International Institute for Population Sciences (IIPS), Govandi Station Road, Deonar, Mumbai, Maharashtra, 400088, India.
Department of Fertility and Social Demography, International Institute for Population Sciences (IIPS), Govandi Station Road, Deonar, Mumbai, Maharashtra, 400088, India.
BMC Pregnancy Childbirth. 2023 Sep 19;23(1):674. doi: 10.1186/s12884-023-06002-9.
Pregnancy registration is one of the most critical components of women's reproductive health because it is the gateway to entering the continuum of care services such as antenatal care, institutional delivery, and postnatal care. There is a lack of studies exploring the relationship between pregnancy intention and pregnancy registration, especially in the Indian context.
This study used the National Family Health Survey-5 (2019-21) data to explore the relationship between birth intention and failure of pregnancy registration. The bivariate and multivariate (binary logistic regression) analysis was carried out.
Adjusting the effects of socio-demographic and economic characteristics, compared with women with an intended pregnancy, the odds of failure of pregnancy registration were significantly high among women with a mistimed pregnancy (OR = 1.60, 95% CI = 1.47-1.73) and unwanted pregnancy (OR = 1.38, 95% CI = 1.26-1.52). The study found pregnancy intention as a significant predictor of pregnancy registration.
Results suggest strengthening the interaction of grassroots-level health workers with women, especially those with possibly lower healthcare autonomy and unintended pregnancy. Higher and earlier pregnancy registration will enhance maternal healthcare utilization and reduce adverse health consequences to mothers and children, thus ensuring better maternal and child health.
妊娠登记是女性生殖健康的最关键组成部分之一，因为它是获得连续护理服务（如产前护理、机构分娩和产后护理）的门户。缺乏研究探索妊娠意图与妊娠登记之间的关系，特别是在印度背景下。
本研究使用国家家庭健康调查-5（2019-21 年）的数据来探讨生育意图与妊娠登记失败之间的关系。进行了双变量和多变量（二元逻辑回归）分析。
调整社会人口学和经济特征的影响后，与有计划妊娠的妇女相比，计划不当妊娠（OR=1.60，95%CI=1.47-1.73）和意外妊娠（OR=1.38，95%CI=1.26-1.52）的妇女妊娠登记失败的几率显著更高。研究发现妊娠意图是妊娠登记的重要预测因素。
结果表明，应加强基层卫生工作者与妇女的互动，特别是那些医疗自主权较低和意外妊娠的妇女。更高和更早的妊娠登记将提高产妇的医疗保健利用率，减少对母亲和儿童的不良健康后果，从而确保更好的母婴健康。
