"I did not plan … that is what hurts": Pregnancy intentions and contraceptive use among pregnant young women in KwaZulu-Natal, South Africa.

Journal Article (Journal Article)

Unintended pregnancy impacts many young women in South Africa, and rates of consistent contraceptive use among this population are suboptimal. Limited empirical work has investigated reasons for inconsistency between pregnancy intention and contraceptive use behaviour with data collected during pregnancy. We explored pregnancy intentions and discordance between intentions and contraceptive use prior to conception among young pregnant women in KwaZulu-Natal, South Africa. In-depth qualitative interviews were conducted with 35 women during pregnancy (mean age = 19.3; range = 18-21) in 2011 and 2012. Data were analysed using content analysis. All participants reported unintended pregnancies; almost half were not using contraception near conception. Reasons for not intending to become pregnant spanned personal, social, health, and economic domains. Participants living with HIV (n = 13) expressed specific concerns related to impacts of pregnancy on HIV disease management and fear of transmission of HIV to the infant. Discordance between pregnancy intentions and contraceptive use prior to conception was attributed to personal, social, health and structural domains. Findings indicate a need for interventions that address barriers to contraceptive use in order to minimise unintended pregnancy and support safe, desired pregnancies among young women.

Full Text

Duke Authors

Cited Authors

  • Coleman, JN; Milford, C; Mosery, N; Choi, KW; Greener, LR; Matthews, LT; Harrison, A; Bangsberg, DR; Safren, SA; Smit, JA; Psaros, C

Published Date

  • July 2021

Published In

Volume / Issue

  • 20 / 2

Start / End Page

  • 149 - 157

PubMed ID

  • 34003077

Pubmed Central ID

  • PMC9996636

Electronic International Standard Serial Number (EISSN)

  • 1727-9445

International Standard Serial Number (ISSN)

  • 1608-5906

Digital Object Identifier (DOI)

  • 10.2989/16085906.2021.1914693


  • eng