Sriprasert Intira, Chaovisitsaree Somsak, Sribanditmongkhol Narisa, Sunthornlimsiri Nuchanart, Kietpeerakool Chumnan
Department of Obstetrics and Gynecology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Department of Obstetrics and Gynecology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Int J Gynaecol Obstet. 2015 Mar;128(3):228-31. doi: 10.1016/j.ijgo.2014.09.004. Epub 2014 Oct 16.
To assess pregnancy intention and the associated risks among young pregnant women.
In a descriptive study, pregnant women aged 15-24 years were recruited at a prenatal clinic in Chiang Mai University Hospital, Thailand, between March 1, 2012, and February 28, 2013. Participants were interviewed by trained interviewers using a standardized questionnaire to elicit information about baseline characteristics, pregnancy intention, and contraception practice.
Overall, 250 participants were recruited (mean age 20.7±2.4 years), and 163 (65.2%) declared that the pregnancy was unintended. The odds of the pregnancy being unintended were increased in students (P=0.006), women aged 20 years or younger (P=0.024), and women whose partner was a similar age (P=0.026). A higher percentage of women with unintended pregnancy than with intended pregnancy reported having no time to use contraception, a perceived difficulty of regular contraceptive use, fear of parents finding out about sexual activity, and embarrassment about using contraception.
Pregnancy among young pregnant women in Thailand was often unintended. Educational status, age, and age difference between the couple were independently associated with unintended pregnancy.
评估年轻孕妇的妊娠意愿及其相关风险。
在一项描述性研究中，于2012年3月1日至2013年2月28日期间，在泰国清迈大学医院的产前诊所招募了年龄在15 - 24岁的孕妇。由经过培训的访谈者使用标准化问卷对参与者进行访谈，以获取有关基线特征、妊娠意愿和避孕措施使用情况的信息。
总共招募了250名参与者（平均年龄20.7±2.4岁），其中163名（65.2%）宣称此次妊娠是意外妊娠。学生（P = 0.006）、20岁及以下的女性（P = 0.024）以及伴侣年龄相仿的女性（P = 0.026）发生意外妊娠的几率更高。与有计划妊娠的女性相比，意外妊娠的女性中报告没有时间使用避孕措施、认为常规避孕措施使用困难、担心父母发现其性行为以及对使用避孕措施感到尴尬的比例更高。
泰国年轻孕妇的妊娠往往是意外妊娠。教育程度、年龄以及夫妻间的年龄差异与意外妊娠独立相关。
