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  • Title: [STD prevention and unplanned pregnancies in Great Britain].
    Author: Bromham DR.
    Journal: Contracept Fertil Sex (Paris); 1995 Apr; 23(4):255-7. PubMed ID: 12289997.
    Abstract:
    The HIV/AIDS epidemic necessitated promotion of condoms. By the late 1980s condom use had surpassed use of all other contraceptive methods, including oral contraceptives, in the UK. The change from use of a medical contraceptive method to use of a readily available nonmedical method occurred at the same time family practitioners surpassed community family planning centers as contraceptive providers. During the 1980s the rate of women attending family planning clinics fell (15% to 10%, 1980-1990) and condom use among the women who did attend these clinics increased (10% to about 16%). At the same time the number of unwanted pregnancies in England and Wales, as reflected in the legal abortion rate (10% to 13%), rose, especially after the mid-1980s. Two studies indicate that unwanted pregnancies are most common in the youngest women using condoms. After young women with an unwanted pregnancy due to condom failure undergo abortion, they tend not to use condoms. The condom promotion campaign in the UK asserted that the condom was an acceptable contraceptive method as well as a means to protect against sexually transmitted diseases, including HIV infection, which led many women to discontinue the more effective contraceptives and to use only condoms. The campaign should have emphasized condom use along with simultaneous use of an effective contraceptive, such as the birth control pill. This combination (Double Dutch method) is acceptable in other countries, for example, in Holland. Increased use of the Double Dutch method should reduce unwanted pregnancies.
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