Unintended pregnancy and induced abortion among unmarried women in China: a systematic review

Published in Health Services Research by BioMed Central, this article reports on research into pregnancy and induced abortion among unmarried women in China. The focus of the research was on unmet contraceptive needs in unmarried women. Findings showed that pre-marital sex was more common than expected in some urban areas, and that abortion was the main response, with its associated risks for health and future fertility. The article concludes that there is a large unmet need for reproductive health services for women prior to marriage in China.

The article calls on health policy makers in China and similar transitional economies to prioritise the problem of unmet reproductive health needs among young and unmarried women in their populations. Recommended strategies include the introduction of appropriate information about contraceptive methods to school children and young people, and the provision of user-friendly contraceptive advice and services, particularly targeting young women. In conclusion, the article highlights the need to develop policies that change perceptions of sexual activity before marriage, increase awareness of reproductive health services, especially regarding access to contraceptives for young people, and create a supportive environment for meeting the reproductive health needs of unmarried women.