Proportion of unplanned pregnancies, their determinants and health outcomes of women delivering at a teaching hospital in Sri Lanka

Ranatunga, Jayani Chalindra; Jayaratne, Kapila

doi:10.21203/rs.2.13205/v1

Cited by 5 publications

(6 citation statements)

References 45 publications

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“…The present findings were in agreement with the original UK study and other translated versions of LMUP from Malawi, Belgium, and Saudi Arabia [ 23 , 27 , 28 , 39 ]. Conversely, item one (contraceptive use) was negatively correlated with all other items in the measure which is an unusual finding when compared with the findings of the previous studies [ 30 , 31 ]. Based on the finding, the authors looked at the data set if there was any coding error with item one and concluded that there was no error in the coding.…”

Section: Discussionsupporting

confidence: 67%

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Evaluation of the Amharic version of the London measure of unplanned pregnancy in Ethiopia

et al. 2022

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Background Unplanned pregnancy is an important public health problem in both the developing and developed world, as it may cause adverse social and health outcomes for mothers, children, and families as a whole. London Measure of Unplanned Pregnancy (LMUP) has been formally and informally validated in multiple and diverse settings. However, there is a dearth of literature on the validation of LMUP in Ethiopia either in the Amharic version or other languages. Objective The general objective of this study was to translate the LMUP into Amharic and evaluate its psychometric properties in a sample of Amharic-speaking women receiving antenatal care (ANC) service at public health facilities in Arbaminch and Birbir towns. Methods A cross-sectional study design was used for the study. Forward and backward translation of original English LMUP to Amharic was done. A cognitive interview using a pretested structured questionnaire was used to collect the data from respondents. The collected data was analyzed using SPSS version 25. Reliability was assessed using Cronbach’s alpha, inter-item correlations, and corrected item-total correlations while construct validity was assessed using principal components analysis and hypothesis testing. Results Data was collected from 320 women attending antennal care services at selected public health care facilities. LMUP range of 1to 11 was captured. The prevalence of unplanned pregnancies was 19(5.9%), while 136(42.5 were ambivalent and 165(51.6%) were planned pregnancies. The reliability testing demonstrated acceptable internal consistency (Cronbach’s alpha = 0.799) and the validity testing confirmed the unidimensional structure of the scale. In addition, all hypotheses were confirmed. Conclusions Amharic version of LMUP is a valid and reliable tool to measure pregnancy intention so that it can be used by Amharic speaking population in Ethiopia. It can also be used in research studies among Amharic-speaking women to measure unplanned pregnancy.

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Section: Discussionsupporting

confidence: 67%

“…Since its development, translated and culturally adapted versions of the tool was validated in various countries across the world [ 24 – 32 ]. The tool’s simplicity and reliability led to its widespread application to measure unintended pregnancy in different parts of the world [ 31 , 33 , 34 ].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the Amharic version of the London measure of unplanned pregnancy in Ethiopia

et al. 2022

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“…As reported in previous studies [19][20][21], a vast majority of adolescent pregnancies are unintended, occurring outside of formal union and when many were still in school. It is therefore important to consider this context in understanding reasons for adolescent vulnerability to early and unintended pregnancy.…”

Section: Resultssupporting

confidence: 56%

Naïve, uninformed and sexually abused: circumstances surrounding adolescent pregnancies in Malawi

