Time-to-Pregnancy and Associated Factors among Couples with Natural Planned Conception in Addis Ababa, Ethiopia (original) (raw)
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GJMEDPH 2017; Vol. 6, issue 4 , 2017
Background Unintended pregnancy is an important public health issue in both developing and developed countries because of its serious consequences for women and their families, which include the possibility of unsafe abortion, delayed prenatal care, poor maternal mental health, and poor child health outcomes. The major objective of this study was to identify the magnitude and factors associated with unintended pregnancy among pregnant women attending antenatal care in Addis Ababa. Methods A facility based cross-sectional study was conducted on 393 women attending antenatal care clinic at Addis Ababa in ten public health centers from February to May 2015. Simple random sampling technique was used to select health centers. Data were collected by trained data collectors using Pre-tested structured questionnaires. The data was entered into Epi Info version 3.5.3 then transferred to SPSS version 20 for data analysis and the level of significance of association were determined at P-value <0.05. Results The magnitude of unintended pregnancy was 36.4 95% CI ;(31%.8, 41.7%). The odds of unintended pregnancy among no Spousal communication were 4 times more likely than Spousal communication, Odds of unintended pregnancy among own business maker were 4 times more likely than unintended pregnancy compared to housewives. The odds of unintended pregnancy among inadequate awareness on Intra Uterine Device were 4 times more likely to be experienced to unintended pregnancy than from those who have adequate awareness on Intra Uterine Device. Conclusion According to this study, women education, occupation, spousal communication and awareness of long-term family planning were significantly associated with unintended pregnancy. There is an apparent need to design strategies of communication within couples on fertility and contraceptive issues through peer education and promote long-term modern family planning methods.
International Journal of Women's Health
Background: Unintended pregnancy is an important public health concern in both developing and developed countries due to its serious consequences for women, infants, families and communities, including the risk of unsafe abortion, delayed prenatal care, poor maternal mental health, poor child health outcomes and unemployment. Objective: The aim of the study was to assess the prevalence and associated factors of unintended pregnancy among pregnant women in the town of Debre Markos in 2019. Methods: The magnitude and associated factors of unintended pregnancy were assessed using a community-based cross-sectional study design. A multi-stage sampling technique was used to select five Kebeles (basic administrative units), and households were selected from the selected Kebeles using simple random sampling. A total of 580 samples were collected through standardized pretested questionnaires. Bivariate and multivariate logistic regression were used to analyze the relationship between the UP and independent variables. Results: Of the pregnant women, 202 (34.8%) (95% CI: 30.9-38.7) participants had an unintended current pregnancy; of those 144 (24.8%) were mistimed pregnancies. Women aged 24 years were three times more likely to have an unintended pregnancy than those aged 35 years. Divorced and widowed women were four times more likely than women who were currently married to experience an unintended pregnancy. Gravidity 1-2 and 3-4 were 94% and 86% less likely than gravidity > 5 to experience an unintended pregnancy, and women who made family planning decisions on their own were less likely to have an unintended pregnancy. Conclusion: According to this study, the prevalence of unintended pregnancy was 34.8% and unintended pregnancy was significantly correlated with women's age, marital status, gravidity and who made decisions on family planning. There is an obvious need to devise communication strategies on fertility and contraceptive issues between couples through peer education, and to encourage correct use of long-acting modern methods of family planning.
