Prevention of Unintended Pregnancy: A Focus on Long-Acting Reversible Contraception

Prim Care. 2014 Jun;41(2):239-60. doi: 10.1016/j.pop.2014.02.004. Epub 2014 Mar 27.


This article summarizes the literature regarding the epidemiology and prevention of unintended pregnancy in the United States. Because of the Affordable Care Act and its accompanying contraceptive provision, there is a need for more primary care clinicians to provide family planning services. Office-based interventions to incorporate family planning services in primary care are presented, including clinical tools and electronic health record use. Special attention is paid to long-acting reversible contraceptive methods (the subdermal implant and intrauterine devices); these highly effective and safe methods have the greatest potential to decrease the rate of unintended pregnancy, but have been underused.

Keywords: Contraception; Electronic health record; Family planning; Long-acting reversible contraception; Unintended pregnancy; Unplanned pregnancy.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Adult
  • Contraception / methods*
  • Contraception Behavior / statistics & numerical data*
  • Contraceptive Agents, Female / therapeutic use
  • Cost Sharing / statistics & numerical data
  • Counseling / organization & administration
  • Drug Implants / therapeutic use*
  • Electronic Health Records / organization & administration
  • Female
  • Humans
  • Insurance Coverage / statistics & numerical data
  • Insurance, Health / statistics & numerical data
  • Intrauterine Devices / statistics & numerical data*
  • Pregnancy
  • Pregnancy, Unplanned*
  • Prevalence
  • United States
  • Young Adult


  • Contraceptive Agents, Female
  • Drug Implants