Zendehdel Mozhgan, Jahanfar Shayesteh
Department of Reproductive and Sexual Health, School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Mazandaran, Iran.
Department of Public Health and Community, Medicine, Tufts University School of Medicine, Boston, USA.
J Family Med Prim Care. 2024 Jan;13(1):135-142. doi: 10.4103/jfmpc.jfmpc_1211_23. Epub 2024 Feb 8.
Unintended pregnancy is considered one of the critical indicators of community health as being a risk factor in unsanitary abortions, miscarriage, and insufficient prenatal care. This study aimed to determine the frequency of unintended pregnancy and the related factors in married women.
The study was conducted on 1013 married women aged 15-49 who were referred to health centers in the South of Tehran. To analyze the data, single and multiple logistic regressions were used.
About 50% of participants had already experienced at least one unintended pregnancy. Analysis showed the following predictive factors for unintended pregnancy: being within the age range of 26 to 40 (AOR, 95% CI = 1.91; 1.25-2.90), being over 40 years of age (AOR, 95% CI = 1.96; 1.04-3.71), spouse education level of high-school or lower (AOR, 95% CI = 1.64; 1.11-2.42), first marriage age range of 21 to 30 years (AOR, 95% CI = 0.64; 0.47-0.88), use of the DMPA method as contraception (AOR, 95% CI = 3.42; 1.16-10.06), history of tubectomy (AOR, 95% CI = 4.45; 1.99-10) and history of vasectomy (AOR, 95% CI = 4.61; 1.18-17.98).
Training and distribution of free contraceptive methods would be much more effective and less expensive than paying for costly illegal induction of abortion and unwarranted complications due to abortion.
Vulnerable women who are referred to health centers to receive health services should be trained in contraceptive methods and be informed of the probability of unintended pregnancy with each contraceptive method and the consequences of self-induced abortion.
意外怀孕被视为社区健康的关键指标之一，因为它是不安全堕胎、流产及产前护理不足的一个风险因素。本研究旨在确定已婚女性意外怀孕的发生率及相关因素。
该研究针对1013名年龄在15至49岁之间、前往德黑兰南部健康中心就诊的已婚女性展开。为分析数据，采用了单因素和多因素逻辑回归分析。
约50%的参与者至少经历过一次意外怀孕。分析显示意外怀孕的以下预测因素：年龄在26至40岁之间（比值比，95%置信区间 = 1.91；1.25 - 2.90）、40岁以上（比值比，95%置信区间 = 1.96；1.04 - 3.71）、配偶教育程度为高中或更低（比值比，95%置信区间 = 1.64；1.11 - 2.42）、初婚年龄在21至30岁之间（比值比，95%置信区间 = 0.64；0.47 - 0.88）、使用醋酸甲羟孕酮注射液作为避孕方法（比值比，95%置信区间 = 3.42；1.16 - 10.06）、输卵管结扎史（比值比，95%置信区间 = 4.45；1.99 - 10）和输精管切除术史（比值比，95%置信区间 = 4.61；1.18 - 17.98）。
免费避孕方法的培训与发放比为代价高昂的非法引产及堕胎引发的不必要并发症买单更有效且成本更低。
前往健康中心接受医疗服务的脆弱女性应接受避孕方法培训，并被告知每种避孕方法导致意外怀孕的可能性以及自行堕胎的后果。
