Evidence map›Paper›PMID 25592079›Full record

ArticleContraception2015

Benchmark pregnancy rates and the assessment of post-coital contraceptives: an update.

Daniel Li, Allen J Wilcox, David B Dunson

Open access · greenAbstract read
In one paragraph

Article in Contraception, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.3field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 41 citations in OpenAlex.

  1. Trial
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  8. Article
  9. Reducing the Prevalence of Alcohol-Exposed Pregnancies in the United States: A Simulation Modeling Study.Medical decision making : an international journal of the Society for Medical Decision Making · 2022
    Article
  10. Article
  11. Article
  12. Article
  13. Article
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  15. Shifts in Female Facial Attractiveness during Pregnancy.International journal of environmental research and public health · 2020
    Article
  16. Simplifying contraception requirements for iPLEDGE: A decision analysis.Journal of the American Academy of Dermatology · 2020
    Article
  17. Review
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Daniel LiDepartment of Statistical Science, Duke University, Durham, NC, USA. Electronic address: daniel.li@osumc.edu.
Allen J WilcoxEpidemiology Branch, National Institute of Environmental Health Sciences, Durham, NC, USA.
David B DunsonDepartment of Statistical Science, Duke University, Durham, NC, USA.
Duke University · USNational Institute of Environmental Health Sciences · US

Funding

Epidemiologic Study Of Reproductive Outcomes And Environmental ExposuresZIAES044003 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI WILCOX, ALLEN J · 2009 to 2020
$4.7M
Environmental Effects On FertilityZIAES049003 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI BAIRD, DONNA D. · 2009 to 2023
$3.3M
ENVIRONMENTAL EFFECTS ON FERTILITYZ01ES049003 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI BAIRD, DONNA D. · 1990 to 2008
$1.1M
Intramural NIH HHS Z01 ES049003
6 · The paper itself

Abstract

objectiveIn 2001, we provided benchmark estimates of probability of pregnancy given a single act of intercourse. Those calculations assumed that intercourse and ovulation are independent. Subsequent research has shown that this assumption is not valid. We provide here an update of previous benchmark estimates. STUDY

designWe reanalyze earlier data from two North Carolina studies that collected daily urine samples and recorded daily intercourse for multiple menstrual cycles. One study comprised 68 sexually active women with either an intrauterine device or tubal ligation. The second was of 221 women who planned to become pregnant and had discontinued use of any birth control at enrollment. Participants had no known fertility problems. New statistical analyses were based on Monte Carlo simulations and Bayesian methods.

resultsThe probability that a single act of intercourse occurs within a woman's fertile window is 25%, compared with 20% in previous calculations. The probability of pregnancy with intercourse on a given menstrual cycle day is correspondingly higher than previously estimated, with the largest increases occurring on menstrual days 12-22. These increases are, however, fairly small (for example, the peak chance of conception on menstrual day 13 increased from 8.6% to 9.7%).

conclusionsPrevious benchmark rates of pregnancy with one act of intercourse were moderately underestimated due to a mistaken assumption about the independence of intercourse and ovulation. IMPLICATIONS STATEMENT: The chance of pregnancy with a single act of unprotected intercourse is greater than previously estimated. Previous benchmarks may underestimate the efficacy of post-coital contraception.

Indexed as

CoitusOvulationPregnancy RateAdultContraceptives, PostcoitalFemaleHumansPregnancyYoung AdultContraceptives, PostcoitalBayesian statisticsEmergency contraceptionPost-coital contraception

Identifiers

PMID25592079
PMCPMC4374046
OpenAlexW2006976487

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.