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Research project

ADAPT Study: Attitudes and Decision-making After Pregnancy Testing

What is the ADAPT Study?

Half of pregnancies in the United States are considered unintended (unwanted or mistimed), and at least half of unintended pregnancies are carried to term. Although unintended pregnancy is extremely common, evidence about how unintended pregnancy affects women’s lives is surprisingly limited. Women’s attitudes about pregnancy and childbearing—and their decision-making processes around unintended pregnancy—can be complex and difficult to measure. ANSIRH’s Attitudes and Decision-making After Pregnancy Testing (ADAPT) Study is using innovative methods to address the following research questions:

  • What are women’s attitudes about becoming pregnant and how do these attitudes evolve over time?
  • What factors influence women’s decisions about their pregnancies and the types of services they seek and receive?
  • What prevents women who want an abortion from getting care?
  • How does having an unintended pregnancy, compared to an intended pregnancy, affect women’s well-being, health, and socioeconomics?
  • How do these outcomes differ for women who have an abortion, women who want but cannot get an abortion, and women who choose to carry an unintended pregnancy to term?

How is the study being carried out?

This longitudinal cohort study is recruiting about 2,000 women taking a pregnancy test at reproductive and primary care health centers in four states. Women who have a positive pregnancy test, as well as a sample of women who are not pregnant, are being interviewed semiannually over two years.

Why is this study important?

ANSIRH’s ADAPT study design and use of robust new pregnancy intention measures will enable our researchers to document women’s pregnancy attitudes, decision-making processes, and experiences seeking prenatal or abortion care over time.  Comparing the health and well-being of women who have unintended pregnancies to those with intended pregnancies, as well as women who avoided unintended pregnancies, will illuminate the effects of unintended pregnancy on women’s lives. 

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ANSIRH is a program within the UCSF Bixby Center for Global Reproductive Health and is a part of UCSF's Department of Obstetrics, Gynecology & Reproductive Sciences.

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