Motlagh Mohammad Esmaeil, Nasrollahpour Shirvani Seiyed Davoud, Hassanzadeh-Rostami Zahra, Torkestani Farahnaz, Rabiee Seyed-Mozaffar, Ashrafian Amiri Hassan, Radpooyan Laleh
Department of Pediatrics, School of Medicine, Ahvaz Jundishapur University of Medical Science, Ahvaz, Iran.
Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Science, Babol, Iran.
Iran J Public Health. 2020 Aug;49(8):1530-1538. doi: 10.18502/ijph.v49i8.3897.
Unwanted pregnancy is a type of unplanned pregnancy that can endanger health of mother and child. This study aimed to determine the prevalence of unwanted pregnancy and its associated factors and consequences in Iran.
This cross-sectional study was conducted in regions with low, moderate and high risk of maternal death. Two provinces were randomly selected in each region and 24 public health centers in each province during 2007-2012. Thereafter, 15-20 mothers, received at least one session of pregnancy care, were selected from each healthcare center. Data were gathered from both health records and interview with the mothers.
Of 2714 participants, 86.4% and 13.6% had respectively wanted and unwanted pregnancies. The underlying factors of unwanted pregnancy were determined as low distance with previous and next pregnancy, economic problems and have enough children. Moreover, there were significant relationships between unwanted pregnancy and place of residence, mother's age and education, father's education, pre-pregnancy care and number of previous pregnancies and children. There were also significant association between unwanted pregnancy and pregnancy care, anemia, exposure to risk factors and disease, intake of folic acid and iron, domestic violence, bitter memories and men's participation.
Although the prevalence of unwanted pregnancy has had a significant decrease in Iran, these mothers still require a higher level of educational, counseling and supportive services due to their low access to pregnancy care services and high exposure to associated risk factors.
意外怀孕是一种意外发生的妊娠，会危及母婴健康。本研究旨在确定伊朗意外怀孕的患病率及其相关因素和后果。
本横断面研究在孕产妇死亡风险低、中、高的地区进行。2007 - 2012年期间，在每个地区随机选择两个省份，在每个省份随机选择24个公共卫生中心。此后，从每个医疗中心选取15 - 20名接受过至少一次孕期护理的母亲。数据从健康记录和对母亲的访谈中收集。
在2714名参与者中，分别有86.4%和13.6%的人有意愿怀孕和意外怀孕。意外怀孕的潜在因素被确定为与上次和下次怀孕间隔时间短、经济问题以及子女数量足够。此外，意外怀孕与居住地点、母亲年龄和教育程度、父亲教育程度、孕前护理以及既往怀孕次数和子女数量之间存在显著关系。意外怀孕与孕期护理、贫血、接触危险因素和疾病、叶酸和铁的摄入、家庭暴力、痛苦回忆以及男性参与之间也存在显著关联。
尽管伊朗意外怀孕的患病率已显著下降，但由于这些母亲获得孕期护理服务的机会少且接触相关危险因素的程度高，她们仍然需要更高水平的教育、咨询和支持服务。
