Unintended Pregnancy Fact Sheet Wyoming, 2012-2015 2 0 1 8 Unintended Pregnancy
Unintended pregnancy is Fast Facts: defined by the Centers for Figure 1. Proportion of pregnancies that were unintended among Wyoming women. WY PRAMS 2007-2015* Data from 2012 Disease Control and - 2015 report Prevention (CDC) as a Unintended Unsure that about one mistimed, unplanned, or 60 third (31%) of unwanted pregnancy at the births in time of conception.1 50 Wyoming 16.6 14.2 44.4 16.2 16.1 during this The Guttmacher Institute 40 42.4 period were the 40.2 estimates that in 2010, 37.3 36.0 30 result of an unintended pregnancy cost 33.1 33.0 unintended 29.1 29.6 pregnancy. US tax payers $ 21 billion Percent Unintended 20 dollars, or $ 336 per 10 - - - - - women age 15-44, in the country. In Wyoming, the 0 Unintended 2007 2008 2009 2010 2011 2012* 2013* 2014* 2015* pregnancy cost total cost (2010) was US taxpayers estimated to be $ 21.3 Year $ 21 billion in million, or $ 519 per * In 2012, the WY PRAMS survey question regarding pregnancy intendedness added the 2010. In woman.2 option “Unsure”. Data from 2007-2012 are not comparable to data from 2012 and later. Wyoming The Healthy People 2020 (2010), an Maternal CDC Recommendations1 estimated 3 target for the nation is to 4 $ 21.3 million Characteristics increase the proportion of The CDC recommends women could have been pregnancies that are intend- A number of characteristics of reproductive age prevent saved if all pregnancies ed from 51.0% (2002) to are associated with unintended pregnancy by: unintended pregnancies on during that 56.0% (2020). Discussing pregnancy with period were the national level. Analysis Unintended Pregnancies their health care provider intended.2 of Wyoming PRAMS data in Wyoming Using effective confirmed that these charac- contraception correctly - - - - - PRAMS aggregate data from teristics were also associated Unplanned pregnancies are 2012 - 2015 show that 31.2% with unintended births in Negative health associated with increased of live births in Wyoming Wyoming. behaviors are health risks for both the associated with were the result of unintend- unintended ed pregnancies and 15.8% of Women more often report mother and the infant. To pregnancy women indicated that they that their pregnancy is mitigate some of these including were not sure what they unintended if they are: negative outcomes, the CDC delayed wanted. No significant recommends all women of prenatal care, a Young (<20 years) reproductive age engage in reduction of difference was observed From a racial preconception health breastfeeding across the 4-year span for minority group initiation, and including: either response (Figure 1). Nulliparous (never smoking during given birth) Taking folic acid daily pregnancy.3 PRAMS data includes only live births and does not Unmarried Maintaining a healthy diet and include deliveries to women Have ≤ 12 years of weight education who had a miscarriage, a Being physically active Enrolled in WIC and/or fetal death, or who chose to Quitting tobacco use Medicaid during their No alcohol and drug use have an abortion. pregnancy
Health Behaviors and Unintended Pregnancy
Unintended pregnancy is Long-term consequences for Women who had an unintended associated with a variety of children include low birth weight pregnancy were less likely to negative health behaviors. and birth defects.1 Children may initiate breastfeeding (87.5% v. Compared to women who also have lower developmental 92.2%), use a multivitamin prior intended to become pregnant, scores and experience poorer to pregnancy (33.8% v. 65.6%), women who have an unintended mental and physical health later or begin prenatal care in the first pregnancy are less likely to: in life.5 trimester (83.6% v. 92.6%) as compared to those with an Initiate breastfeeding Wyoming Data intended pregnancy. Take folic acid or multivita- Similar associations between mins prior to pregnancy They were also more likely to intended and unintended preg- smoke during their pregnancy Receive prenatal care during nancies and health behaviors the first trimester (21.3% v. 7.5%) when compared were observed in Wyoming to women with intended births. Abstain from smoking (Figure 2, below). during pregnancy
Figure 2. Health Behaviors by Pregnancy Intention, WY PRAMS 2012-2015
Intended Unintended Unsure
100
75
50 92.2 92.6 87.5 86.6 83.6 87.9 65.6
Percent of Women 25 33.8 32.1 21.3 23.0 0 7.5 Breastfed (ever) Multivitamin Use Prior to First Trimester Prenatal Care Smoke During Pregnancy Pregnancy Health Behaviors
What is PRAMS? The Wyoming Pregnancy Risk Assessment Monitoring System (PRAMS) is a surveil- lance project of the Wyoming Department of Health and the Centers for Disease Con- trol and Prevention (CDC). Wyoming PRAMS collects Wyoming-specific, population- based data on maternal attitudes and experiences before, during and shortly after pregnancy. The goal of the PRAMS project is to improve the health of mothers and Public Health Division infants by reducing adverse outcomes such as low birth weight, infant mortality and Wyoming Department of Health morbidity, and maternal morbidity. 6101 Yellowstone Road, Suite 420 To learn more about Wyoming PRAMS, visit our website: Cheyenne, WY 82002
https://health.wyo.gov/publichealth/chronic-disease-and-maternal-child-health- Phone: (307) 777-6004 epidemiology-unit/mch-epi/pregnancy-risk-assessment-monitoring-system-prams/ Fax: (307) 777-8687
E-mail: [email protected]
References:
1. Centers for Disease Control and Prevention, Unintended Pregnancy Prevention, Accessed: 10/08/2016 at http://www.cdc.gov/reproductivehealth/unintendedpregnancy/
2. Sonfield A and Kost K. (2015). Public Costs from Unintended Pregnancies and the Role of Public Insurance Programs in Paying for Pregnancy-Related Care: National and State Estimates for 2010. New York: Guttmacher Institute, 2015.
3. Office of Disease Prevention and Health Promotion. Healthy People 2020. Accessed 01/30/2018 at https://www.healthypeople.gov/2020/topics-objectives
4. Finer LB and Zolna MR. (2011). Unintended pregnancy in the United States: Incidence and disparities, 2006. Contraception. 84(5):478-485.
5. de La Rochebrochard E and Joshi H. (2013). Children Born After Unplanned Pregnancies and Cognitive Development at 3 Years: Social Differentials in the United Kingdom Millennium Cohort, 2013. American Journal of Epidemiology. 178(6):910-920.