Intended Delivery among Women with a Recently Birth in Fogera District, North West Ethiopia

Background: Intended pregnancy/delivery have thoughtful health, financial, and societal consequences for women and their families. In the world mistimed and unwanted delivery is a common problem and little is known in Ethiopia about determinant factors for unintended/intended pregnancy. Objective: The aim of this study was to assess the prevalence of intended delivery and its determinant factors in Fogera. Methods: A community based cross-sectional study was carried out in November 2018 from 810 mothers who delivered in the last six months and a multi-stage sampling was applied. Data were collected by nurses and midwives, and cleaned by EPI INFO software version 7. Data were analyzed using SPSS software version 21. Bivariable and multivariable logistic analyses were deployed to identify the associations. Results: In this study 652 (80.5%) with 95% CI (77.9-83.0) of mothers had intended delivery. Age of the mother AOR=2.48; 95% CI (1.45-4.22), mothers who had self-decision power on her family AOR=2.14; 95% CI (1.46-3.14), women whose couple involved during ANC/any other health intervention AOR=1.51; 95% CI (1.03-2.22) were the independent predictors of intended delivery/pregnancy. Conclusions: Even though there is an increment of intended pregnancy in this study, still there is high unintended pregnancy. Age of the mothers, self-decision power of the women and spousal involvement during the health institution visit were variables which are associated with intended delivery. Strength reproductive health advocacy, involving husbands in reproductive health issue counseling, and individualization of contraceptive choice is important for successful prevention of unintended pregnancy.