بررسی فراوانی بارداری‌های ناخواسته و عوامل مرتبط با آن در بیمارستان‌های شهر تبریز در سال 1399

نوع مقاله : اصیل پژوهشی

نویسندگان

1 دانشجوی پزشکی، دانشکده پزشکی، دانشگاه علوم پزشکی شهید صدوقی یزد، یزد، ایران.

2 دانشیار گروه پزشکی اجتماعی، مرکز تحقیقات پایش سلامت، دانشکده پزشکی، دانشگاه علوم پزشکی شهید صدوقی یزد، یزد، ایران.

3 استادیار گروه پزشکی اجتماعی، مرکز تحقیقات پایش سلامت، دانشکده پزشکی، دانشگاه علوم پزشکی شهید صدوقی یزد، یزد، ایران.

10.22038/ijogi.2022.20096

چکیده

مقدمه: بارداری­های ناخواسته در سراسر جهان به‌دلیل عدم حمایت خانواده‌ها، تهدیدی برای سلامت مادر و کودک و از علل افزایش مرگ‌و‌میر آنها و مانع بزرگی در بهبود سلامت باروری و جنسی می­باشند. مطالعه حاضر با هدف بررسی فراوانی بارداری‌های ناخواسته و عوامل مرتبط با آن در بیمارستان­های شهر تبریز انجام شد.
روش­کار: این مطالعه مقطعی در سال 1399 بر روی 550 زن باردار یا تازه زایمان کرده مراجعه‌کننده به بیمارستان‌های تبریز انجام شد. ابزار گردآوری داده‌ها، پرسشنامه‌ای محقق‌ساخته، شامل 14 سؤال اطلاعات دموگرافیک، سابقه بارداری‌ها، خواسته/ ناخواسته بودن حاملگی‌ها و روش پیشگیری بود که به‌روش مصاحبه تکمیل گردید. تجزیه و تحلیل داده­ها با استفاده از نرم‌افزار آماری SPSS (نسخه 17) و آزمون کای دو انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: در مطالعه حاضر فراوانی بارداری ناخواسته 2/26% بود. بارداری ناخواسته در زنان با سن 50-41 سال، زنان و یا همسران با تحصیلات زیردیپلم بیشتر بود. فراوانی بارداری ناخواسته با شغل زن، میزان درآمد خانواده و سابقه بارداری ناخواسته قبلی ارتباط معنی‌داری داشت (001/0p<). بیشترین فراوانی بارداری ناخواسته در افراد با روش منقطع مشاهده شد (001/0p<). همچنین ارتباط معنی‌داری بین بارداری ناخواسته و نظر همسر راجع به استفاده از روش‌های پیشگیری و سطح آگاهی همسر از پیشگیری از بارداری وجود داشت (001/0p<).
نتیجه‌گیری: در این مطالعه بیش از یک چهارم بارداری­ها، ناخواسته گزارش شد که با توجه به مشکلات بارداری­های ناخواسته؛ تقویت برنامه‌های آموزشی برای کنترل آن و پذیرش بارداری توسط خانواده‌ها حتی اگر ناخواسته باشد، ضروری به‌نظر می‌رسد.

کلیدواژه‌ها


عنوان مقاله [English]

Frequency of unwanted pregnancies and its related factors in Tabriz hospitals in 2020

نویسندگان [English]

  • Ayda Taheri 1
  • Mahmood Vakili 2
  • Mohsen Mirzaei 3
  • Mojgan Modarresi 3
1 Medical Student, Faculty of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
2 Associate Professor, Department of Community Medicine, Health Monitoring Research Center, Faculty of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
3 Assistant Professor, Department of Community Medicine, Health Monitoring Research Center, School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
چکیده [English]

Introduction: Unwanted pregnancies around the world due to the lack of support from families are a threat to the health of mother and child and one of           the causes of increasing their mortality and a major obstacle to improve the productive and sexual health. This study was performed with aim to investigate the frequency of unwanted pregnancies and its related factors in the hospitals of Tabriz.
Methods: This cross-sectional study was performed in 2020 on 550 pregnant or newly delivered women who referred to the hospitals of Tabriz. Data collection tool was a researcher-made questionnaire consisting of 14 questions by interview including demographic data, past obstetrics history, wanted or unwanted pregnancies and contraception method. Data were analyzed by SPSS software (version 17) and Chi-square test. P<0.05 was considered statistically significant.
Results: The frequency of unwanted pregnancies in the study population was 26.2%. The frequency of unwanted pregnancies was higher in women aged 41-50 years or women and/or spouses with undergraduate education. Prevalence of unwanted pregnancies was significantly related to female occupation, family income, and previous unwanted pregnancy history (P<0.001). The highest frequency of unwanted pregnancies was observed in individuals with withdrawal contraceptive method (P<0.001). There was significant relationship between unwanted pregnancy and the spouses’ opinion about use of contraceptive method and the level of his awareness about contraception (P<0.001).
Conclusion: In this study, more than a quarter of pregnancies were reported as unwanted and regarding to the problems of unwanted pregnancy, development of training programs to control this and accept pregnancies by families, even if unwanted, seems necessary.

کلیدواژه‌ها [English]

  • Contraception
  • Prevalence
  • Risk factors
  • Unwanted pregnancy
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