Unintended pregnancy among female soldiers presenting for prenatal care at Madigan Army Medical Center

More than half of all pregnancies in this country are unintended at the time of conception. Although women make up 13% of the U.S. Army, there are no epidemiological studies of unintended pregnancy in U,S. Army soldiers, This descriptive study was conducted to determine the prevalence of and factors associated with unintended pregnancy in female soldiers presenting for prenatal care at Madigan Army Medical Center. All soldiers presenting for prenatal care from mid-February 1996 through mid-February 1997 were asked to fill out an anonymous, 12-page written questionnaire. All but one soldier (99.7%) agreed to participate (N = 347), Overall, 55% of soldiers presenting for prenatal care reported that their pregnancies were unintended at the time of conception, The majority of officers (60%) and noncommissioned officers (65%) reported that their pregnancies were intended. In contrast, only 39% of the junior enlisted soldiers reported that their pregnancies were intended at the time of conception. The majority of women (62%) who reported that their pregnancies were unintended were not using any form of birth control during the month they conceived, The most common reason for not using birth control was the stopping of contraception because of side effects. The most common contraceptive method used by those women who reported birth control use during the month they conceived was the male condom. The majority of pregnancies among junior enlisted soldiers presenting for prenatal care at Madigan Army Medical Center are unintended. Prevention programs should target this subpopulation of soldiers and address knowledge, attitudes, and beliefs related to the use of contraception among those at risk for unintended pregnancy.