To present new estimates of contraceptive failure rates and describe patient-centered contraceptive options counseling.
Approach:
Key Findings:
Lower first-year failure rates for short-acting methods compared to published typical failure rates.
Higher failure rates for long-acting reversible contraceptives (LARC) than previously reported.
No significant difference in 1-year failure rates between short- and long-acting methods in the HER Salt Lake program.
Interpretation:
Limitations:
Typical use failure rates in population-based surveys may suffer from underreporting and selection bias.
The study's findings may not be generalizable to all populations due to varying access to contraceptive options.
Conclusion:
The HER Salt Lake program indicates that addressing barriers to contraception and focusing on patient-centered care may influence contraceptive failure rates.