Ayele Andinet, Abdurashid Neil, Hailu Mickiale, Tefera Bereket
Action Against Hunger, Addis Ababa, Ethiopia.
Department of Midwifery, College of Medicine and Health Sciences, Dire Dawa University, Dire Dawa, Ethiopia.
Obstet Gynecol Int. 2023 Sep 4;2023:8100462. doi: 10.1155/2023/8100462. eCollection 2023.
Unintended pregnancy refers to a pregnancy that is either mistimed or unwanted. Unintended pregnancy has been a troubling public health and reproductive health issue, which imposes appreciable adverse consequences on the mother, child, and the public in general. Globally 121 million unplanned pregnancies occurred from 2015 to 2019. A significant proportion (61%) of these pregnancies ended in abortions each year. In Ethiopia, the challenges of unintended pregnancy and its related complications still exist because of the high rate of unmet need for contraceptives. In addition, no research has been conducted on unintended pregnancy among pregnant women in Dire Dawa city administration.
To determine the prevalence of unintended pregnancy and associated factors among pregnant women attending antenatal care public health facilities in Dire Dawa in 2021.
A facility-based cross-sectional study was conducted. After being chosen randomly, 382 pregnant women were interviewed at 9 urban public health facilities. A pretested questionnaire was used to collect data, entered into Epi Info 7, and exported into SPSS version 25 for analysis. The variables, which were significant at ≤ 0.25 in bivariate analysis, were included in multivariable analysis. Statistical significance was declared at a value <0.05 and a 95% CI.
In this study, the prevalence of unintended pregnancy was 23.8% at 95% CI (19.8-28.3). The following factors were associated with unintended pregnancy: single women (AOR = 10.93, 95% CI 3.65-32.74), low family income (2000 ETB) (AOR = 4.01, 95% CI 1.73-9.28), parity 3 (AOR = 10.3, 95% CI 4.07-25.84), no history of family planning use (AOR = 5.91, 95% CI 2.46-14.21), and husband decision-making role on reproductive health (AOR = 2.956, 95% CI 1.048-8.340). . The prevalence of unintended pregnancy was relatively high in this study. Efforts should be made to scale up women's decision-making power on family planning services and give support to empower women economically. There is the need to promote family planning services to minimize unintended pregnancy and to decrease parity and family size.
意外怀孕是指怀孕时间不合适或不想要的怀孕情况。意外怀孕一直是一个令人困扰的公共卫生和生殖健康问题，会给母亲、孩子以及整个公众带来相当严重的不良后果。2015年至2019年全球发生了1.21亿例意外怀孕。每年这些怀孕中有很大一部分（61%）以堕胎告终。在埃塞俄比亚，由于避孕药具未满足需求率高，意外怀孕及其相关并发症的挑战依然存在。此外，在德雷达瓦市行政区，尚未对孕妇中的意外怀孕情况进行研究。
确定2021年在德雷达瓦市接受产前保健公共卫生设施服务的孕妇中意外怀孕的患病率及相关因素。
开展了一项基于机构的横断面研究。随机选取后，在9家城市公共卫生设施对382名孕妇进行了访谈。使用经过预测试的问卷收集数据，录入Epi Info 7，并导出到SPSS 25版进行分析。在双变量分析中显著性水平≤0.25的变量纳入多变量分析。当P值<0.05和95%置信区间时宣布具有统计学意义。
在本研究中，意外怀孕的患病率为23.8%，95%置信区间为（19.8 - 28.3）。以下因素与意外怀孕相关：单身女性（调整后比值比[AOR]=10.93，95%置信区间3.65 - 32.74）、家庭收入低（2000埃塞俄比亚比尔）（AOR = 4.01，95%置信区间1.73 - 9.28）、产次≥3（AOR = 10.3，95%置信区间4.07 - 25.84）、无计划生育使用史（AOR = 5.91，95%置信区间2.46 - 14.21）以及丈夫在生殖健康方面的决策作用（AOR = 2.956，95%置信区间1.048 - 8.340）。本研究中意外怀孕的患病率相对较高。应努力扩大女性在计划生育服务方面的决策权，并在经济上给予支持以增强女性权能。有必要推广计划生育服务以尽量减少意外怀孕，并降低产次和家庭规模。
