregnancies; 15 pregnancies resulted in a live birth, seven were kept by the mothers. Despite the youth of the sample, these histories already suggest high frequencies of contraceptively unprotected coitus, unwanted pregnancy, and unwanted birth. Outcomes tended either to fetal wastage or rejection of the child who then becomes a ward of society.
TL;DR: More than one million teenagers get pregnant each year; six in 10 pregnancies end in live births--the rest in induced or spontaneous abortions.
Abstract: More than one million teenagers get pregnant each year; six in 10 pregnancies end in live births--the rest in induced or spontaneous abortions. More than one-third of the births are out of wedlock. Yet, two-thirds of teenage pregnancies and half of the births are not intended. Some two million teenagers at risk of unintended pregnancy are now using effective birth control methods; but two millions are still denied them.