Unintended pregnancy and postpartum contraceptive use in women with and without chronic medical disease who experienced a live birth

Chor, Julie; Rankin, Kristin; Harwood, Bryna; Handler, Arden

doi:10.1016/j.contraception.2010.11.018

Cited by 55 publications

(43 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Unintended pregnancy accounts for 50 % of all pregnancies in the USA [11], and this rate is higher among women with chronic diseases [12][13][14]. Women with chronic disease are more likely to terminate an unintended pregnancy [15,16] compared to matched control subjects.…”

Section: Discussionmentioning

confidence: 97%

Reproductive health and endocrine disruption in women with breast cancer: a pilot study

Patel

Radeke

et al. 2014

Support Care Cancer

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 97%

Reproductive health and endocrine disruption in women with breast cancer: a pilot study

Patel

Radeke

et al. 2014

Support Care Cancer

View full text Add to dashboard Cite

show abstract

“…2–14 In addition, women with chronic diseases are more likely to report that their pregnancies are unintended compared to women without chronic diseases. 15 Unintended pregnancies carry their own increased risks for preterm delivery and premature rupture of membranes compared to intended pregnancies. 16 …”

Section: Introductionmentioning

confidence: 99%

Chronic Diseases and Use of Contraception Among Women at Risk of Unintended Pregnancy

Phillips-Bell

Sappenfield

Robbins

et al. 2016

Journal of Women's Health

View full text Add to dashboard Cite

Background Women with chronic diseases are at increased risk of having unintended pregnancies. Little is known whether chronic diseases are associated with increased likelihood of effective/highly effective contraceptive use. Methods We analyzed 2008–2010 Florida Behavioral Risk Factor Surveillance System data for women aged 18–44 years who were at risk of unintended pregnancy. Multivariable Poisson regression estimated adjusted prevalence ratios (aPRs) and 95% confidence intervals (CIs) for contraceptive use in relation to diabetes, cardiovascular disease (CVD), and current asthma. We assessed the association of chronic disease status with use of three different contraception outcomes: (1) any method versus none, (2) less effective methods (methods associated with ≥10 unintended pregnancies/100 women/year) versus none, and (3) effective/highly effective methods (<10 unintended pregnancies/100 women/year) versus none. Results Among 4473 women at risk for unintended pregnancy, 87% were using any method of contraception (22.5% less effective methods and 64.5% effective/highly effective methods). Women with CVD were more likely than those without CVD to use any contraception (aPR = 1.09, 95% CI: 1.04, 1.15), less effective (aPR = 1.39, 95% CI: 1.13, 1.70), and effective/highly effective (aPR = 1.10, 95% CI: 1.03, 1.19) contraception. Women with diabetes were more likely to use less effective methods than women without diabetes (aPR = 1.34, 95% CI: 1.05, 1.72). No significant associations were observed for asthma, regardless of contraceptive effectiveness. Conclusions Self-reported use of effective/highly effective contraception was higher than nonuse or use of less effective methods among all women at risk of unintended pregnancy, but could be improved, especially among women with chronic diseases.

show abstract

“…Women with chronic medical conditions are more likely than women without chronic conditions to report that their pregnancy was unintended(1) and unintended pregnancy rates as high as 50–60% have been reported in this population(2–4). Unintended pregnancy has significant implications for women with many chronic conditions given their higher risk for pregnancy-related maternal and fetal complications, including congenital heart defects in diabetes mellitus(5), stillbirth in rheumatoid arthritis(6), and pre-eclampsia in women with asthma(7).…”

Section: Introductionmentioning

confidence: 99%

“…(8–13) Prior studies examining the relationship between chronic conditions and contraceptive use have yielded inconsistent results(1, 14–18) and have been limited by their use of cross-sectional, retrospective(14) and self-reported data(14, 16, 17). Some studies focusing on single diseases, such as diabetes mellitus, have reported lower rates of receipt of contraceptive counseling, prescriptions, or services among women with these conditions.…”

Section: Introductionmentioning

confidence: 99%

Receipt of Prescription Contraception by Commercially Insured Women With Chronic Medical Conditions

Denoble

Hall

et al. 2014

Obstetrics &Amp; Gynecology

View full text Add to dashboard Cite

Objective To assess differences in receipt of prescription contraception among women with and without chronic medical conditions. Methods This observational study used 3 years of administrative claims records for insured women aged 21–45 years who were enrolled in a commercial insurance company in Michigan between 2004 and 2009. Women were considered to have a chronic medical condition if they had at least two claims for one of the following conditions, in order of prevalence in our study population: hypertension, asthma, hypothyroidism, diabetes, obesity, rheumatoid arthritis, inflammatory bowel disease, or systemic lupus erythematosus. Our primary outcome was receipt of prescription contraception, defined by a pharmacy claim or diagnostic or procedural code. We used multivariable logistic regression to estimate the association of chronic condition status with the odds of receiving prescription contraception within 3 years, adjusting for age, community-level socioeconomic status, total outpatient visits, and cervical cancer screening. Results Of 11,649 women studied, 16.0% (n=1,862) had at least one of the chronic conditions we considered. Of those with a chronic condition, 33.5% (n=623) received prescription contraception during the 3-year study period compared to 41.1% (n=4,018) of those without a chronic condition (p<0.001). After adjusting for covariates, women with a chronic condition remained less likely than women without a chronic condition to have received prescription contraception (adjusted odds ratio=0.85; 95% CI 0.76, 0.96; p=0.010). Conclusion Despite a greater risk for adverse outcomes with an unplanned pregnancy, women with these chronic conditions were less likely to receive prescription contraception.

show abstract

Unintended pregnancy and postpartum contraceptive use in women with and without chronic medical disease who experienced a live birth

Cited by 55 publications

References 19 publications

Reproductive health and endocrine disruption in women with breast cancer: a pilot study

Reproductive health and endocrine disruption in women with breast cancer: a pilot study

Chronic Diseases and Use of Contraception Among Women at Risk of Unintended Pregnancy

Receipt of Prescription Contraception by Commercially Insured Women With Chronic Medical Conditions

Contact Info

Product

Resources

About