In 12 studies, women expressed anxiety and ambivalence regarding its use due to mistrust, worry and a lack of confidence in these products (Campo et al., 2010 Chernick et al., 2015 Falk et al., 2010 Gomez et al., 2020 Gunson, 2010Gunson,, 2016Hollá et al., 2011 Johnson et al., 2013 Newton and Hoggart, 2015 Sundstrom, 2012 Walker, 2012 Whittaker et al., 2010). Understanding of the factors contributing to successful contraceptive practice is essential to prevention of unintended pregnancy.Ĭopyright © 2014 Elsevier Inc. Barely a quarter of such decisions were influenced by medical staff.Įffective strategies to aid contraceptive adherence have proved elusive but, if found, could reduce unplanned pregnancy rates appreciably. Women discontinued or changed their contraceptive method for reasons of ease of use, reliability, side effects or concerns over health effects. Compared with continuous users, stoppers and switchers were younger, better educated and more likely to be single. We carried out a baseline survey followed by three further waves, exploring patterns of contraceptive use, characteristics of women experiencing each, and reasons for discontinuation and change.Ī percentage of 3.7 of women were at risk of unplanned pregnancy and discontinued and/or changed a contraceptive method in a year, compared with 4.7% who were at risk of unplanned pregnancy and used no method. Prospective cohort study of 1091 potentially fertile women aged 18-49, carried out during 2008, using a sample drawn from the Health Survey for England 2006, a random probability survey of health. The aims of the Contessa study were to estimate the prevalence of and reasons for discontinuation and change and to assess the implications for preventive intervention. Discontinuation of, and change in, use of contraceptive methods contributes to high unplanned pregnancy rates.
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