Unintended PregnancyWest Virginia 1996 - 2006

Melissa A. Baker, M.A.

Office of Maternal, Child and Family Health

WV Bureau for Public Health

2

PRAMS Background

CDC funded in 1987 and data collection began in 1988 to target infant mortality

Currently 75% of all births nationwide represented by PRAMS

3

PRAMS Methodology

Population based surveillance system designed to monitor maternal experiences and behaviors before, during and after pregnancy

Use mail and phone methods to survey mothers who recently gave birth

Stratified sample of women with recent live birth drawn each month from birth certificate records

4

Unintended Pregnancy

Thinking back to just before you got pregnant with your new baby, how did you feel about becoming pregnant?• I wanted to be pregnant sooner

• I wanted to be pregnant later

• I wanted to be pregnant then

• I didn’t want to be pregnant then or at any time in the future

5

%Unintended Pregnancies and Unmarried Pregnancies

1996-2006 42 42

3740 42

4742 44 44 42 43

32 32 32 32 33 33 34 35 36 38 39

0

10

20

30

40

50

'96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06

Wanted Later or Not At All Unmarried

6

%Unintended Pregnancy by Maternal Age

0

20

40

60

80

'96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06

Mom <20 Mom 20-29 Mom >30

7

%Unintended Pregnancy by Maternal Education

010203040506070

'96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06

<12 years 12 years 13-15 years >=16 years

8

%Unintended Pregnancy by Delivery Payor Source

0

20

40

60

80

'96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06

Delivery Paid by MedicaidDelivery Paid by Other Source

9

%Unintended Pregnancy by Marital Status

0

20

40

60

80

'96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06

All unintended pregnancies Married Other

10

%Unintended Pregnancy by Maternal Age & Marital Status

48

68

31

62

29

46

0

20

40

60

80

'06

<20 Married <20 Other 20-29 Married 20-29 Other >30 Married >30 Other

11

Conclusions

West Virginia PRAMS data confirm our long held beliefs that a greater number of unintended pregnancies are reported among women who are: younger, unmarried, lower education level and lower income level.

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What is Family Planning?

Family Planning (FPP) provides individuals the information and means to exercise personal choice in determining the number and spacing of their children.

13

Services Provided by Family Planning:

Pregnancy testingMedical historyComplete physical examOverview of all contraceptive optionsLaboratory servicesDiagnosis and treatment of STD’sContraceptive suppliesEducation and counseling Referral for identified medical problems

February 4, 2008

WV Family Planning Program Clinics

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Family Planning Clients Served in 2007

Women: 54,588

Men: 2,212

Adolescents:15,808

Total unduplicated clients: 56,800