How Effective are Contraceptives in Preventing unwanted pregnancies?

Contraception plays an important role for women all over the world by controlling the pace and frequency of childbirth. Family planning can also help reduce the incidence of unintended pregnancies, which are associated with adverse outcomes such as low birth weight, preterm birth, and neonatal mortality (Gipson et al., 2008).  


For those who have not yet decided to have children, contraception can prevent pregnancies and accommodate whatever lifestyle women choose. But how effective really is contraception  for the women who use family planning methods and what does the research say?


 In this article, we will explore the effectiveness of contraception in preventing unplanned pregnancies, examining the latest research findings and clinical evidence.  


For most women, unintended pregnancies can lead to adverse health outcomes, including increased risk of complications during pregnancy and in some cases maternal mortality. Additionally, unplanned pregnancies may limit educational and career opportunities, perpetuating generational cycles of poverty. This inability to earn an income leaves women vulnerable and open to exploitation which may cause a strain on interpersonal relationships (Moreau et al., 2014). Contraception plays a crucial role in addressing these challenges by providing individuals with the means to prevent unwanted pregnancies and plan their reproductive futures.  


For pregnancy prevention various contraceptive methods are available, each offering different levels of effectiveness in preventing pregnancy. The effectiveness of a contraceptive method is typically measured by its typical use failure rate and perfect use failure rate. The typical use failure rate reflects the likelihood of pregnancy occurring with typical,  real-world use of the method, taking into account factors such as user error and inconsistent use. The perfect use failure rate, on the other hand, represents the likelihood of pregnancy occurring with perfect, consistent use of the method, without any errors or lapses.  

Access to family planning services has been associated with improved maternal and child  

health outcomes. By spacing pregnancies and limiting family size, women can reduce their risk of maternal mortality. A systematic review by Cleland et al. (2006) found that family planning programs were associated with a 44% reduction in maternal deaths.  


Furthermore, family planning has numerous health benefits, including improved maternal and child health outcomes and the prevention of sexually transmitted infections.  Healthcare providers must ensure to promote access to comprehensive family planning services and empower individuals to make informed choices about their reproductive health.  

Condom use plays a crucial role in preventing the transmission of sexually transmitted infections (STIs). Condoms act as a barrier, thereby preventing the exchange of bodily fluids and reducing the risk of STI transmission. A meta-analysis by Davis et al. (2019)  found that consistent condom use was associated with a significantly reduced risk of  STIs, including HIV, gonorrhea, and chlamydia. Condoms are also recognized as the only contraceptive method that provides dual protection against both pregnancy and STIs.  


Contraceptive methods have evolved significantly through the years, offering a wide range of options to suit diverse preferences and needs. They play a vital role in preventing unplanned pregnancies and empowering individuals to take back control of their reproductive health. The medical evidence overwhelmingly supports the efficacy and safety of various contraceptive methods.  


By providing individuals with access to comprehensive contraceptive services and education, healthcare providers can empower women to make informed choices about their reproductive futures, prevent unintended pregnancies, and dispel myths surrounding the failure of family planning methods.  


The Epharma4FP project led by the Society for Family Health is focused on optimizing family planning service provision through e-pharmacy systems.  



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