Evaluation of the frequency of unwanted pregnancy and its related factors in the pregnant women of Sarakhs city

Document Type : Original Article


1 Assistant Professor, Department of Social Medicine, Addiction Research Center, School of Medicine, Mashhad University of medical Sciences, Mashhad, Iran.

2 PhD student of Toxicology & Alcohol abuse, Addiction Research Centre, School of Medicine, Mashhad University of medical Sciences, Mashhad, Iran.

3 Resident of Social Medicine, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.


Introduction: Unwanted pregnancy is a threat for maternal and neonatal health and is used as an indicator of community and reproductive health. Correct and effective use of contraception methods and proper training of women can cause protection against sexually transmitted diseases, proper childbearing interval, improving maternal and neonatal health and avoid from unwanted pregnancies. This study was performed with the aim to evaluate of the frequency of unwanted pregnancy and its related factors in the pregnant women of Sarakhs city.
Methods: This descriptive-analytical study was performed on 300 pregnant mothers referring to rural and urban health care centers in Sarakhs city in 2011. Sampling method was convenient style. Data collection tools were a checklist of personal information’s and a questionnaire of 28 questions related to the beliefs of women and their husbands. Data were analyzed using the SPSS software (version 11.5), Chi-square test and logistic regression. PResults: 65 cases (21.7%) of women reported unwanted pregnancies. There were significant association between wanted and unwanted pregnancies with women's age (P=0.001), history of of unwanted pregnancy (P=0.04), ethnicity (P=0.02), education (P=0.03), family income (P=0.002), job (p=0.001), information of husband about contraception methods (P=0.006), participation of husband in  prevention of pregnancy (P= 0.04), and partner participation in contraception (p=0.04), child number (P=0.04), number of child (P=0.04), and number of previous pregnancies (P=0.01). Attempted abortions were reported in 16.9% of unwanted pregnancies.
Conclusions: High rates of unwanted pregnancies is associated with incorrect use of contraceptive methods, lack of men's participation in the program of family planning, previous history of unwanted pregnancy. Training of women and participation of men are important for prevention of risky and unwanted pregnancies.


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