Magnitude and Factors Influencing Unintended Pregnancy among Pregnant Women Attending Antenatal Care at Felege Hiwot Referral Hospital, Northwest Ethiopia: A Cross-Sectional Study
Science Journal of Public Health
Volume 2, Issue 4, July 2014, Pages: 261-269
Received: May 15, 2014;
Accepted: Jun. 4, 2014;
Published: Jun. 30, 2014
Views 3924 Downloads 626
Wubalem Gebreamlak, Department of Midwifery, college of Health sciences, Bahir Dar Health Science College, Bahir Dar City
Amanu Aragaw, Department of Nursing, college of Health sciences, Bahir Dar Health Science College, Bahir Dar City
Seblewongele Lemma, Department of Epidemiology and Biostatistics, Addis continental institute of public health, Addis Ababa
Wubante Demilew, Department of pharmacy, college of Health sciences, Bahir Dar Health Science College, Bahir Dar City
Background: Unintended pregnancy is important public health concern both in the developing and developed world that increases maternal morbidity and mortality. The proportion of unintended pregnancies is increasing in Ethiopia; yet the determinants of unwanted and mistimed pregnancy has not been identified clearly. The objectives of this study were to determine magnitude and identify factors associated with unintended pregnancy among currently pregnant women visiting antenatal care clinic, Bahir Dar, Ethiopia. Methods: A cross sectional study was conducted on 454 women attending antenatal care clinic at Felege Hiwot Referral Hospital from June to July 2012. Simple random sampling technique was used to select study participants. Data were collected by trained data collectors using pretested structured questionnaires. Data were checked for completeness, consistency, coded and entered into EPI Info (version 3.5.2) and transferred to SPSS version 16 for analysis. Bivariate and multivariate logistic regression analysis was computed to test the strength of association and level of significance. P-value <0.05 was considered as statistical significant. Results: The magnitude of unintended pregnancy was 26.0 % (13.7% mistimed and 12.3% were unwanted). Major reasons mentioned for failure to avoid unintended pregnancy were lack of knowledge, disapproval by husband, and method failure. The study revealed that illiterate women were three times more likely to experience unintended pregnancy compared to those women educated secondary and above (AOR= 3.10, CI: 1.66- 5.78). Likewise, those women who had family size of 3-5 were twice more likely at risk to have unintended pregnancy compared to those who had family size of 1-2 (AOR= 2.19; CI: 1.32- 3.61) and those women who had family size of greater than 5 were nine folds at risk to have unintended pregnancy compared to those who had family size of 1-2 (AOR=8.90; CI: 4.37-18.13). Conclusion: The finding of this study showed that a considerable proportion of women had unintended pregnancy (26%). The study showed that many factors were interwoven to affect the occurrence of the unintended pregnancy. Differences in educational status of women and family size, previous history of unintended pregnancy and male partner awareness on contraceptive utilization were found to be significantly significant with unintended pregnancy. Health promotion messages are needed to focus to improve the knowledge of women about contraceptives as a primary prevention of unplanned pregnancies.
Magnitude and Factors Influencing Unintended Pregnancy among Pregnant Women Attending Antenatal Care at Felege Hiwot Referral Hospital, Northwest Ethiopia: A Cross-Sectional Study, Science Journal of Public Health.
Vol. 2, No. 4,
2014, pp. 261-269.
WHO: Engaging men in changing gender based inequality in health: Evidence from programme intervention, Geneva. 2007.
Amy O, Raegan M, Anne E: Family Planning and the Burden of Unintended Pregnancies. Epidemiol Rev. 2010:32.
Panday, S., Makiwane, M., Ranchod, C., & Letsoalo, T. Teenage pregnancy in South Africa - with a speciﬁc focus on school-going learners. Child, Youth, Family and Social Development, Human Sciences Research Council. Pretoria: De-partment of Basic Education. August 2009. ISBN No.: 978-0-620-44701-0
Glasier A, Gul-mezoglu A, Schmid G, Moreno C, and Van Look P: Sexual and reproductive health: a matter of life and death Lancet. 2006; 368(9547):1595-607.
