Dual protection :
Dual
protection is the use of methods that prevent both sexually transmitted
infections and pregnancy. This can be with condoms either alone or
along with another birth control method or by the avoidance of penetrative
sex. If pregnancy is a high concern using two methods at the same time is
reasonable, and two forms of birth control is recommended in those taking
the anti-acne drug isotretinoin, due to the high risk of birth
defects if taken during pregnancy.
See
also: Maternal health
Contraceptive
use in developing countries is estimated to have decreased the number
of maternal deaths by 40% (about 270,000 deaths prevented in 2008)
and could prevent 70% of deaths if the full demand for birth control were met.
These benefits are achieved by reducing the number of unplanned pregnancies
that subsequently result in unsafe abortions and by preventing pregnancies in
those at high risk.
Birth
control also improves child survival in the developing world by lengthening the
time between pregnancies. In this population, outcomes are worse when a
mother gets pregnant within eighteen months of a previous
delivery. Delaying another pregnancy after a miscarriage however
does not appear to alter risk and women are advised to attempt pregnancy in
this situation whenever they are ready.
Teenage
pregnancies, especially among younger teens, are at greater risk of adverse
outcomes including early birth, low birth weight, and death of
the infant. In the United
States 82% of pregnancies in those between
15 and 19 are unplanned. Comprehensive sex education and access to
birth control are effective in decreasing pregnancy rates in this age group.
Providing
emergency contraceptive pills to women in advance does not affect rates of
sexually transmitted infections, condom use, pregnancy rates, or sexual
risk-taking behavior. All
methods have minimal side effects.
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