Abstract Body

Background: One in five Dutch women experience an unplanned pregnancy (UP) in their lifetime, of which two third are unwanted (UWP). Information on annual incidence of UWP is limited and insight into the need for psychosocial (after) care is lacking. The general practitioner (GP) plays a prominent role in the care for women with an UWP. The data GP’s register about UWP and the care trajectories can be used to create more insight into care needs and the improvement of (after) care.

Aim(s): To create an overview of the prevalence of UWP and the reproductive and psychosocial care needs of woman with an UWP in The Netherlands.

Methods: Data were extracted from 36 general practices located in northern part of the Netherlands, in the period 2015 – 2019. Patient files were checked for the registration of International Classification of Primary care (ICPC) and Anatomical Therapeutic Chemical (ATC)-codes concerning reproductive and psychosocial health. Chi-square and Fishers exact test were used to calculate differences between woman with an UWP and/or abortion and women with a wanted pregnancy (WP).

Preliminary results: In total 49.479 women were included in the analyses, in total 781 (1.6%) had an UWP and/or abortion whereas 5833 (11.8%) had a registered WP. Results on contraceptive use and psychosocial problems in both groups are available to present at the World Organization of Family Doctors (WONCA).

Conclusions: Data registered by GP’s is a good source for more knowledge about UWP in the Netherlands and the need for reproductive and psychosocial (after) care. It offers insights in areas to improve care.