Eftekhariyazdi Mitra, Mehrbakhsh Malihe, Neamatshahi Mahboubeh, Moghadam Manijeh Yousefi
Department of Obstetrics and Gynecology, School of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran.
Student Research Committee, School of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran.
Biomedicine (Taipei). 2021 Dec 1;11(4):51-56. doi: 10.37796/2211-8039.1192. eCollection 2021.
Unintended pregnancy, as a pregnancy that is mistimed, unplanned or unwanted at the time of conception, is a common experience worldwide that puts mothers at risk for mental stress and its pregnancy complications. The aim of this study was to compare three common pregnancy complications, including preeclampsia, preterm labor, and low birth weight, between unintended and intended pregnancies in Sabzevar, northeast Iran in 2019.
This prospective follow-up study was conducted on 200 pregnant women (100 intended and 100 unintended pregnancies) who were between 18 and 35 years old and were referred for delivery to Shahidan Mobini Hospital, Sabzevar, Iran. Data were collected using a questionnaire and the subjects were recruited based on inclusion and exclusion criteria. Preeclampsia, preterm labor, and low birth weight were recorded after delivery and were statistically analyzed using the statistical package for social sciences (SPSS software) version 22 at the statistical significance of <0.05.
The mean age and gravidity was significantly higher in the unintended pregnancy group compared to intended pregnancy group. The most common complication overall was low birth weight (25% of unintended and 16% of the intended pregnancies) followed by preterm labor (12% of unintended and 11% of intended pregnancies) and preeclampsia (5% of unintended and 1% of intended pregnancies). No significant relationship was found between the time of delivery and type of pregnancy (P = 0.50).
The findings of this study indicated that unintended pregnancy can be a risk factor for pregnancy complications including preeclampsia and low birth weight and that sophisticated monitoring should be performed for better management of these complications.
意外怀孕是指在受孕时时机不当、意外受孕或意外怀孕，这在全球都是常见的情况，会使母亲面临精神压力及其妊娠并发症的风险。本研究的目的是比较2019年伊朗东北部萨卜泽瓦尔意外怀孕和计划怀孕之间三种常见的妊娠并发症，包括子痫前期、早产和低出生体重。
本前瞻性随访研究对200名年龄在18至35岁之间、前往伊朗萨卜泽瓦尔的沙希丹·莫比尼医院分娩的孕妇进行（100例计划怀孕和100例意外怀孕）。使用问卷收集数据，并根据纳入和排除标准招募受试者。分娩后记录子痫前期、早产和低出生体重情况，并使用社会科学统计软件包（SPSS软件）第22版进行统计学分析，统计学显著性水平为<0.05。
意外怀孕组的平均年龄和妊娠次数显著高于计划怀孕组。总体上最常见的并发症是低出生体重（意外怀孕组为25%，计划怀孕组为16%），其次是早产（意外怀孕组为12%，计划怀孕组为11%）和子痫前期（意外怀孕组为5%，计划怀孕组为1%）。未发现分娩时间与怀孕类型之间存在显著关系（P = 0.50）。
本研究结果表明，意外怀孕可能是包括子痫前期和低出生体重在内的妊娠并发症的一个风险因素，应对这些并发症进行精细监测以更好地管理。