PLOS ONE, 2012
Of an estimated 210 million pregnancies that occur in the world each year, 38% are unplanned, out of which 22% end in abortion. In Ethiopia, the estimates of unintended pregnancy indicate that it is one of the major reproductive health problems with all its adverse outcomes. Women risk their lives in by seeking illegal abortions following unintended pregnancies. Thus, this study aims to determine the prevalence of unintended pregnancy and associated factors among pregnant married women residing in Hossana, Southern Ethiopia. A community-based cross-sectional study involving both qualitative and quantitative data collection methods was carried out in Hossana from April 02 to 15, 2011. 385 pregnant married women randomly selected from the census were included for the quantitative data and took in-depth interviews for the qualitative. Descriptive, binary and multiple logistic regression analyses were performed using SPSS version 16. Out of the total pregnancies, 131 (34%) were unintended and 254 (66%) were reported to be intended. A history of previous unintended pregnancy, the husband not wanting to limit family size, a desire for at least two children, the number of pregnancy 3-4 and parity of 5 and above were factors significantly associated with unintended pregnancy. With over one third of pregnancies unintended, having a previous unintended pregnancy, the number of previous pregnancies, and husbands' disagreement over family size, and the desired number of children are factors that reproductive health programs should aim to focus on to reduce unintended pregnancy.
BMC Research Notes
Results: Unintended pregnancy was found to be 41.5%. The multivariable logistic regression revealed that 35 and above age group (AOR; 2.343, 95% CI 1.374, 3.997), single marital status (AOR; 6.492, 95% CI 1.299, 32.455), parity of 2 (AOR; 53.419, 95% CI 21.453, 133.014), parity of 3 and above (AOR; 20.219, 95% CI 7.915, 51.655), having abortion history (AOR; 1.962, 95% CI 1.025, 3.755), having health professional visit (AOR; 2.004, 95% CI 1.218, 3.298) and having autonomy to use contraceptive method (AOR; 2.925, 95% CI 1.648, 5.190) were significantly associated with unintended pregnancy. Therefore, reproductive health advocacy, counseling and access of modern contraceptive methods are recommended.
Health Science Journal
Introduction: Worldwide, over three hundred fifty thousand women of childbearing age die every year due to complications of pregnancy. Poor pregnancy outcomes are higher in poor countries as compared to developed countries. Objective: To asses prevalence and risk factor for poor pregnancy outcomes among married women, in Fafan zone, Somali regional state, eastern Ethiopia. Methodology: To conduct the study, community based retrospective cross-sectional study design was employed and systematic random sampling was used. Data was entered and analyzed by using SPSS version 21. The result of the study revealed that, 10.9% and 9.3% of the women had history of a still birth and abortion respectively in their reproductive life. Result: Overall, half of studied women (51.9.0%) fall under category of poor pregnancy outcome. Approximately one third (32%) of women had at least one type of chronic medical pregnancy related medical disease during pregnancy. For majority women (90.4%) included in the study FGM had been conducted. Another significant proportion of women (27%) were overweight (25.00-29.99). About, one third (34.7%) of respondents reported that they got pregnant at age less than 18 years. Being Somali in ethnicity (AOR=6.601; 95% CI 2.890-15.078), history of FGM (AOR=3.579; 95% CI 2.118-6.050) and pregnancy at ageless than18 years (AOR=2.4941; 95% CI, 0.753-3.547) were independent predictors for poor pregnancy outcome among married women. Conclusion: In conclusion, the study showed high prevalence of poor maternal and fetal pregnancy outcome and risk factor among studied women. Concerned bodies were recommended to focus on identification of potential risk factor, and intervene through preconception care before pregnancy.
Factors Associated with the Unplanned Pregnancy at Suhul General Hospital, Northern Ethiopia, 2018
Journal of Pregnancy
Background. Unplanned pregnancy is a fundamental concept that is used to recognize the fertility of populations and the unmet need for contraception and family planning. Unplanned pregnancy happened mainly due to the results of not using contraception or inconsistent or incorrect use of effective methods. Reducing the number of unplanned pregnancy endorses reproductive health mainly by reducing the number of times a woman is exposed to the risk of pregnancy and childbearing. Objective. This study is aimed at assessing the magnitude of unplanned pregnancy and associated factors among pregnant mothers attending antenatal care at Suhul General Hospital, Northern Ethiopia. Methods. A facility-based cross-sectional study design was conducted among pregnant mothers visiting antenatal care follow-up from February to April 2018 at Suhul General Hospital, Shire, and Northern Ethiopia. The study participants were selected using a systematic sampling method, and the data was collected using a ...
