Magnitude and Factors Associated with an Unintended Pregnancy among Women Attending Antenatal Care in Addis Ababa

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Addis Ababa University


Background: Of an estimated 210 million pregnancies that occur in the world each year, 38% are unintended pregnancy, out of which 22% end in abortion. Unintended pregnancy is a global public health problem and its sequels are major causes for maternal and neonatal morbidity and mortality with its effect to maternal mental illness as well. Unintended pregnancies have negative consequences on the women themselves, for their children, siblings and the societies as a whole. Objective: The purpose of this study was to assess the magnitude and factors associated with an unintended pregnancy among attending antenatal care in Addis Ababa. Method: An institutional based mixed (quantitative and qualitative) cross-sectional study design was used. The study was conducted between March and April; 2018.Consquentive technique was used to select the study subjects. The sample size required for the study was354.A standardized interviewer administered questionnaire was used to gather information from study participants. Data was cleaned and entered into Epi-data and exported in to a Statistical Package for Social Sciences (SPSS) version 20 for analysis. Descriptive statistics such as frequencies and proportions was produced to describe the variables of interest. Furthermore, logistic regression including bivariate and multivariate analysis was used to identify determinants of an unintended pregnancy. Results were presented in tables, graphs and texts. Results: Among the all respondents the unintended pregnancy was 30.3% while 69.7% of the pregnancy was wanted. Those who had history of abortion AOR [2.92(1.30, 6.55)] and respondents who have ever used contraceptive AOR [2.1 (1.6, 3.89)] were significantly associated with unintended pregnancy (p<0.05). Conclusion and Recommendation: - This study found that there was a relatively high number of unintended pregnancies and needs education and intervention to decrease unintended pregnancy. Key words: Unintended pregnancy, Hospital, Health Center, Clinic, Anti Natal Care.