[Unplanned pregnancies in a developed society--a study on a maternity ward in Berlin].
OBJECTIVE
Unplanned pregnancies are still common in developed societies. Although the medical-technical methods are mainly in use for family planning, other methods - not provided by the medical care system - have an important impact on the occurrence of unplanned pregnancies. Moreover the frequency of their use is not accurately recorded in usual study-protocols. The spread of methods based on the knowledge of physiologic infertility in woman's cycle (further: fertility awareness) and their relation to unplanned pregnancies is to be investigated.


METHODS
A survey by way of self-administered questionnaire was conducted between September 1997 and March 1998 on women in a maternity ward in a hospital in Berlin (former East-Berlin, n = 220). The use of family planning methods (with a special focus on fertility awareness) and the planning state of pregnancies were recorded.


RESULTS
33 % of delivered pregnancies were unplanned. In the last year before conception occurred the part of the use of fertility awareness grew from 12 % to 30 % and correspondingly 25 % to 32 % of unplanned pregnancies were connected with these methods.


CONCLUSIONS
The blanking-out of fertility awareness in the framework of medical care system leads to a constellation where a considerable part of unplanned pregnancies occurs beyond its range. The adequate solution for this problem should be an incorporation of fertility awareness into the mainstream of family planning.
Mikolajczyk
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R
Abteilung für Gynäkologie und Geburtshilfe, St. Joseph-Krankenhaus, Berlin, Germany. mikolajczyk723@compuserve.de
Rauchfuss
M
M
Lamm
D
D
D000028:Abortion, Induced / Q000706:statistics & numerical data; D000293:Adolescent; D000328:Adult; D001604:Berlin / Q000453:epidemiology; D003267:Contraception / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D019049:Developed Countries; D005193:Family Planning Services / Q000706:statistics & numerical data; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007231:Infant, Newborn; D008875:Middle Aged; D010298:Parity; D011247:Pregnancy / Q000706:statistics & numerical data*; D014505:Urban Population / Q000706:statistics & numerical data*