Long-acting reversible contraception: A route to reproductive justice or injustice

Marsha Kaitz*, David Mankuta, Lihi Mankuta

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


This article presents information on unintended pregnancies and the ongoing efforts of policy makers to promote long-acting reversible contraception (LARC) to reduce the numbers of such pregnancies. Also discussed is the tension between the encouragement of LARC to promote the public's interests in achieving that goal versus the need to assure that all women can decide about their bodies and reproductive needs. Our discussion includes information, primarily from the United States, on (a) risks associated with unintended pregnancies, (b) LARC devices approved in the United States (copper intrauterine devices (IUDs), hormone IUDs, and implants), (c) public and social benefits of increasing the use of LARC, (d) disadvantages and barriers to using LARC, (e) dangers of promoting LARC in unjust ways, and (f) the meaning of reproductive justice and its connection to social justice. By sharing the information with the audience of this journal, we hope that it will be integrated into clinical work and research on mental health and development. We also hope that experts in those fields will become discussants in the conversation regarding women's reproductive health and social justice that is taking place in the United States and elsewhere.

Original languageAmerican English
Pages (from-to)673-689
Number of pages17
JournalInfant Mental Health Journal
Issue number5
StatePublished - 1 Sep 2019
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2019 Michigan Association for Infant Mental Health


  • LARC
  • long-acting reversible contraception
  • pregnancy
  • reproductive health
  • reproductive justice
  • unintended pregnancy


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