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Early motherhood: Ignorance or bliss?


 In order to understand why women are relatively poor contraceptors before their first pregnancy, and to answer some other related questions, a survey of 408 black and white native American women (aged 15-29), who lived in 3 boroughs of New York City (Brooklyn, the Bronx, and Queens) and had their first child in July of 1970, 1971, or 1972, was conducted by the National Opinion Research Center during January 15-March 14, 1973. 56% of the respondents stated not having planned their first births; only 6% were consistently using contraception during the month that they became pregnant. 81% of the births to teenagers were unplanned. One third of the mothers never used contraception prior to pregnancy. After the first birth, younger mothers were more likely to attend a clinic for contraception than older mothers. Nonuse of contraception was related to knowledge, accessibility and motivation, as well as interpersonal barriers such as the husband not wanting it, etc. Policy aimed at the period preceding motherhood should be given priority.
