Sardasht Fatemeh Ghaffari, Keramat Afsaneh, Motaghi Zahra
Student Research Committee, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran.
Reproductive Studies and Women's Health Research Center, Shahroud University of Medical Sciences, Shahroud, Iran.
Iran J Nurs Midwifery Res. 2021 Mar 5;26(2):120-126. doi: 10.4103/ijnmr.IJNMR_13_20. eCollection 2021 Mar-Apr.
Reproductive Life Planning (RLP) is a person-centered approach that investigates the reproductive needs, values, and priorities of each person and not only reduces the risk of unwanted pregnancies but also improves pregnancy outcomes and childbirth by investigating the health behaviors and underlying diseases of each individual. Therefore, the present study was conducted to assess RLP in pregnant women.
This descriptive cross-sectional study was carried out on 1019 pregnant women who were referred to outpatient clinics of teaching hospitals in Mashhad, Iran, during May-August 2019. The participants were selected using a convenience sampling method. The data collection tool used was a questionnaire. Data analysis was performed in SPSS software.
The results of this study showed that about two-thirds of the participants had a plan for their reproductive years. The age range of the participants was 13-47 years. Among the women, 38.60% had experienced failure of contraceptive method, and 32.20% had an unmet need for family planning. Moreover, only one-third of the women had been referred for preconception care, but 88.70% of the pregnant women had their initial prenatal care visit in their first trimester.
Given the considerable number of unwanted pregnancies and unmet needs for family planning in the present study, the modification of family planning policies seems necessary. Various strategies have been proposed to prevent unintended pregnancies such as RLP. The long-term goals of RLP are to plan pregnancies and improve maternal and infant outcomes.
生殖生活规划（RLP）是一种以个人为中心的方法，它调查每个人的生殖需求、价值观和优先事项，不仅能降低意外怀孕的风险，还能通过调查每个人的健康行为和潜在疾病来改善妊娠结局和分娩情况。因此，本研究旨在评估孕妇的生殖生活规划情况。
本描述性横断面研究于2019年5月至8月对转诊至伊朗马什哈德教学医院门诊的1019名孕妇进行。采用便利抽样法选取参与者。使用的资料收集工具为问卷。在SPSS软件中进行数据分析。
本研究结果显示，约三分之二的参与者对其生育年限有规划。参与者年龄范围为13至47岁。在这些女性中，38.60%曾经历避孕方法失败，32.20%有未满足的计划生育需求。此外，只有三分之一的女性曾被转诊接受孕前保健，但88.70%的孕妇在孕早期进行了首次产前检查。
鉴于本研究中意外怀孕数量可观且存在未满足的计划生育需求，修改计划生育政策似乎很有必要。已提出各种预防意外怀孕的策略，如生殖生活规划。生殖生活规划的长期目标是规划妊娠并改善母婴结局。
