Determinants of unintended pregnancy and its impact on the health of women in some governorates of Upper Egypt

Metwally, Ammal M.; Saleh, R. M.; Abd-Elhamed, A M; Salama, Somia I.; Mores, Carine W; Shaaban, Fatma A.; Azmy, Osama

doi:10.4103/1687-4293.159368

Cited by 11 publications

(12 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The authors found an increased risk of complications among women with an unintended pregnancy. These findings were also found from another study in Upper Egypt [21]. A study, however, did not reveal a relationship between pregnancy intention status and maternal complications during pregnancy [22].…”

Section: Discussionsupporting

confidence: 64%

Prevalence, determinants, and outcomes of unintended pregnancy in Sohag district, Egypt

Mohamed

Hamed

Yousef

et al. 2019

J. Egypt. Public. Health. Assoc.

View full text Add to dashboard Cite

Background: Unintended pregnancies may be mistimed or unwanted. It represents 40% of all pregnancies, and it had multiple risky health outcomes. It is essential to understand the factors affecting unintended pregnancies and their consequences to develop strategies that help prevent them. The present study is conducted to identify the prevalence, determinants, and outcomes of unintended pregnancies in Sohag district, Egypt. Methods: A cross-sectional study was conducted in Sohag district, 2016. Five hundred fifty-four ever married women aged 18-49 years whose last pregnancy was in the 3 years preceding the data collection date were randomly selected from rural and urban localities. Data were collected through home visits using a validated questionnaire. In this study, Sohag city represents the urban place, while Tunis and El-Sheikh Makram villages represent the rural places. Results: Nearly one third (30.7%) of the study sample had an unintended pregnancy within the last 3 years from the time of interview. Regression analysis showed that young women < 30 (OR = 2.24, 95% CI 1.12-4.48, p = 0.02), young husbands ≤ 30 (OR = 5.44, 95% CI 1.14-26.11, p = 0.03), women working for cash (OR = 6.16, 95% CI 3.15-13. 92, p < 0.0001), monthly income ≤ 1200 LE (OR = 34, 95% CI 6.41-187.52, p < 0.0001), and spacing < 24 months (OR = 8.79, 95% CI 4.33-17.80, p < 0.0001) were risk factors for mistimed pregnancy. On the other hand, women working for cash (OR = 11.43, 95% CI 3.22-40.62, p < 0.0001), living children ≥ 5 (OR = 11.45, 95% CI 2. 84-46.07, p = 0.001), and the woman's perception of her family size as higher than the ideal (OR = 394.8, 95% CI 97.36-1601.17, p < 0.0001) were risk factors for unwanted pregnancy. Mistimed and unwanted pregnancies were significantly associated with late start of antenatal care (ANC), low birth weight (LBW), and no breastfeeding. In addition, unwanted pregnancies were associated with more pregnancy complications. Conclusions and recommendations: Unintended pregnancy represents a public health problem in Sohag. Therefore, improving services in rural areas and improving the economic level and effective use of family planning methods could reduce the risks associated with the unintended pregnancy.

show abstract

Section: Discussionsupporting

confidence: 64%

Prevalence, determinants, and outcomes of unintended pregnancy in Sohag district, Egypt

Mohamed

Hamed

Yousef

et al. 2019

J. Egypt. Public. Health. Assoc.

View full text Add to dashboard Cite

show abstract

“…The frequency of abortion was not found to be associated with unintended pregnancy in this study, which is consistent with the ndings of a study in Egypt [31]. This study revealed a higher percentage of unintended pregnancies among women who had terminated their pregnancies at least once compared to those who had terminated their pregnancies more than or equal to twice.…”

Section: Discussionsupporting

confidence: 90%

“…In the current study, the occupation of women was not found to be associated with unintended pregnancy, which is similar to the nding of a study in Egypt [31]. However, this nding is contrasting with the ndings of a study of Nepal [6], Iran [32], and Brazil [14], which could be because of differences in circumstances and varying natures in the measurement of study variables.…”

Section: Discussionsupporting

confidence: 61%

Pregnancy Intentions and Its Associated Factors Among Married Women in Resunga, Gulmi, Nepal

