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An extensive body of research links births resulting from unintended or closely spaced pregnancies to adverse maternal and child health outcomes and myriad social and economic challenges. And economically disadvantaged women are disproportionately affected by unintended pregnancy and its consequences: In any given year, two-thirds of women in the United States at risk of unintended pregnancy use contraceptives consistently throughout the year. Public programs—notably Medicaid and the Title X national family planning program—are central to women's access to affordable contraceptive services and supplies and their ability to use contraceptives effectively. Nationally, rates among the states ranged from a low of 32 per 1, in New Hampshire to a high of 62 per 1, in Delaware.

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