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Contraception failing one in four women, say experts

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The capsule is the preferred technique of contraception amongst women

One in four women who had an abortion in 2016 have been utilizing probably the most dependable strategies of contraception, says the British Pregnancy Advisory Service.

More than 14,000 women, who have been handled at BPAS clinics, turned pregnant regardless of utilizing the capsule or a long-acting contraceptive.

They typically noticed their being pregnant late as a result of they hadn’t anticipated their contraception to fail.

No technique of contraception can ever be 100% efficient.

But long-acting strategies are stated to have a really low failure price (99%).

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Condoms are usually not as dependable a way because the capsule, implants or coils

Oral contraceptive drugs are by far the preferred means of defending towards unplanned being pregnant amongst women, however long-acting strategies – generally known as Larcs – are catching up.

They embrace contraceptive injections, implants and intra-uterine units (IUDs) or methods (IUSs).

Contraceptive tablets are estimated to be 91% efficient whereas condoms are 82% efficient.

However, BPAS says unplanned pregnancies can happen if the tactic just isn’t inserted correctly, or if it strikes or falls out.

It additionally says hormonal contraception, such because the capsule or patch, can masks the signs of being pregnant as a result of they could trigger mild or irregular durations.

This could also be why women utilizing these strategies have abortions at a later stage than different women.

BPAS stated that in 2015, greater than 5% of women having abortions previous 20 weeks have been utilizing Larcs, in comparison with round three% of these having one at lower than 19 weeks.

The authorized restrict for abortions is 24 weeks in England, Wales and Scotland. Women in Northern Ireland are now able to get free abortions in England.

What contraception do women use?

  • 45% use oral contraceptive drugs
  • 15% use an implant
  • 14% use male condoms
  • 14% use an intra-uterine gadget (IUD) or intra-uterine system (IUS)
  • 9% use an injectable contraceptive

Further information: NHS contraception guide

Ann Furedi, chief government of BPAS, stated: Our knowledge exhibits that women can’t management their fertility by means of contraception alone, even when they’re utilizing a few of the best strategies.

“Family planning is contraception and abortion.

“Abortion is contraception that women want when their common technique lets them down.”

Out of 60,000 women who had an abortion at BPAS clinics final yr, greater than half have been utilizing no less than one type of contraception.

The complete variety of abortions in England and Wales has been round 185,500 throughout every of the previous few years.

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Long-acting strategies of contraception, like injections, are rising in reputation

Every yr, 9 in each 100 women utilizing the capsule, six in each 100 utilizing the injection and one in each 100 utilizing the IUD turn out to be pregnant.

Abortions are solely allowed in Northern Ireland if a lady’s life is in danger or there’s a everlasting or critical danger to her bodily or psychological health.

The sexual health charity FPA stated individuals didn’t all the time use contraception persistently or appropriately.

It additionally stated a few of the only strategies of contraception weren’t all the time made as obtainable as they need to be.

“In a survey of GPs, we found that one-fifth don’t offer the intrauterine device (IUD), and almost a quarter said they don’t offer the contraceptive implant.”

GPs advised the FPA that this was partly due to a scarcity of coaching qualifications and a scarcity of funding.

But NICE (National Institute for Health and Care Excellence) steerage means that long-acting strategies of contraception can scale back unintended being pregnant and be cost-effective for the NHS.

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