Assessment of magnitude and factors associated with unintended pregnancy among women attending antenatal care at Ghandi Memorial Hospital
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Date
2014-05
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Addis Abeba University
Abstract
ABSTRACT
Background- Unintended pregnancy is an important public health issue in developed and
developing countries because of its negative association with the social and health outcomes for
mothers, children, the family and the nation. In Ethiopia, a study conducted at selected public
health centers of Addis Ababa reported that the magnitude of unintended pregnancy was 38.7%;
this indicates that it is one of the major reproductive health problems in the city.
Objective-The objective of this study was to assess magnitude and factors associated with
unintended pregnancy among women attending antenatal care at Gandi memorial hospital in
Addis Ababa.
Methods-A facility based cross sectional survey design using quantitative method was used to
conduct this study. Systematic random sampling technique was used to select participants for the
assessment. A total of 627 women attending antenatal care were interviewed to examine sets of
variables using questionnaire. Magnitude of unintended pregnancy was determined along with
the corresponding 95%CI. Bivariate and multivariate logistic regressions were employed to
assess factors associated with unintended pregnancy.
Result- Out of the total 627 pregnancies, 395(63%) were intended and 232(37%) were reported
to be unintended. The statistically significant independent predictors for unintended pregnancy
found in this study were family size and number of pregnancy. Women with family size of three
or less had 66% (AOR=0.34, 95% CI=0.13, 0.79) lower chance of having unintended pregnancy
than those women with family size of four or more. Those women with two or less pregnancies
had 55% (AOR=0.45, 95%CI=0.21, 0.91) lower chance of having unintended pregnancy than
those women with three or more pregnancies.
Conclusion- Findings of this study indicated that unintended pregnancy is one of the
reproductive health problems in the study area. Family size and number of pregnancies a woman
had were negative predictors of unintended pregnancy.
Recommendation- Reproductive health programs should give emphasis on mass media
messages addressing on the advantages of small family size and low number of pregnancies by
creating the awareness of the people on family planning with full availability and accessibility
family planning methods in the health facilities.
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Keywords
Pregnancy,Women,Antenatal care