Sexual Health and Reproductive Equity Program, School of Social Welfare, University of California, Berkeley, 110 Haviland Hall MC 7400, Berkeley, CA 94720-7400, USA.
Sexual Health and Reproductive Equity Program, School of Social Welfare, University of California, Berkeley, 110 Haviland Hall MC 7400, Berkeley, CA 94720-7400, USA.
Contraception. 2019 Jan;99(1):16-21. doi: 10.1016/j.contraception.2018.08.012. Epub 2018 Aug 16.
To understand how young people conceptualize planned, unplanned and "in-between" pregnancies.
We conducted individual qualitative interviews with 50 young (ages 18-24) women and their male partners (n=100) in the San Francisco Bay Area to investigate prospective pregnancy intentions. In this analysis, we focused on participants' conceptualization of planned and unplanned pregnancies, as well as a status in between planned and unplanned.
Conceptualizations of pregnancy planning were influenced by personal experiences and life circumstances, including previous unplanned pregnancies. While many participants held up planned pregnancies as an ideal, the majority of participants (n=71) also felt that a status in between planned and unplanned pregnancy existed. Many described this in-between stage occurring when someone is "not not trying" or would find an unplanned pregnancy acceptable. Notably, a few participants mentioned that pregnancy planning was not possible because either it was uncommon among their peers or they felt a general lack of control over pregnancy.
Our analysis suggests that binary operationalization of pregnancies as "planned" and "unplanned" neglects the complexity of young people's lived experiences and perspectives. Contraceptive counseling approaches that allow patients the flexibility to express their considerations and feelings toward a potential future pregnancy could improve the quality of family planning visits and patient-provider interactions.
The traditional binary conceptualization of pregnancies as planned and unplanned may not holistically capture the diverse perspectives of young people. Increased understanding of the complexities in young people's conceptualizion of pregnancy planning can inform family planning care that is inclusive, relevant and supportive of a variety of perspectives.
了解年轻人如何看待计划妊娠、非计划妊娠和“两者之间”妊娠。
我们对旧金山湾区的 50 名年轻（18-24 岁）女性及其男性伴侣（n=100）进行了个体定性访谈，以调查预期妊娠意向。在这项分析中，我们重点关注参与者对计划妊娠和非计划妊娠的概念化，以及计划妊娠和非计划妊娠之间的一种状态。
妊娠计划的概念受到个人经历和生活环境的影响，包括以前的非计划妊娠。虽然许多参与者将计划妊娠视为理想状态，但大多数参与者（n=71）也认为存在计划妊娠和非计划妊娠之间的一种状态。许多人描述这种中间阶段发生在“不是不尝试”或认为意外妊娠可以接受的时候。值得注意的是，有少数参与者提到妊娠计划是不可能的，因为在他们的同龄人中这种情况并不常见，或者他们感到对妊娠普遍缺乏控制。
我们的分析表明，将妊娠简单地划分为“计划”和“非计划”，忽视了年轻人生活经历和观点的复杂性。采用允许患者灵活表达对潜在未来妊娠的考虑和感受的避孕咨询方法，可以提高计划生育就诊的质量和医患互动。
将妊娠简单地划分为计划和非计划，可能无法全面捕捉年轻人的多样化观点。深入了解年轻人对妊娠计划概念的复杂性，可以为包容性、相关性和支持各种观点的计划生育护理提供信息。
