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Title: Do LARCs Increase Subsequent Intended Fertility?
Resulting in 1 citation.
1. Eeckhaut, Mieke C. W.
Rendall, Michael S.
Zvavitch, Polina
Do LARCs Increase Subsequent Intended Fertility?
Presented: New York NY, American Sociological Association Annual Meeting, August 2019
Cohort(s): NLSY97
Publisher: American Sociological Association
Keyword(s): Contraception; Expectations/Intentions; Fertility; National Survey of Family Growth (NSFG); Pregnancy and Pregnancy Outcomes

Permission to reprint the abstract has not been received from the publisher.

Long-acting reversible contraceptive (LARC) methods have been promoted as an effective means of protection against unintended pregnancy and for increasing the proportion of pregnancies that are intended. An implication we address in the present study is the extent to which women who have been using a LARC go on to have an intended birth after LARC discontinuation. We use two nationally representative studies, the NSFG and NLSY97 to investigate the likelihood that a woman will give birth in the years shortly after discontinuing LARC, and the circumstances associated with pregnancy intendedness such as marital and partnership status around the birth. Using the NSFG, we estimate the proportion of births following LARC discontinuation that are from an intended pregnancy. Finally, we combine the results from these models to develop an estimate of the intended birth rate following LARC discontinuation. We find strong evidence that women use LARC to better time their first or next birth, and not only to reduce the likelihood of an unintended birth. Approximately one-third of women who discontinue LARC use will begin a pregnancy that will result in a live birth within three years of discontinuation. About four-in-five of these pregnancies are intended, implying a considerably lower fraction of unintended births than all U.S. births.
Bibliography Citation
Eeckhaut, Mieke C. W., Michael S. Rendall and Polina Zvavitch. "Do LARCs Increase Subsequent Intended Fertility?" Presented: New York NY, American Sociological Association Annual Meeting, August 2019.