‘Should I Tell Him?’ How Women Decide to Include or Exclude Their Partners in Emergency Contraception Decisions

ABSTRACT

This qualitative exploratory research project was conducted to determine how women involve their sexual partners in decisions to obtain emergency contraception (EC) after unprotected sex or contraceptive failure. Using a grounded theory framework, I found that the most important determinant of partner inclusion in this decision was relationship status. More specifically, if the respondent was in a longer-term dating relationship at the time of the incident, she was more likely to involve her partner in the decision-making process compared with those respondents in casual relationships. The reason for being at risk for pregnancy (e.g., a broken condom vs. a missed birth control pill) also influenced partner inclusion. And finally, I found that often it was the men who initiated the conversation about obtaining EC originally. Overall, this research demonstrates that men do indeed have a part to play in EC decision making and need to be included in future research.

KEYWORDS:

• Contraception
• qualitative studies
• unintended pregnancy
• sex and gender roles