Chamdimba

Kabiru

Ushie

et al. 2022

Preprint

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Background: Pregnancy and childbearing in adolescence could negatively affect girls’ health and socio-economic wellbeing across the life course. Previous studies on drivers of adolescent pregnancy in Africa have not fully considered the perspectives of parents/guardians vis-à-vis pregnant and parenting adolescents. Our study addresses this gap by examining pregnant and parenting adolescents’ and parents/guardians’ narratives about factors associated with early and unintended pregnancy.Methodology: The explorative study draws on qualitative data collected as part of a mixed-methods cross-sectional survey on the lived experiences of pregnant and parenting adolescents. Data were collected between March and May 2021 in Blantyre, Malawi, using semi-structured interview guides. We interviewed 18 pregnant and parenting adolescent girls, 10 parenting adolescent boys, and 16 parents/guardians of pregnant and parenting adolescents. Recorded interviews were transcribed verbatim into the English language by bilingual transcribers. We used the inductive-thematic analytical approach to summarize the data. Findings: The data revealed several interconnected and structural reasons for adolescents’ vulnerability to early and unintended pregnancy. These include adolescents’ limited knowledge and access to contraceptives, poverty, sexual violence, school dropout, COVID-19 school closures, and being young and naively engaging in unprotected sex. While some parents agreed that poverty and school dropout or COVID-19 related school closure could lead to early pregnancies, most considered stubbornness, failure to adhere to abstinence advice and peer influence as responsible for adolescent pregnancies.Conclusion Our findings contribute to the evidence on the continued vulnerability of girls to unintended pregnancy. It highlights how parents and adolescents hold different views on reasons for early and unintended pregnancy, and document how divergent views between girls and their parents contribute to the lack of progress in reducing adolescent childbearing. Based on these findings, preventing unplanned pregnancies will require altering community attitudes about young people’s use of contraceptives and engaging parents, education sector, civil society organizations and community and religious leaders to develop comprehensive sexuality education programme to empower in- and out-of school adolescents.

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“…In our study there was very little effect of parity when controlling for age (Table 2). Likewise, being unmarried is associated with unplanned pregnancy [21]. Unlike women with unplanned pregnancies [22], the women with planned pregnancies are likely to have early initiation of antenatal services and/or multiple ANC attendance [18], and health-seeking behaviour [23] which are important factors for use of deworming drugs.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with the use of deworming drugs during pregnancy in Tanzania; an analysis from the 2015–16 Tanzanian HIV and malaria indicators survey

Bankanie

Moshi

2022

BMC Pregnancy Childbirth

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Background The use of deworming drugs is one of the important antenatal strategies in preventing anaemia in pregnancy. Little is known about the factors associated with the use of deworming drugs, which accounts for the aim of this study. Method The study used data from the 2015–16 Tanzania HIV Demographic and Health Survey and Malaria Indicators Survey (2015–16 TDHS-MIS). A total of 6924 women of active reproductive age from 15 to 49 were included in the analysis. Both univariate and multiple logistic regression analyses were used. Results The majority of interviewed women 3864(60.1%) took deworming drugs. In a weighed multiple logistic regression, women residing in urban areas reported greater use of deworming drugs than women residing in rural areas [AOR = 1.73, p = 0.01, 95% CI (1.26–2.38)]. In the four areas of residence, compared to women residing in mainland rural areas, women residing in mainland urban areas and Pemba islands reported greater use of deworming drugs [mainland urban (AOR = 2.56 p < 0.001,95% CI(1.78–3.75), and Pemba Island (AOR = 1.18, p < 0.001, 95% CI(1.17–1.20)]. However, women residing in Zanzibar Island (Unguja) were less likely to use deworming drugs compared to women in mainland rural women (AOR = 0.5, p < 0.001, 95% CI (0.45–0.55). Similarly, compared to women under 20 years of age, women between 20 to 34 years reported significantly greater use of deworming drugs [20 to 34 years (AOR = 1.30, p = 0.03, 95% CI(1.02–1.65). Likewise, greater use of deworming drugs was reported in women with a higher level of education compared to no education [higher education level (AOR = 3.25, p = 0.01,95% CI(1.94–7.92)], rich women compared to poor [rich (AOR = 1.43, p = 0.003, 95% CI (1.13–1.80)] and in women who initiated antenatal care on their first trimester of pregnancy compared to those who initiated later [AOR = 1.37, p < 0.001, 95% CI (1.17–1.61)]. Conclusion Women who were more likely to use the deworming drugs were those residing in urban compared to rural areas, aged between 20 and 34 years, those with a higher level of formal education, wealthier, and women who book the antenatal clinic (ANC) within their first trimester of pregnancy. Considering the outcomes of anaemia in pregnancy, a well-directed effort is needed to improve the use of deworming drugs.

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Proportion of unplanned pregnancies, their determinants and health outcomes of women delivering at a teaching hospital in Sri Lanka

Cited by 5 publications

References 45 publications

Evaluation of the Amharic version of the London measure of unplanned pregnancy in Ethiopia

Evaluation of the Amharic version of the London measure of unplanned pregnancy in Ethiopia

Naïve, uninformed and sexually abused: circumstances surrounding adolescent pregnancies in Malawi

Factors associated with the use of deworming drugs during pregnancy in Tanzania; an analysis from the 2015–16 Tanzanian HIV and malaria indicators survey

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