in the absence of effective access to contraception more pregnancies are expected to be reported as unintended a significant proportion of which may be terminated abbasishavazi and hosseinichavoshi being young and having a low level of education poor economic status as well as less access to effective contraception all contribute to higher incidence of unintended pregnancy khatiwada and others contraceptive use failure is one of the main direct causes of unintended and accidental pregnancies blumenthal voedisch and gemzelldanielsson and can create a demand for abortion a study of countries indicated contraceptive failure as the most reported reason for prematurely terminated pregnancies bankole singh and haas black and others