Unintended pregnancies are pregnancies that are mistimed, unplanned or unwanted at the time of conception. Unintended pregnancies may also result from rape or incest. Vaginal sexual activity without the use of contraception through choice or coercion is the predominant cause of unintended pregnancy. The incorrect use of a contraceptive method, and failure of the method chosen also contributing. Available contraception methods include use of birth control pills, a condom, intrauterine device (IUD, IUC, IUS), contraceptive implant (implanon/nexplanon), hormonal patch, hormonal ring, cervical caps, diaphragms, spermicides, or sterilization. Women choose to use a contraceptive method based on method efficacy, medical considerations, side effects, convenience, availability, friends' or family members' experience, religious views, and many other factors. Some cultures limit or discourage access to birth control because they consider it to be morally or politically undesirable.
Unintended pregnancies may be unwanted pregnancies or mistimed pregnancies.[5] Worldwide, 38% of pregnancies (about 80 million pregnancies) were unintended in 1999.[6][7] Unintended pregnancies are the main reason for induced abortions,[5] resulting in about 42 million induced abortions;[6] not all unintended pregnancies result in abortions or unwanted children.
CAUSES

Not using contraception or family planning services.
Using contraception inconsistently or incorrectly.
Contraceptive failure (the method was used correctly, but did not work.) Contraceptive failure accounts for a relatively small fraction of unintended pregnancies when modern highly effective contraceptives are used. A condom breaking during intercourse or using a condom with a hole in it can lead to malfunctioning contraceptives.

Reasons contraceptives might not have been used or been used incorrectly include:

Coercion. Rape, or even forced pregnancy, which sometimes happens in the context of domestic violence. Unintended pregnancies are more likely to be associated with abuse than intended pregnancies. This may also include birth control sabotage, which is the manipulation of someone's use of birth control to undermine efforts to prevent pregnancy.
Lack of knowledge about sex and reproduction, including erroneous beliefs.
Lack of knowledge or experience with the contraceptive or lack of motivation to use it correctly.
Lack of planning or ambivalence about whether to have a child.
Lack of over-the-counter availability of contraceptives.
Inability or unwillingness to attend healthcare appointments to obtain contraceptives.
A mistaken belief that the woman is infertile, e.g. post-menopausal, previous diagnosis of infertility
Being under the influence of alcohol


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