Andinet Ayele, Neil Abdurashid, Mickiale Hailu, Bereket Tefera
{"title":"2021年,埃塞俄比亚东部迪勒达瓦市公共卫生机构产前护理部门孕妇的意外怀孕及其相关因素","authors":"Andinet Ayele, Neil Abdurashid, Mickiale Hailu, Bereket Tefera","doi":"10.1155/2023/8100462","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Unintended pregnancy refers to a pregnancy that is either mistimed or unwanted. Unintended pregnancy has been a troubling public health and reproductive health issue, which imposes appreciable adverse consequences on the mother, child, and the public in general. Globally 121 million unplanned pregnancies occurred from 2015 to 2019. A significant proportion (61%) of these pregnancies ended in abortions each year. In Ethiopia, the challenges of unintended pregnancy and its related complications still exist because of the high rate of unmet need for contraceptives. In addition, no research has been conducted on unintended pregnancy among pregnant women in Dire Dawa city administration.</p><p><strong>Objective: </strong>To determine the prevalence of unintended pregnancy and associated factors among pregnant women attending antenatal care public health facilities in Dire Dawa in 2021.</p><p><strong>Methods: </strong>A facility-based cross-sectional study was conducted. After being chosen randomly, 382 pregnant women were interviewed at 9 urban public health facilities. A pretested questionnaire was used to collect data, entered into Epi Info 7, and exported into SPSS version 25 for analysis. The variables, which were significant at <i>P</i> ≤ 0.25 in bivariate analysis, were included in multivariable analysis. Statistical significance was declared at a <i>P</i> value <0.05 and a 95% CI.</p><p><strong>Results: </strong>In this study, the prevalence of unintended pregnancy was 23.8% at 95% CI (19.8-28.3). The following factors were associated with unintended pregnancy: single women (AOR = 10.93, 95% CI 3.65-32.74), low family income (2000 ETB) (AOR = 4.01, 95% CI 1.73-9.28), parity 3 (AOR = 10.3, 95% CI 4.07-25.84), no history of family planning use (AOR = 5.91, 95% CI 2.46-14.21), and husband decision-making role on reproductive health (AOR = 2.956, 95% CI 1.048-8.340). <i>Conclusion and Recommendations</i>. The prevalence of unintended pregnancy was relatively high in this study. Efforts should be made to scale up women's decision-making power on family planning services and give support to empower women economically. There is the need to promote family planning services to minimize unintended pregnancy and to decrease parity and family size.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":null,"pages":null},"PeriodicalIF":1.6000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10495237/pdf/","citationCount":"0","resultStr":"{\"title\":\"Unintended Pregnancy and Associated Factors among Pregnant Women Attending Antenatal Care Unit in Public Health Facilities of Dire Dawa City, Eastern Ethiopia, 2021.\",\"authors\":\"Andinet Ayele, Neil Abdurashid, Mickiale Hailu, Bereket Tefera\",\"doi\":\"10.1155/2023/8100462\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Unintended pregnancy refers to a pregnancy that is either mistimed or unwanted. Unintended pregnancy has been a troubling public health and reproductive health issue, which imposes appreciable adverse consequences on the mother, child, and the public in general. Globally 121 million unplanned pregnancies occurred from 2015 to 2019. A significant proportion (61%) of these pregnancies ended in abortions each year. In Ethiopia, the challenges of unintended pregnancy and its related complications still exist because of the high rate of unmet need for contraceptives. In addition, no research has been conducted on unintended pregnancy among pregnant women in Dire Dawa city administration.</p><p><strong>Objective: </strong>To determine the prevalence of unintended pregnancy and associated factors among pregnant women attending antenatal care public health facilities in Dire Dawa in 2021.</p><p><strong>Methods: </strong>A facility-based cross-sectional study was conducted. After being chosen randomly, 382 pregnant women were interviewed at 9 urban public health facilities. A pretested questionnaire was used to collect data, entered into Epi Info 7, and exported into SPSS version 25 for analysis. The variables, which were significant at <i>P</i> ≤ 0.25 in bivariate analysis, were included in multivariable analysis. Statistical significance was declared at a <i>P</i> value <0.05 and a 95% CI.