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Cited by 7Reproductive Health and ContraceptionReproductive Health and TechnologiesMaternal and Perinatal Health Interventions

The prevalence of unintended pregnancy and its influence on pregnancy experience in Tabriz, Iran, 2023: a cross-sectional study

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Maghalian, Mahsa, Nikanfar, Roghayeh, Nabighadim, Mahsan, Mirghafourvand, Mojgan·2024·Reproductive Health
DOI 10.1186/s12978-024-01821-1PMC PMC11155095
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Abstract

Background: There is a lack of quantitative studies that specifically measure the association between the experience of pregnancy and unintended pregnancy. The present study aims to address the prevalence of unintended pregnancy and identify its predictors. Additionally, the study explores whether unintended pregnancy is associated with pregnancy uplifts and hassles. Methods: This cross-sectional study was conducted on 488 pregnant women between 20 to 40 weeks' gestation at the comprehensive health center in Tabriz City from February 2022 to January 2023. A cluster sampling method was used for sampling, and data were collected using socio-demographic questionnaires and the Pregnancy Experience Scale (PES). Descriptive statistics were used to describe the socio-demographic characteristics and the prevalence of unintended pregnancy. Binary logistic regression was employed to identify the predictors of pregnancy desirability. To examine the relationship between unintended pregnancy and pregnancy experience, an independent t-test was used for bivariate analysis, and a general linear model (GLM) was utilized for multivariate analysis, with control for potential confounding variables. Results: The prevalence of unintended pregnancies was 30.7% (24.3% unwanted pregnancies, and 6.4% mistimed pregnancies). The results of the binary logistic regression indicated that the lower age of both the woman and her spouse were significant predictors for unintended pregnancy (P < 0.05). Based on an independent t-test, the mean score for uplifts in women with unintended pregnancy was significantly lower than in women with intended pregnancy (mean difference (MD): -4.99; 95% confidence interval (CI): -5.96 to -4.02; p < 0.001), While the mean score of hassles in women with unintended pregnancy was significantly higher than women with intended pregnancy (MD: 2.92; 95% CI: 2.03 to 3.80; p < 0.001). The results of GLM showed that women who had unintended pregnancies had significantly lower scores for uplifts (B = -4.99; 95% CI: -5.96 to -4.03; P < 0.001) and higher scores for hassles (B = 2.92; 95% CI: 2.06 to 3.78; P < 0.001). Conclusions: The high prevalence of unintended pregnancies in Tabriz highlights the importance of targeted interventions to address this issue, considering the policy framework and unique challenges faced by women. Future studies should focus on developing context-specific interventions that effectively meet the needs of women with unintended pregnancies.

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  • Women who have unintended pregnancies often face heightened psychological stress and may be physically and emotionally unprepared, which increases the risk of traumatic childbirth.

    “Women who have unintended pregnancies often face heightened psychological stress and may be physically and emotionally unprepared, which increases the risk of traumatic childbirth [51].”

    From The traumatic childbirth experience of mothers after emergency cesarean section(EmCS) in China: a descriptive qualitative study (2025) · cites this paper as [51]

    The Discussion (page not provided) reports psychological pressures and physical and emotional unpreparedness among women with unintended pregnancies. It does not say that these factors increase the risk of traumatic childbirth. (LLM, conf=0.88)

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Cited by

Sorted by citations

Authors
Maghalian, M., Nikanfar, R., Nabighadim, M., & Mirghafourvand, M.
Affiliations
  • Tabriz University of Medical Sciences (IR)
  • Ardabil University of Medical Sciences (IR)
ORCID
Venue
Reproductive Health
Publisher
Springer Science and Business Media LLC
Published
2024-06-05
Volume
21
Issue
1
Pages
79-79
ISSN
1742-4755 (ISSN-L)
DOI
10.1186/s12978-024-01821-1
PMC
PMC11155095
OpenAlex
W4399367192
Cited by
7
References
0
Citations by year
2026: 4 · 2025: 3
FWCI
2.54
Type
journal article
Language
en
Open access
Licence
Locations
  • Reproductive Health (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Funders
Tabriz University of Medical Sciences
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
  • Health Sciences › Medicine › Reproductive Medicine › Reproductive Health and Technologies
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
Keywords
unintended pregnancy, pregnancy experience, mistimed pregnancy, unwanted pregnancy, maternal age, pregnant women
MeSH terms
Adolescent, Adult, Cross-Sectional Studies, Female, Humans, Iran, Pregnancy, Pregnancy, Unwanted, Prevalence, Pregnancy, Unplanned, Young Adult

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