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Although approximately 1 million women in the U.S. have epilepsy, little is known about their use of contraceptives. To shed light on this issue, researchers conducted a cross-sectional study among 18- to 44-year-old English- or Spanish-speaking women who presented for routine care at a New York City epilepsy center.
The 148 participants reported a total of 181 pregnancies, 50% of which had been unplanned. Unplanned pregnancies were significantly more common among women who described themselves as Spanish- rather than English-speaking, those on Medicaid, and those with low household incomes. Of the 78 women who reported having vaginal intercourse during the preceding month, only 58 (74%) were using contraception. Just 31 were using a highly …