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  • Pennie Sessler Branden CNM, MS

    Corresponding author
      110 Bellamy Road, Cheshire, CT 06410.
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    • Pennie Sessler Branden received her BSN from George Mason University and her MS from Columbia University. She is an associate editor of the Journal of Nurse-Midwifery and currently does freelance editing, writing, and consulting. She is the chairperson of the ACNM's Public Relations Committee and is very active in the Connecticut Chapter of the ACNM. She created “Your Pregnancy Calculator” for the ACNM and is a member of the American Public Health Association. She has assumed leadership roles and health-related activities roles in Hadassah, the International Women's Zionist Organization.

110 Bellamy Road, Cheshire, CT 06410.


Contraceptive compliance is a multifaceted issue that is influenced by many factors. These factors can directly affect the level of patient compliance, thereby affecting contraceptive method efficacy rates. A review of the literature reveals many studies about contraceptive compliance but a dearth of studies addressing how to change noncompliant behaviors. This article describes the contraceptive methods currently available and their efficacy rates. Patient characteristics and the components of compliance are described as they affect contraceptive efficacy and patient care. Suggestions are made for the use of alternative terminology to include adherence to or continuance of a contraceptive method. Health care providers should realize the impact they can have on a patient's education, decision-making process, and ultimate compliance with a contraceptive method. It is the patient, however, who ultimately makes the decision, either actively or passively, to comply or not and whether to have an unplanned pregnancy.

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