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young womanUnintended Pregnancy

PRAMS and Unintended Pregnancy
According to the 1995 National Survey of Family Growth, 49% of all pregnancies in the United States and 31% of pregnancies resulting in a live birth are unintended. Recent data from PRAMS show that these rates may not be declining in all states.

Unintended Pregnancy Among Adult Women Exposed to Abuse or Household Dysfunction During Their Childhood *
Studies have identified childhood sexual and physical abuse as a risk factor for adolescent pregnancy but the relationship between exposure to childhood abuse and unintended pregnancy in adulthood has, to our knowledge, not been studied. The objective of this study was to assess whether unintended pregnancy during adulthood is associated with exposure to psychological, physical, or sexual abuse or household dysfunction during childhood. The study indicates that there may be a dose-response association between exposure to childhood abuse or household dysfunction and unintended first pregnancy in adulthood. Additional research is needed to fully understand the causal pathway of this association. Source: JAMA. 1999;282:1359-1364.

Insurance coverage of unintended pregnancies resulting in live-born infants
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In the United States during 1994, approximately 49% of all pregnancies, excluding miscarriages, were unintended. Unintended pregnancy can result in adverse health outcomes that affect the mother, infant, and family. Little is known about the distribution of unintended pregnancy with respect to the payment source for health care. In the absence of data for periconceptional payment source for health care, prenatal-care payment source is used as a surrogate. To develop recommendations to reduce unintended pregnancy, CDC analyzed insurance coverage-specific prevalences of live-born infants from unintended pregnancies among women aged 20-34 years using data from the Pregnancy Risk Assessment and Monitoring System (PRAMS) for 1996 (the most recent year for which data are available). This report summarizes the results of this analysis, which indicates that the highest rates of unintended pregnancy occurred among women covered by Medicaid, with lower rates among women covered by health-maintenance organizations (HMOs) or private insurance. Source: MMWR, February 12, 1999/Vol.48/No.5.

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This page last reviewed August 20, 2004.

United States Department of Health and Human Services
Centers for Disease Control and Prevention

National Center for Chronic Disease Prevention and Health Promotion
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