</p><p><strong>Results: </strong>In this study, the prevalence of unintended pregnancy was 23.8% at 95% CI (19.8-28.3). The following factors were associated with unintended pregnancy: single women (AOR = 10.93, 95% CI 3.65-32.74), low family income (2000 ETB) (AOR = 4.01, 95% CI 1.73-9.28), parity 3 (AOR = 10.3, 95% CI 4.07-25.84), no history of family planning use (AOR = 5.91, 95% CI 2.46-14.21), and husband decision-making role on reproductive health (AOR = 2.956, 95% CI 1.048-8.340). <i>Conclusion and Recommendations</i>. The prevalence of unintended pregnancy was relatively high in this study. Efforts should be made to scale up women's decision-making power on family planning services and give support to empower women economically. 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引用次数: 0
摘要
背景:意外怀孕是指不合时宜或不想要的怀孕。意外怀孕一直是一个令人不安的公共卫生和生殖健康问题,对母亲、儿童和一般公众造成明显的不利后果。2015年至2019年,全球发生了1.21亿例意外怀孕。每年这些怀孕中有很大比例(61%)以堕胎告终。在埃塞俄比亚,由于避孕药具需求未得到满足的比例很高,意外怀孕及其相关并发症的挑战仍然存在。此外,没有对迪勒达瓦市政府孕妇的意外怀孕进行研究。目的:了解2021年在迪勒达瓦省产前保健公共卫生机构就诊的孕妇中意外怀孕的发生率及其相关因素。方法:以医院为基础进行横断面研究。随机抽取382名孕妇,在9个城市公共卫生机构进行访谈。采用预测问卷收集数据,输入Epi Info 7,导出到SPSS 25进行分析。双变量分析中P≤0.25显著的变量纳入多变量分析。结果:本研究中,意外妊娠发生率为23.8%,95% CI(19.8 ~ 28.3)。以下因素与意外妊娠相关:单身女性(AOR = 10.93, 95% CI 3.65 ~ 32.74)、家庭收入低(AOR = 4.01, 95% CI 1.73 ~ 9.28)、胎次3 (AOR = 10.3, 95% CI 4.07 ~ 25.84)、无计划生育史(AOR = 5.91, 95% CI 2.46 ~ 14.21)、丈夫对生殖健康的决策作用(AOR = 2.956, 95% CI 1.048 ~ 8.340)。结论和建议。在本研究中,意外怀孕的发生率相对较高。扩大妇女在计划生育服务方面的决策权,支持增强妇女经济权能。有必要促进计划生育服务,以尽量减少意外怀孕和减少胎次和家庭规模。
Unintended Pregnancy and Associated Factors among Pregnant Women Attending Antenatal Care Unit in Public Health Facilities of Dire Dawa City, Eastern Ethiopia, 2021.
Background: Unintended pregnancy refers to a pregnancy that is either mistimed or unwanted. Unintended pregnancy has been a troubling public health and reproductive health issue, which imposes appreciable adverse consequences on the mother, child, and the public in general. Globally 121 million unplanned pregnancies occurred from 2015 to 2019. A significant proportion (61%) of these pregnancies ended in abortions each year. In Ethiopia, the challenges of unintended pregnancy and its related complications still exist because of the high rate of unmet need for contraceptives. In addition, no research has been conducted on unintended pregnancy among pregnant women in Dire Dawa city administration.
Objective: To determine the prevalence of unintended pregnancy and associated factors among pregnant women attending antenatal care public health facilities in Dire Dawa in 2021.
Methods: A facility-based cross-sectional study was conducted. After being chosen randomly, 382 pregnant women were interviewed at 9 urban public health facilities. A pretested questionnaire was used to collect data, entered into Epi Info 7, and exported into SPSS version 25 for analysis. The variables, which were significant at P ≤ 0.25 in bivariate analysis, were included in multivariable analysis. Statistical significance was declared at a P value <0.05 and a 95% CI.
Results: In this study, the prevalence of unintended pregnancy was 23.8% at 95% CI (19.8-28.3). The following factors were associated with unintended pregnancy: single women (AOR = 10.93, 95% CI 3.65-32.74), low family income (2000 ETB) (AOR = 4.01, 95% CI 1.73-9.28), parity 3 (AOR = 10.3, 95% CI 4.07-25.84), no history of family planning use (AOR = 5.91, 95% CI 2.46-14.21), and husband decision-making role on reproductive health (AOR = 2.956, 95% CI 1.048-8.340). Conclusion and Recommendations. The prevalence of unintended pregnancy was relatively high in this study. Efforts should be made to scale up women's decision-making power on family planning services and give support to empower women economically. There is the need to promote family planning services to minimize unintended pregnancy and to decrease parity and family size.
期刊介绍:
Obstetrics and Gynecology International is a peer-reviewed, Open Access journal that aims to provide a forum for scientists and clinical professionals working in obstetrics and gynecology. The journal publishes original research articles, review articles, and clinical studies related to obstetrics, maternal-fetal medicine, general gynecology, gynecologic oncology, uro-gynecology, reproductive medicine and infertility, reproductive endocrinology, and sexual medicine.