 This study examined the impact of the COVID-19 pandemic on contraceptive use, unintended pregnancies, and abortions among women in Babel city, Mazzanderan province, Iran. The results showed that contraceptive use did not significantly change between the pre-pandemic and pandemic periods, but unintended pregnancies and abortions increased. Additionally, the number of unintended pregnancies was positively correlated with the age and educational levels of the participant and her spouse, as well as socioeconomic status. Furthermore, the number of abortions was positively correlated with the age and educational levels of the spouse. These findings suggest that the COVID-19 pandemic has resulted in an unmet need for family planning services, which could lead to more unintended pregnancies and unsafe abortions. This article was authored by Fateh Marizoi, Leila Amir Farahani, Shema Haghani, and others.