Review
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World J Obstet Gynecol. Aug 10, 2014; 3(3): 118-123
Published online Aug 10, 2014. doi: 10.5317/wjog.v3.i3.118
Unwanted pregnancies, unwanted births, consequences and unmet needs
Shakuntala Chhabra, Naina Kumar
Shakuntala Chhabra, Naina Kumar, Department of Obstetrics Gynaecology Mahatma Gandhi, Institute of Medical Sciences Sevagram, Wardha 442102, Maharashtra, India
Author contributions: Chhabra S and Kumar N equally contributed to this paper.
Correspondence to: Shakuntala Chhabra, Director, Professor, Department of Obstetrics Gynaecology Mahatma Gandhi, Institute of Medical Sciences Sevagram, Rest House, Sevagram, Wardha 442102, Maharashtra, India. chhabra_s@rediffmail.com
Telephone: +91-7152-284341 Fax: +91-7152-284286
Received: April 1, 2014
Revised: May 9, 2014
Accepted: July 25, 2014
Published online: August 10, 2014
Processing time: 172 Days and 8 Hours
Abstract

Worldwide women have to cope up with heavy burden of unwanted pregnancies, mistimed, unplanned, with risk to their health. Their children and families also suffer. Such pregnancies are root cause of induced abortions (safe/unsafe) and grave consequences. Women, their partners can, for most part, prevent unwanted pregnancies by using contraceptives. However many women either do not use any contraceptive or use methods, with high failure rates. These women account for 82% of pregnancies that are not desired. Remaining unintended pregnancies occur among women who use modern contraceptive, either because they had difficulty using method consistently or because of failure. Helping women, their partner use modern contraceptives effectively is essential in achieving Millennium Development Goals for improving women’s health, reducing poverty. If all women in developing countries use modern contraceptives, there would be 22 million less unplanned births, 25 million fewer induced, 15 million fewer unsafe abortions, 90000 less maternal deaths and 390000 less children losing their mothers. Also making abortion services broadly legal, by understanding size, type of unmet needs, most important by creating awareness in communities can surely help tackle this problem to a large extent.

Keywords: Contraception; Induced abortion; Pregnancy; Unmet need; Unsafe abortion

Core tip: Unintended pregnancies are the root cause of induced abortions, both safe and unsafe, and their grave consequences all over the world. The high rates of unintended pregnancies all over the world are due to many reasons, including unmet needs of modern contraceptives. This article throws light on issues of unmet needs of contraception, unintended births their consequences and rates of unsafe abortions and their reasons all over the world.