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.

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

مراجع

  1. Ranatunga ID, Jayaratne K. Proportion of unplanned pregnancies, their determinants and health outcomes of women delivering at a teaching hospital in Sri Lanka. BMC pregnancy and childbirth 2020; 20(1):1-5.
  2. Bahk J, Yun SC, Kim YM, Khang YH. Impact of unintended pregnancy on maternal mental health: a causal analysis using follow up data of the Panel Study on Korean Children (PSKC). BMC pregnancy and childbirth 2015; 15(1):1-2.
  3. Johnson EL, Burke AE, Wang A, Pennell PB. Unintended pregnancy, prenatal care, newborn outcomes, and breastfeeding in women with epilepsy. Neurology 2018; 91(11):e1031-9.
  4. Kantorová V. Unintended pregnancy and abortion: what does it tell us about reproductive health and autonomy?. The Lancet Global Health 2020; 8(9):e1106-7.
  5. Kranker K, Bardin S, Lee Luca D, O’Neil S. Estimating the incidence of unintended births and pregnancies at the sub-state level to inform program design. PloS one 2020; 15(10):e0240407.
  6. Nekoolaltak M, Tansaz M, Bioos S. Comparison between Contraceptive Methods in Persian Traditional Medicine and Modern Medicine. Medical History 2012; 3(9):55-77.
  7. Erfani A, Shojaei J. New Evidence on Induced Abortion in Tehran, Iran: Rates, Causes, and Changes. Iran J Obstet Gynecol Infertil 2018; 21(3):64-77.
  8. Guterman K. Unintended pregnancy as a predictor of child maltreatment. Child abuse & neglect 2015; 48:160-9.
  9. Sinai I, Igras S, Lundgren R. A practical alternative to calculating unmet need for family planning. Open access journal of contraception 2017; 8:53-9.
  10. Bearak J, Popinchalk A, Ganatra B, Moller AB, Tunçalp Ö, Beavin C, et al. Unintended pregnancy and abortion by income, region, and the legal status of abortion: estimates from a comprehensive model for 1990–2019. The Lancet Global Health 2020; 8(9):e1152-61.
  11. Jalali R, Mohammadi M, Vaisi-Raygani A, Ghobadi A, Salari N. Prevalence of unwanted pregnancy in Iranian women: a systematic review and meta-analysis. Reproductive health 2019; 16(1):1-8.
  12. Zaheri F, Ranaie F, Karimeh R, Shahoi R. Unwanted pregnancy and associated factors among pregnant women who referred to Sanandaj health centers in 2011. Iran J Obstet Gynecol Infertil 2015; 17(132):10-15.
  13. Upadhya KK. Emergency contraception. Pediatrics 2019; 144(6).
  14. Mumah J, Kabiru CW, Izugbara CO, Mukiira C. Coping with unintended pregnancies: Narratives from adolescents in Nairobi's slums. STEP UP Research Report. Nairobi: African Population and Health Research Center; 2014.
  15. Finer LB, Zolna MR. Unintended pregnancy in the United States: incidence and disparities, 2006. Contraception 2011; 84(5):478-85.
  16. Vakili M, Shahbazi H, Dehghan MH. The prevalence of unintended pregnancies and its related demographic factors in hospitals of Yazd city-2008. Toloo-E-Behdasht 2011; 9(4):23-35.
  17. Jarahi L, Zavar A, Neamat Shahi M. Evaluation of the frequency of unwanted pregnancy and its related factors in the pregnant women of Sarakhs city. Iran J Obstet Gynecol Infertil 2014; 17(124):8-14.
  18. Kiani MA, Khakshour A, Vakili R, Saeedi M, Mosavi Gagarmi SM. Prevalence of unwanted pregnancy and its related factors in women Mashhad city in 2013. Journal of North Khorasan University of Medical Sciences 2013; 5(2):421-9.
  19. Shahbazin S, Gholamy A. Prevalence Unintended Pregnancy and its Related Factors among Currently Pregnant Women in Kangavar City (West Iran). Journal of Community Health Research 2015; 4(1):19-28.
  20. Mansoory A, Hossainy SH, Dadgar SA. Unexpected pregnancy and relative factors in pregnant women referring to Mashhad maternity wards in 2004. Journal of Birjand University of Medical Sciences 2009; 16(1):65-70.
  21. Pourheydari M, Souzani A, Shamaiian N. Prevalence of unwanted pregnancies and their correlates in pregnant woman in Shahrood, Iran. Payesh 2007; 6(1).
  22. Beygi AM, Salehi NM, Bayati A. Prevalence of unintended pregnancy and its related factors in Arak 2007. Koomesh 2009; 10(3):201-206.
  23. Robabi H, Sarani H, Azarkish F, Dastfan Z, Dashipoor A. The survey of factors associated with unwanted pregnancy among women referringto health care centers of Iranshahr in 2007. Iran J Obstet Gynecol Infertil 2011; 14(4):32-40.
  24. Kheiriat M, Zamanialavijeh F, Araban M, Kheiriat F. Reasons deemed for an unwanted pregnancy: a qualitative study (unwanted pregnancy). Iran J Health Educ Health Promot 2014; 2(2):153-64.
  25. Ganjouei TA, Karim Zadeh Z, Faramarzi Gohar A, Hosseini-Zijoud SS, Hosseini-Zijoud SM. Unwanted pregnancy and related causes in pregnant women in Kerman, 2013. Pajouhan Scientific Journal 2015; 13(4):19-26.
  26. Ostad Norozi N, Zokaei M, Khoramdel Z, Zandevakili F. Prevalence of Unwanted Pregnancy and its Related Demographic Factors in Kurdistan-2012. J Neyshabur Univ Med Sci 2014; 2(2):44-9.
  27. Nowroozi A, Khorramroodi R, Sharifi S, Tahmasebi R. Prevalence of and factors associated with Unwanted pregnancy in women referred to health centers in Bushehr in 2003. J Jonoub Teb Quarterly 2005; 8(1):83-9.
  28. Zamani F, Rajabi Z. Unwanted pregnancy in rural women of Najafabad. Feyz Journal of Kashan University of Medical Sciences 2005; 9.
  29. Sarvestani KA, Ahmadi A, Enayat H, Movahed M. Level and factors related to unintended pregnancy with a brief review of new population policies in Iran. Iranian journal of public health 2017; 46(7):973-81.
  30. Peyman N, Ezzati Rastegar K, Tehrani H, Zarei F. Explanation of unwanted pregnancy from the perspective of family planning service providers: An exploratory study. Iran J Obstet Gynecol Infertil 2016; 19(12):18-26.
مجله زنان، مامایی و نازایی ایران
دوره 25، شماره 1
فروردین 1401
صفحه 38-45

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