Significance: Few studies have been done on unintended pregnancy in college women (Sawyer, et al., 1998). The purpose of this study was to investigate significant factors used by college women in making hypothetical, unintended pregnancy outcome decisions. Unintended pregnancy outcome decision is the choice a woman makes among abortion, adoption, or giving birth and becoming a parent. Design: A survey was given to all traditional-aged college women at three universities in Central New York visiting their university health centers during a four-week period. The survey gathered demographic data; quantitative data on familial emotional support, familial financial support, and religiosity. Given a hypothetical situation about an unintended pregnancy of their own, survey data were collected on how relationship status, religiosity, perceived familial emotional and financial support would affect the woman's pregnancy outcome decision. Subjects were also asked to respond to an open-ended question about other important factors that would influence this decision in this situation. Multiple regression analysis was used to look at the relationship among the variables and the pregnancy outcome decision. Qualitative data were sorted and categorized based on themes that emerged during repeated readings. Results: The study found that the factors of familial emotional and financial support and religious influence were significantly correlated (p< .05) with outcome decision. There was a negative correlation (-.312) between religious influence and the outcome decision, a negative correlation (-.141) between familial emotional support and outcome decision and a negative correlation (-.133) between familial financial support and outcome decision. Although not significant with outcome decision, a stepwise multiple regression showed a significant (p<.05), positive correlation between the relationship status with the father and familial emotional support (.504) and between relationship status with the father and familial financial support (.357). Conclusions: This study suggests that traditional college women facing an unintended pregnancy should consider personal resources such as familial emotional and financial support, relationship status and religiosity when making an outcome decision. Moreover, the importance of these factors needs to be made know to professionals who do pregnancy options counseling, and should be introduced as part of the counseling process. When deciding the outcome of an unintended pregnancy, it is important that women are made aware of their own personal resources to make the best decision for themselves.Keyword(s): college level issues, gender issues, health promotion