The Need for Social Support During Unintended Pregnancy Decision-Making: A Qualitative Analysis of In-Depth Interviews With Young People in California

Abstract

Most pregnancies among young people in the United States are unintended. Previous analyses of unintended pregnancies have typically been restricted by outcome, focusing either on those who had an abortion or those who gave birth. We conducted in-depth interviews with 25 young women in the San Francisco Bay Area who experienced at least one unintended pregnancy at or before age 25, regardless of pregnancy outcome, allowing us to identify themes across both abortion and birth. We asked participants about their decision-making process regarding the pregnancy resolution, with a focus on the role of social support. We present results from secondary analysis of interview transcripts, utilizing reflexive thematic analysis. Most, but not all, participants reported a short decision-making timeline, yet described an unmet need for social support during and after the decision-making process. Researchers and advocates should explore ways to increase support tailored to young people experiencing an unintended pregnancy.