TY - JOUR
T1 - Contraceptive values and preferences of pregnant women, postpartum women, women seeking emergency contraceptives, and women seeking abortion services
T2 - A systematic review
AU - Dam, Anita
AU - Yeh, Ping Teresa
AU - Burke, Anne E.
AU - Kennedy, Caitlin E.
N1 - Funding Information:
Funding: This manuscript was developed with the support of the UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), a cosponsored programme executed by the World Health Organization (WHO). This manuscript is made possible by the generous support of the American people through the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) through an interagency agreement with the United States Agency for International Development (USAID), cooperative agreement AID-OAA-A-15-00045. The contents of this paper are the sole responsibility of the authors and do not necessarily reflect the views of USAID or the United States Government.
Funding Information:
This review was supported by the World Health Organization, Department of Reproductive Health and Research. We would like to thank the 2014 WHO MEC Guidelines Development Group for their inputs and the Johns Hopkins Bloomberg School of Public Health graduate students who contributed to the screening and data abstraction process.
Publisher Copyright:
© 2021 Elsevier Inc.
PY - 2022/7
Y1 - 2022/7
N2 - Objective: We sought to systematically review the literature on contraceptive values and preferences of pregnant women, postpartum women, women seeking emergency contraception, and women seeking abortion services, globally. Study design: We searched ten electronic databases for articles from January 1, 2005 through July 27, 2020 regarding users’ values and preferences for contraception. Results were divided into four sub-groups. Results: Twenty-three studies from 10 countries met the inclusion criteria. Values and preferences across all four sub-groups were influenced by method effectiveness, access, availability, convenience, cost, side effects, previous experience, partner approval, and societal norms. Similarities and differences were evident across sub-groups, especially concerning contraceptive benefits and side effects. No contraceptive method had all the features users deemed important. Many studies emphasized values and preferences surrounding long-acting reversible contraception (LARC), including convenience of accessing LARCs and concerns about side effect profiles. Discussion: Individuals must have access to a full range of safe and effective modern contraceptive options, allowing people to make decisions based on evolving contraceptive preferences over time. Future contraception guideline development, policy, and programmatic implementation should continue considering the added influence of these specific reproductive experiences on contraceptive values and preferences of users to improve access, counseling, and method choice.
AB - Objective: We sought to systematically review the literature on contraceptive values and preferences of pregnant women, postpartum women, women seeking emergency contraception, and women seeking abortion services, globally. Study design: We searched ten electronic databases for articles from January 1, 2005 through July 27, 2020 regarding users’ values and preferences for contraception. Results were divided into four sub-groups. Results: Twenty-three studies from 10 countries met the inclusion criteria. Values and preferences across all four sub-groups were influenced by method effectiveness, access, availability, convenience, cost, side effects, previous experience, partner approval, and societal norms. Similarities and differences were evident across sub-groups, especially concerning contraceptive benefits and side effects. No contraceptive method had all the features users deemed important. Many studies emphasized values and preferences surrounding long-acting reversible contraception (LARC), including convenience of accessing LARCs and concerns about side effect profiles. Discussion: Individuals must have access to a full range of safe and effective modern contraceptive options, allowing people to make decisions based on evolving contraceptive preferences over time. Future contraception guideline development, policy, and programmatic implementation should continue considering the added influence of these specific reproductive experiences on contraceptive values and preferences of users to improve access, counseling, and method choice.
KW - Abortion
KW - Contraception
KW - Emergency contraception
KW - LARCs
KW - Postpartum
KW - Systematic review
UR - http://www.scopus.com/inward/record.url?scp=85119379746&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85119379746&partnerID=8YFLogxK
U2 - 10.1016/j.contraception.2021.10.007
DO - 10.1016/j.contraception.2021.10.007
M3 - Article
C2 - 34742718
AN - SCOPUS:85119379746
SN - 0010-7824
VL - 111
SP - 39
EP - 47
JO - Contraception
JF - Contraception
ER -