PLOS ONE, 2019
Introduction Unintended pregnancy is a pregnancy which is not wanted and/or not planed at the time of conception. It has a major consequence on mothers' and newborns' health and its prevalence remains a major health problem in Ethiopia. This study was aimed to assess the prevalence and determinants of unintended pregnancy among pregnant women attending antenatal clinics of Addis Zemen hospital. Methods An institutional-based cross-sectional study was employed in Addis Zemen hospital from April 01 to May 30, 2018. The sampled 398 pregnant mothers were selected by systematic random sampling. The data were collected using a-pretested structured questionnaire via face to face interview and the collected data were analyzed by using SPSS Version-20. The data were summarized with frequency and cross-tabulation. Both binary and multiple logistic regressions were used in order to identify predictor variables using odds ratio at 95% confidence interval. Results All of 398 mothers answered the questionnaire making the response rate 100%. The prevalence of unintended pregnancy was 26.1% (CI;22.1, 30.4). Women who were multigravid (AOR; 4.7: CI; 2.3, 6.8), women who were multipara (AOR; 2.8: CI; 2.6, 9.7), and women who were from rural (AOR; 2.6: CI; 1.5, 4.6) were more likely experienced unintended pregnancy than their counterparts. Women who were Muslim (AOR; 0.79: CI; 0.6, 0.90) and women who attended secondary education (AOR; 0.58: CI; 0.42, 0.78) were less likely experienced unintended pregnancy. Conclusion and recommendation The prevalence of unintended pregnancy is high in the study area. Educational status, parity, gravity, residence, and religion were the most important predictor variables of
Determinants of Delayed Desired Conception among Reproductive Women of Port Harcourt
2020
Background: Desired conception is an important process among families in Africa, particularly when married. Many women have desired to conceive at their matrimonial homes but find it difficult to actualize their plans. This study was carried out to x-ray the determinants of delayed, desired conception among reproductive women of Port Harcourt. Materials & Method: This is a cross-sectional study involving 50 women who are within their reproductive period with age range 18-24years, 25-31years, 32-37years, 38-43years and 44-49years. A well structured self administered questionnaire was issued to each participant. Results: Data was analyzed with SPSS version 26 and Excel and P value < 0.05 was considered significant. The study shows that most women though married had delay in conception and this was predominant in women between 32-37years and 38-43years. Major factors implicated in causing delay to conception include uterine fibroid, alcohol consumption, abortions, contraceptive use ...
BMC Research Notes
Objective: The objective of this study was to determine the prevalence and determinants of unintended pregnancy among reproductive age women in Bahir Dar town, Northwest Ethiopia. Result: The prevalence of unintended pregnancy was 15.8% (95% CI 13.8%-17.7%). Single women (AOR 0.18; 95% CI 0.08-0.40), women living away from their husband (AOR 4.18; 95% CI 2.64-6.61) and women with no access/exposure to mass-media (AOR 1.89; 95% CI 1.13-3.15) were more likely to have unintended pregnancy compared to their counter parts.
International Journal of Reproductive Medicine
Background. Infertility is the inability to become pregnant after one year of sexual intercourse without the use of contraception. Epidemiological data suggest that 10 to 15% of couples around the world are suffering from infertility. The exact meaning of marriage is mainly fulfilled if the couple conceives and bears children. Failure of this often leads to unhappy married lives, divorces, and high levels of psychiatric morbidity. There is scarcity of data about determinants of infertility in Ethiopia. Therefore, the aim of this study is to identify the determinants of infertility among married women attending Dessie Referral Hospital and Dr. Misganaw gynecology and obstetrics specialty clinic, Dessie, Ethiopia, 2019. Methods. An institution-based case-control study was conducted on 281 participants. The participants were selected by a systematic random sampling technique. Data were collected using a structured interviewer-administered questionnaire. Data were entered into EpiData v...