Erol Nermin, Durusoy Raika, Ergin Işıl, Döner Banu, Ciçeklioğlu Meltem
Aydin Provincial Health Directorate, Aydin, Turkey.
Eur J Contracept Reprod Health Care. 2010 Aug;15(4):290-300. doi: 10.3109/13625187.2010.500424.
To evaluate factors associated with pregnancy intention and its effects on source, content and adequacy of prenatal care for women who delivered in a large maternity hospital in Izmir, Turkey.
This cross-sectional survey was carried out using a questionnaire administered face-to-face to 351 women who had given birth in Konak Maternity Hospital in May 2002.
Nearly half (47.3%) of the pregnancies were unintended: 31.3% were mistimed, and 16.0% unwanted. Women's and husbands' older age and lower education, lower social class, women's recent migration to Izmir, lower household income and absence of social security had a negative impact on pregnancy intention. Women with unwanted pregnancies had started procreating earlier; they had more pregnancies, deliveries, children and intentional abortions (p < 0.05). Number and contents of prenatal visits increased as intention status improved. When controlled for socio-demographic variables, women with unwanted pregnancies had less prenatal care, received less education during prenatal visits and had less iron and vitamin supplementation (p < 0.05) whereas mistimed pregnancies did not significantly differ from intended pregnancies.
Unwanted pregnancies constitute a risk group that should be identified early in pregnancy. Ensuring an adequate and satisfactory prenatal care for all requires appropriate measures to be taken by public health authorities.
评估与怀孕意愿相关的因素及其对在土耳其伊兹密尔一家大型妇产医院分娩的女性产前护理的来源、内容和充分性的影响。
这项横断面调查采用问卷调查的方式，对2002年5月在科纳克妇产医院分娩的351名女性进行面对面询问。
近一半（47.3%）的怀孕是意外怀孕：31.3%时机不当，16.0%是意外怀孕。女性和丈夫年龄较大、教育程度较低、社会阶层较低、女性近期移民到伊兹密尔、家庭收入较低以及没有社会保障对怀孕意愿有负面影响。意外怀孕的女性生育开始得更早；她们有更多的怀孕、分娩、子女和人工流产（p<0.05）。随着怀孕意愿状态的改善，产前检查的次数和内容增加。在控制了社会人口统计学变量后，意外怀孕的女性产前护理较少，产前检查期间接受的教育较少，铁和维生素补充较少（p<0.05），而时机不当的怀孕与计划内怀孕没有显著差异。
意外怀孕构成一个应在怀孕早期识别的风险群体。确保为所有人提供充分和令人满意的产前护理需要公共卫生当局采取适当措施。