Amin S, Howden C, Peyman N: A Compar-ison Study: Risk Factors of Unplanned Pregnancies in a Group of Iranian and New Zealander Women. European Journal of Scientific Research 2009; 26(1):108-21.
Singns S, Wulf B, Hussein R, Bankole A, Sedgh G: Decade of uneven progress, Abortion World Wide. New York: Guttmacher Institute, 2009.
Guttmacher Institute: Benefits of Meeting the contraceptive Needs of Ethiopian Women 2010 series, number 1: 4
CSA: Ethiopian Demographic and Health Survey: Fertility references and Family planning, Addis Ababa Ethiopia 2011:81-108.
Ahmed A: Maternal Mortality Trend in Ethiopia. Ethiop J Health Dev 2010; 24(1):115-22.
Kwast B, KidaneMariam W, EM Said, Fowkes F: Epidemiology of maternal mortality in Addis Ababa: a community-based study. Ethiop Med J 1985; 23:7-16.
Berhan Y, Abdella A: Emergency obstetrics performance with emphasis on operative delivery outcome: Does it reflect the quality of care. Ethiop J Health Dev 2004; 18(2):96-106.
Ramesh A, Kusol S, Pramote P: Correlates of unintended pregnancy among currently pregnant married women in Nepal. BMC Int Health Hum Rights 2009;9(17):
Assefa N, Berhane Y, Worku A: Predictors of Unintended Pregnancy in Kersa, Eastern Ethiopia. Reproductive Health 2010; 9(1):1.
Solomon W, Mesganaw F: Unintended pregnancy and induced abortion in a town with accessible family planning services: The case of Harar in eastern Ethiopia. Ethiop J Health Dev 2006; 20(2):79-83.
Isabel G, MiguelSan S: Unintended pregnancy in the Amazon basin of Ecuador: a multilevel analysis. Int J Equity Health 2010; 9(14).
Glei D: Measuring contraceptive use patterns among teenage and adult women. Fam Plann Perspect 1999; 31(2):73-80.
Ramesh A, Kusol S, Pramote P: Demographic, socio-economic, and cultural factors affecting fertility differentials in Nepal. BMC Int Health Hum Rights 2009; 9(17).
Nigatu R, Tadele K: A population based study on unintended pregnancy among married women in a Gale district in Southern Ethiopia Journal of Geography and Regional Planning. 2011; 4(7):417-27.
AnuManchikanti G: Sexual violence as a predictor of unintended pregnancy, contraceptive use, unmet need, among female youth. Colombia Journal of Women's Health 2011;20(9):1349-56.
Mosfequr R: Women’s Autonomy and unintended pregnancy among currently pregnant women in Bangladish. Maternal child health journal 2011:10.
Amaha H, Enqueselassie F: Influence of women’s autonomy on couple’s con-traception use in Jimma town, Ethiopia. Ethiop J Health Dev 2006; 20(3):145-51.
Kamal M, Islam A: Prevalence and socioeconomic correlates of unintented pregnancy among women in rural Bangladesh. Salud Publica Mex 2011; 53(2):108-15.
Shane K, Joy Bradley, Fishel V: Unmet Need and the Demand for Family Planning in Uganda: Further Analysis of the Uganda Demographic and Health Surveys 2008.
Okanlawon K, Reeves M, Agbaje O: Contraceptive use: knowledge, perceptions and attitudes of refugee youths in Oru Refugee Camp, Nigeria. Afr J Reprod Health 2010;14 (4):16-25.
Hubacher D, Mavranezouli I, McGinn E: Unintended pregnancy in sub-Saharan Africa: magnitude of the problem and potential role of contraceptive implants to alleviate it. Contraception Jul 2008; 78(1):73-8.
Gessessew A: Abortion and unwanted pregnancy in Adigrat Zonal Hospital, Tigray, north Ethiopia. Afr J Reprod Health 2010;14(3):183-8.
Yohannes D: Factors Influencing Women's Intention to Limit Child Bearing in Oromia, Ethiopia. Ethiop J Health Dev 2009;23 (1):29
CSA: Ethiopian Demo-graphic and Health Survey: Fertility references and Family planning, Addis Ababa Ethiopia 2011:81-93.