Magnitude of Unintended Pregnancy and its Determinants among Pregnant Women Visiting Dilla University Referral Hospital, South Ethiopia

Abstract

Background: Unintended pregnancy is important maternal public health concern both in the developing and developed world. The proportion of unintended pregnancies is alarmingly high in Ethiopia and there is enormous information gap on the determinants of unwanted and mistimed pregnancy.Objectives: To determine magnitude of unintended pregnancy and its determinants among pregnant women visiting antenatal and postnatal care clinic at Dilla University Referral Hospital. Methods:Institution based cross-sectional study was conducted on 290 women attending antenatal clinic and Postnatal women at Dilla University Referral Hospital from February to June, 2016. Using consecutive arrival of client systematic sampling technique was conducted based on the patient flow per month. A structured questionnaire survey was used to collect data the data was entered and processed by IBM SPSS statistics version 20 for analysis. Descriptively frequencies and percentage was used and association between unintended pregnancy and independent variables were assessed using logistic regression. Results:The prevalence of unintended pregnancy is 36.9%. The study revealed that women less than 20 years old were about 2 times higher risk of having unintended pregnancy compared to 30 years and above women (AOR=1.84, CI: 1.02-4.29). Likewise, compared to married women singles were 2 times more likely to have unintended pregnancy (AOR=1.78; CI: 1.048-5.078) and illiterate women were found to be less likely to have unintended pregnancy (AOR=0.074; CI: 0.021-0.263) according to multi-variable analysis. Conclusion:From the finding significant proportion of women (36.9%) had unintended pregnancy. Age of women, marital status and educational status were the variables significantly affecting the level of unintended pregnancy.

Magnitude and Associated Factors of Unintended Pregnancy among Pregnant Women at Saesie Tsaeda Emba Woreda Eastern Zone of Tigray, North Ethiopia, 2018

“…In addition there might be difference in health coverage with in different areas of African countries. e magnitude of the our study was also slightly lower than studies done in Dilla University referral hospital of Ethiopia (36.9%) [17], West Wollega, Ethiopia (36%) [10] and Hawassa town, Ethiopia (34%) [18]. e variations might be due to the study period and study areas differences.…”

“…Participants who were single during the study period were 1.4 times more likely reported unintended pregnancy than married women. e same evidences was also reported from studies done in Different parts of Ethiopia (Gonda, Dilla University Hospital, Gelemso General Hospital and Arsi Neglle) [7,17,20,23]. e scenario could be due to single women might have unplanned sexual intercourse that lead them for unintended pregnancies as far as they did not have a stable union.…”

Determinants of Unintended Pregnancies Among Currently Married Women in Uganda

“…Similarly, the contraceptive prevalence rate among married women of reproductive age in Uganda is still very low with 3 in 10 wishing to delay or avoid pregnancy but are not using any contraceptive measure and yet desire a small family size [20]. Therefore, the combination of low contraceptive use and smaller desired family size among married women implies high levels of unmet need for family planning which ranks Uganda highly in the Sub-Saharan Africa [9,[23][24]. However, relatively very little research on unintended pregnancy among married women has been documented in Uganda.…”

Effects of unintended pregnancy on maternal healthcare services utilization in low- and lower-middle-income countries: systematic review and meta-analysis

“…The increasing number of women of reproductive age in the population and socio-economic inequality in contraception use are likely to contribute to this increase (Sedgh and Hussain 2014). Women who have experienced unintended pregnancy are more likely to have experienced abuse by a partner and family members (Pallitto et al 2005), to be socio-economically disadvantaged (Feyisso et al 2017), and more likely to be unaware of their pregnancy (Achyut et al 2015). These might prevent the uptake of healthcare services for these women.…”