Student Research Committee, Midwifery Department, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
Tabriz University of Medical Sciences, Tabriz, Iran.
Reprod Health. 2024 Jun 5;21(1):79. doi: 10.1186/s12978-024-01821-1.
There is a lack of quantitative studies that specifically measure the association between the experience of pregnancy and unintended pregnancy. The present study aims to address the prevalence of unintended pregnancy and identify its predictors. Additionally, the study explores whether unintended pregnancy is associated with pregnancy uplifts and hassles.
This cross-sectional study was conducted on 488 pregnant women between 20 to 40 weeks' gestation at the comprehensive health center in Tabriz City from February 2022 to January 2023. A cluster sampling method was used for sampling, and data were collected using socio-demographic questionnaires and the Pregnancy Experience Scale (PES). Descriptive statistics were used to describe the socio-demographic characteristics and the prevalence of unintended pregnancy. Binary logistic regression was employed to identify the predictors of pregnancy desirability. To examine the relationship between unintended pregnancy and pregnancy experience, an independent t-test was used for bivariate analysis, and a general linear model (GLM) was utilized for multivariate analysis, with control for potential confounding variables.
The prevalence of unintended pregnancies was 30.7% (24.3% unwanted pregnancies, and 6.4% mistimed pregnancies). The results of the binary logistic regression indicated that the lower age of both the woman and her spouse were significant predictors for unintended pregnancy (P < 0.05). Based on an independent t-test, the mean score for uplifts in women with unintended pregnancy was significantly lower than in women with intended pregnancy (mean difference (MD): -4.99; 95% confidence interval (CI): -5.96 to -4.02; p < 0.001), While the mean score of hassles in women with unintended pregnancy was significantly higher than women with intended pregnancy (MD: 2.92; 95% CI: 2.03 to 3.80; p < 0.001). The results of GLM showed that women who had unintended pregnancies had significantly lower scores for uplifts (B = -4.99; 95% CI: -5.96 to -4.03; P < 0.001) and higher scores for hassles (B = 2.92; 95% CI: 2.06 to 3.78; P < 0.001).
The high prevalence of unintended pregnancies in Tabriz highlights the importance of targeted interventions to address this issue, considering the policy framework and unique challenges faced by women. Future studies should focus on developing context-specific interventions that effectively meet the needs of women with unintended pregnancies.
目前缺乏专门衡量怀孕经历与非意愿妊娠之间关联的定量研究。本研究旨在调查非意愿妊娠的流行情况，并确定其预测因素。此外，本研究还探讨了非意愿妊娠是否与妊娠喜悦和困扰有关。
本横断面研究于 2022 年 2 月至 2023 年 1 月在大不里士市综合健康中心对 488 名 20 至 40 周妊娠的孕妇进行，采用整群抽样方法进行抽样，使用社会人口学问卷和妊娠体验量表（PES）收集数据。采用描述性统计方法描述社会人口学特征和非意愿妊娠的流行情况。采用二项逻辑回归分析确定妊娠期望的预测因素。采用独立 t 检验进行二元分析，采用一般线性模型（GLM）进行多元分析，并控制潜在的混杂变量，以检验非意愿妊娠与妊娠体验之间的关系。
非意愿妊娠的流行率为 30.7%（24.3%为不期望妊娠，6.4%为时机不当妊娠）。二项逻辑回归结果表明，孕妇和其配偶年龄较小是非意愿妊娠的显著预测因素（P<0.05）。基于独立 t 检验，非意愿妊娠组女性的喜悦评分明显低于意愿妊娠组（平均差异（MD）：-4.99；95%置信区间（CI）：-5.96 至-4.02；p<0.001），而非意愿妊娠组女性的困扰评分明显高于意愿妊娠组（MD：2.92；95%CI：2.03 至 3.80；p<0.001）。GLM 结果显示，非意愿妊娠组女性的喜悦评分明显较低（B=-4.99；95%CI：-5.96 至-4.03；P<0.001），困扰评分明显较高（B=2.92；95%CI：2.06 至 3.78；P<0.001）。
大不里士非意愿妊娠的高流行率突出表明，需要针对这一问题采取有针对性的干预措施，同时考虑到政策框架和妇女面临的独特挑战。未来的研究应侧重于制定针对具体情况的干预措施，以有效满足非意愿妊娠妇女的需求。