Karki

Maharjan

Khatiwada

et al. 2020

Preprint

View full text Add to dashboard Cite

BackgroundPregnancy intention refers to a women’s thinking at the time she became aware that she was pregnant. Pregnancy intentions can be categorized as intended and unintended. It is an important public health concern in every corner of the world, especially in developing countries. The study was carried out with an objective of determining the pregnancy intentions among married women in Resunga municipality, Gulmi, Nepal and test the association of pregnancy intentions with various socio-demographic, and reproductive health-related variables.MethodsThe community based cross-sectional study design was used to achieve the objective of the study. Married women of reproductive age of the Resunga municipality, Gulmi were selected and a multistage random sampling technique was adopted. Total 406 participants were involved in this study. Pretested semi-structured interview schedule adapted from Demographic and Health Survey of Nepal was used for data collection. All the statistical tests were performed in SPSS, version 25.0. The p -value was set at 5% level of significance. Descriptive and data exploratory analysis were performed. Bivariate and multivariate logistic regression analysis technique were conducted to explore the association between pregnancy intentions and predictor variables.ResultsThe study showed that out of total 410 pregnancies, 248 (60.5%) pregnancies were unintended, of which 78(19.05%) were unplanned and 170 (41.5%) were ambivalent. The remaining 162 (39.5%) pregnancies were considered intended. The chi-square analysis and bivariate analysis showed that women age, socioeconomic status, husband opposition, methods used before pregnancy, and intention of using contraception in the future were significantly associated with pregnancy intentions. When these variables were subjected for multivariate analysis, only socioeconomic status, and method of family planning used before pregnancy were found to be significantly associated with pregnancy intentions.ConclusionsThe study showed that unintended pregnancy is very high. The factors that were found to be associated with an unintended pregnancy were socioeconomic status and method of family planning used before pregnancy. The findings of this research work could be useful while providing different reproductive and family planning related services to women by considering predictors of unintended pregnancy that might increase planned pregnancy ultimately.

show abstract

“…Likewise Egyptian studies conducted in Cairo [13] and Upper Egypt; El Fayoum and Benisuef governorates [14] age of the woman as a determinant of unmet need was found to be significant, the relationship between a woman's age and her unmet need changed across the reproductive age. Although unmet need decreased with the years of life below the age of 35 years, it increased with age 35 years or more.…”

Section: Discussionmentioning

confidence: 99%

Currently Married Women with an Unmet Need for Contraception in Minia Governorate, Egypt: Profile and Determinants

Hassan¹,

Ghazawy²,

Amein³

2017

OJPM

View full text Add to dashboard Cite

Background: Understanding the magnitude of unmet contraceptive need and the underlying determinants will help the programs and services to respond effectively. Aim: Identify the prevalence and determinants of unmet contraceptive need among married women in the childbearing period in Minia Governorate. Methods: Community-based cross-sectional study was done among married women of child bearing age (18 -49 years). Total 534 study participants were selected randomly and interviewed by using pretested structured questionnaire. Results: Overall level of unmet need was 12.7%. Women age > 35 years old were about three times (adjusted OR = 2.88, 95% CI: 1.13 -7.35) more likely to have unmet need for family planning compared to younger women. Women who had more children (adjusted OR = 1.32, 95% CI: 1.04 -1.67), more female offspring (adjusted OR = 1.37, 95% CI: 1.09 -1.65), and women whose partner had non-supportive attitude towards family planning (adjusted OR = 2.96, 95% CI: 1.53 -5.72) were more likely to have unmet need. Conclusion: The prevalence of unmet need of family planning among women in Minia Governorate remains high. Therefore, family planning programs that cover the older woman's need for limiting and that focus on couples could be useful in reducing the rate of unmet need.

show abstract

Determinants of unintended pregnancy and its impact on the health of women in some governorates of Upper Egypt

Cited by 11 publications

References 0 publications

Prevalence, determinants, and outcomes of unintended pregnancy in Sohag district, Egypt

Prevalence, determinants, and outcomes of unintended pregnancy in Sohag district, Egypt

Pregnancy Intentions and Its Associated Factors Among Married Women in Resunga, Gulmi, Nepal

Currently Married Women with an Unmet Need for Contraception in Minia Governorate, Egypt: Profile and Determinants

Contact Info

Product

Resources

About