Almost half of all pregnancies each year in the United States are mistimed or unwanted and associated with adverse health outcomes. Deaf women are as likely to be pregnant as their hearing counterparts but are 67% more likely to experience unintended pregnancy. Although there are limited data on the sexual health behaviors of deaf individuals, research has shown that deaf people are more likely than the general population to rely on withdrawal and condoms to prevent pregnancy. Further, health resources and communication with physicians are often not fully accessible, with the former often in spoken or written English and the latter when sign language interpreters are not present. The combination of use of less--effective methods of contraception and inaccessible health resources puts deaf women at heightened risk for unintended pregnancy. Deaf women are denied reproductive justice when they are inadequately equipped to practice bodily autonomy and prevent unintended pregnancies. In this commentary, I present literature to illustrate the disparity deaf women face compared with hearing women and to make the case for the association among unintended pregnancy, its adverse effects, and reproductive injustice for deaf women. As a medically trained deaf woman conducting reproductive health research, I leverage my lived experience and accrued knowledge to elucidate the shortcomings and strategies to use. As public health researchers and health care professionals, we can alleviate this injustice with inclusive research methodology, representation on research and health care teams, and ensuring access to health information with time given and accommodations provided.

在美国，每年几乎有一半的怀孕时间不当或意外怀孕，并与不良健康结果有关。失聪女性怀孕的可能性与健听女性一样，但意外怀孕的可能性高 67%。尽管有关聋人性健康行为的数据有限，但研究表明，聋人比一般人群更可能依靠戒断和避孕套来避孕。此外，医疗资源和与医生的沟通往往无法完全获得，前者通常使用口头或书面英语，后者在没有手语翻译的情况下。结合使用效果较差的避孕方法和难以获得的卫生资源，使失聪妇女意外怀孕的风险增加。当失聪妇女没有足够的能力实践身体自主和防止意外怀孕时，她们就无法获得生殖正义。在这篇评论中，我提供文献来说明失聪女性与正常听力女性相比所面临的差异，并说明意外怀孕、其不利影响和失聪女性生殖不公正之间的关联。作为一名进行生殖健康研究的受过医学训练的失聪女性，我利用我的生活经验和积累的知识来阐明缺点和使用策略。作为公共卫生研究人员和医疗保健专业人员，我们可以通过包容性研究方法、研究和医疗保健团队的代表以及确保在给定的时间和提供的便利条件下获取健康信息来缓解这种不公正现象。