Department of Midwifery, Dilla University, Dilla, Ethiopia.
College of Medicine and Health Science, Mizan-Tepi University, Mizan Teferi, Ethiopia.
Womens Health (Lond). 2022 Jan-Dec;18:17455057221118170. doi: 10.1177/17455057221118170.
The term 'unintended pregnancy' refers to a pregnancy that occurred when no children were desired or occurred earlier than desired. Unintended births account for one out of every three births in Ethiopia, and they are the leading cause of maternal morbidity and mortality. During the coronavirus disease (COVID-19) pandemic, this could be useful. COVID-19 has a significant impact on maternal health care utilization, including family planning services. As a result, this study aimed to assess unintended pregnancy and associated factors in Ethiopia during the COVID-19 pandemic.
A community-based cross-sectional study was conducted in Gedeo zone, Ethiopia, from April 1 to May 30, 2021. A simple random sampling technique was utilized to get 383 pregnant women from their respective kebeles. A structured questionnaire was used to collect data during a face-to-face interview. The data were coded, cleaned, and entered into Epidemiological Data Version 3.1 before being exported to the Statistical Package for Social Science Version 23.0 for analysis. A bivariate and multivariable logistic regression model was used to identify statistically significant associations between dependent and independent variables. The odds ratio, with a 95% confidence interval and a P value of 0.05%, was considered statistically significant.
A total of 383 pregnant women participated in the study, giving a response rate of 90.8%. During the COVID-19 pandemic, 140 (36.6%) participants stated that their current pregnancy was unintended. Unintended pregnancy was significantly associated with respondents' age (adjusted odds ratio (AOR) = 5.214 (1.449-18.762)), primary decision maker for family planning services (AOR = 9.510 (5.057-17.887)), and fear of COVID-19 to visit a health care facility (AOR = 7.061 (2.665-18.710)).
During the COVID-19 era, more than one-third of women had unintended pregnancies. Unintended pregnancy was significantly associated with respondents' age, autonomy to use contraceptive methods, and fear of COVID-19, which required them to attend a health care institution.
“意外怀孕”是指当人们不期望怀孕或怀孕时间早于预期时发生的怀孕。在埃塞俄比亚，意外妊娠占分娩总数的三分之一，是产妇发病率和死亡率的主要原因。在冠状病毒病（COVID-19）大流行期间，这可能会很有用。COVID-19 对包括计划生育服务在内的产妇保健服务的利用产生了重大影响。因此，本研究旨在评估 COVID-19 大流行期间埃塞俄比亚的意外妊娠及其相关因素。
本研究为 2021 年 4 月 1 日至 5 月 30 日在埃塞俄比亚盖多地区进行的一项基于社区的横断面研究。采用简单随机抽样技术从各自的 kebeles 中抽取 383 名孕妇。使用结构化问卷在面对面访谈中收集数据。数据经过编码、清理后，输入到 Epidemiological Data Version 3.1 中，然后导出到 Statistical Package for Social Science Version 23.0 进行分析。采用双变量和多变量逻辑回归模型来确定因变量和自变量之间具有统计学意义的关联。具有 95%置信区间和 P 值为 0.05%的优势比被认为具有统计学意义。
共有 383 名孕妇参加了研究，应答率为 90.8%。在 COVID-19 大流行期间，140 名（36.6%）参与者表示她们目前的怀孕是意外怀孕。意外妊娠与受访者的年龄（调整后的优势比（AOR）=5.214（1.449-18.762））、计划生育服务的主要决策者（AOR=9.510（5.057-17.887））和对前往医疗机构的 COVID-19 的恐惧（AOR=7.061（2.665-18.710））显著相关。
在 COVID-19 时代，超过三分之一的女性意外怀孕。意外妊娠与受访者的年龄、使用避孕方法的自主权以及对 COVID-19 的恐惧显著相关，这使她们需要前往医疗机构。
