Markowitz Melissa A, Lundsberg Lisbet S, Gariepy Aileen M
Department of Obstetrics, Gynecology and Reproductive Sciences, Yale School of Medicine, New Haven, Connecticut, USA.
Department of Obstetrics and Gynecology, Weill Cornell Medicine and New York Presbyterian Hospital, New York, New York, USA.
Womens Health Rep (New Rochelle). 2024 Mar 12;5(1):211-222. doi: 10.1089/whr.2024.0008. eCollection 2024.
Evaluate the longitudinal stability of six pregnancy contexts, including intention, in a diverse cohort of individuals experiencing delivery, abortion, or miscarriage.
We enrolled individuals 16-44 years of age with pregnancies <24 weeks gestation in this longitudinal study between June 2014 and June 2015 in four US urban clinics. We assessed six pregnancy contexts (intention, wantedness, planning, timing, desirability, and happiness) at enrollment and 3-month follow-up. We constructed three-level categorical measures for each context defined as favorable, ambivalent, or unfavorable. We used Wilcoxon sign tests to evaluate changes in paired observations between pregnancy context measures over time and by pregnancy outcome.
Among 121 participants at median gestational age of 7 weeks and 3 days, we found intention, wantedness, planning, timing, and happiness remained unchanged from enrollment in early pregnancy to 3-month follow-up. Individuals demonstrated changes in desirability; pregnancy assessments shifted toward less desirable from enrollment to follow-up ( = 0.01) ( desired to ambivalent, or ambivalent to undesired). Among participants choosing delivery (57%), assessments shifted toward more favorable planning ( unplanned to ambivalent, or ambivalent to planned) ( < 0.01), and less favorable desirability ( desired to ambivalent or ambivalent to undesired) ( < 0.01) at follow-up. Among participants choosing abortion (28%), assessments shifted toward more unfavorable planning ( planned to ambivalent, or ambivalent to unplanned) at follow-up ( < 0.01).
In multidimensional, longitudinal assessment, pregnant participants' perspectives on five of six pregnancy contexts remained unchanged between enrollment and 3-month follow-up; only desirability shifted. Pregnancy planning perspectives differed by pregnancy outcome.Human Research Subjects Protection Program: 1310012926.
在经历分娩、流产或自然流产的不同个体队列中，评估包括意愿在内的六种妊娠情况的纵向稳定性。
在2014年6月至2015年6月期间，我们在美国的四家城市诊所对16 - 44岁、妊娠<24周的个体进行了这项纵向研究。我们在入组时和3个月随访时评估了六种妊娠情况（意愿、期望、计划、时机、合意性和幸福感）。我们为每种情况构建了三级分类指标，定义为有利、矛盾或不利。我们使用Wilcoxon符号检验来评估妊娠情况指标之间配对观察值随时间以及妊娠结局的变化。
在中位孕周为7周零3天的121名参与者中，我们发现意愿、期望、计划、时机和幸福感从妊娠早期入组到3个月随访时保持不变。个体的合意性发生了变化；妊娠评估从入组到随访时变得不那么合意（P = 0.01）（从期望变为矛盾，或从矛盾变为不期望）。在选择分娩的参与者中（57%），随访时评估转向更有利的计划（从无计划变为矛盾，或从矛盾变为有计划）（P < 0.01），以及不那么有利的合意性（从期望变为矛盾或从矛盾变为不期望）（P < 0.01）。在选择流产的参与者中（28%），随访时评估转向更不利的计划（从有计划变为矛盾，或从矛盾变为无计划）（P < 0.01）。
在多维纵向评估中，怀孕参与者对六种妊娠情况中五种情况的看法在入组和3个月随访之间保持不变；只有合意性发生了变化。妊娠计划观点因妊娠结局而异。人类研究受试者保护计划：1310012926。
