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Nice discussion of the data around contraception choices. Shortly after Donald Trump was elected president I started noticing an interesting trend on my social media newsfeeds. And no, I'm not talking about the near-constant bickering of people with differing political opinions. I started seeing post after post from friends publicly asking one another about their experiences with different forms of birth control. The motivation for these kinds of conversations centered around the pending rollback of copay-free contraception, but have since been re-kindled every time reproductive rights come up in the political arena. And it's not just talk. Many of these conversations centered around the use of long-term contraceptives like intra-uterine devices or IUDs which can protect against pregnancy for 3 - 12 years. In the months immediately following the 2016 election, AthenaHealth reported a 19% increase in IUD-related doctor's visits and Planned Parenthood reported a 900% increase in patients seeking IUDs. Cait, 27, recently switched to a copper IUD, and said that she made the switch due to convenience and "because now in light of our current administration I'd like to have something that will continue to work and be affordable even if I end up without health insurance."

For decades, researchers and physicians tended to think about pregnancies as either planned or unplanned. But new data reveals that for a significant group of women, their feelings don't neatly fit into one category or another. As many as one-fifth of women who become pregnant aren't sure whether they want a baby. This fact may reshape how doctors and policymakers think about family planning. For women who are unsure, it doesn't seem enough for physicians to counsel them on pregnancy prevention or prenatal care. "In the past we thought of it as binary, you want to be pregnant or not, so you need contraception or a prenatal vitamin," said Maria Isabel Rodriguez, an obstetrician-gynecologist at Oregon Health and Science University whose research focuses on family planning and contraceptive policy. "But it's more of a continuum." The new data comes from a recent change in the Centers for Disease Control and Prevention's big survey of new mothers, now allowing them to answer a question about their pregnancy desires by saying "I wasn't sure." It shows that some women want to avoid making a decision about becoming pregnant, or have strong but mixed feelings about it.