A longitudinal study of unplanned pregnancy in a maternity hospital setting.
Int J Gynaecol Obstet
; 128(2): 106-9, 2015 Feb.
Article
in En
| MEDLINE
| ID: mdl-25444614
ABSTRACT
OBJECTIVE:
To review family planning in a cohort of women who delivered a second child within 3 years of their first.METHODS:
A longitudinal, observational study included women aged at least 18 years who had delivered a singleton weighing at least 500 g in 2009 after their first pregnancy at a hospital in Dublin, Ireland, and who returned to the hospital for prenatal care for a second pregnancy before January 2012. Logistic regression analyses were performed to examine the effect of maternal characteristics on pregnancy intention.RESULTS:
Of 3284 primigravidas who delivered in 2009, 1220 (37.1%) returned with a second pregnancy. The second pregnancy was unplanned in 248 (20.3%) women, and both pregnancies were unplanned in 124 (10.2%). The second pregnancy was more likely to be unplanned in women whose first pregnancy was also unplanned than in those whose first was planned (adjusted odds ratio 6.5; 95% confidence interval 4.6-8.4; P<0.001). Among the 99 women with recurrent unplanned pregnancy who had not been using contraception before the first pregnancy, 85 (85.9%) were also not using contraception before the second.CONCLUSION:
Women whose first pregnancy is unplanned are at increased risk of subsequent unplanned pregnancies. Postnatal contraceptive advice in this high-risk group should be prioritized.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Contraception
/
Pregnancy, Unplanned
/
Family Planning Services
Type of study:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limits:
Adult
/
Female
/
Humans
/
Pregnancy
Country/Region as subject:
Europa
Language:
En
Journal:
Int J Gynaecol Obstet
Year:
2015
Document type:
Article