Use of hormonal contraceptives was protective against
unplanned pregnancies, whereas using only condoms was a risk factor for an unwanted pregnancy. This could be because of condom breakage or lack of commitment to consistent and correct use (34). We also found that having a prior pregnancy was protective against a future unwanted pregnancy. This is additional evidence of a fertility trend in South Africa reported by Garenne and his colleagues (35) who found that women who give birth as teenagers wait several years before having another child. Having a pregnancy also enables and encourages young women to interact with health care services. In South Africa, more than 90% of women attend antenatal