The Prevalence and Determinants of Unintended Pregnancies Among Women in Abakaliki, Southeast Nigeria

Lawani, Lucky Osaheni; Ekem, N.N.; Eze, Justus N.; Ekwedigwe, Kenneth Chinedu; Egede, John Okafor; Isikhuemen, M. E.

doi:10.5539/gjhs.v10n10p65

Cited by 4 publications

(6 citation statements)

References 9 publications

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“…The prevalence of unintended pregnancy determined in this study is consistent with 33% reported for the African continent (Sedgh et al, 2014) but moderately lower than the prevalence 40% and 43.8% reported by Nyarko in Ghana (Nyarko, 2019) and Lawani et al in Nigeria (Lawani et al, 2018) respectively. The wide variations in the prevalence of unintended pregnancy determined in our study and the national figure reported by Nyarko relates to the different contexts of the two studies with the latter being a secondary analysis of countrywide national survey.…”

Section: Discussionsupporting

confidence: 88%

Prevalence and Determinants of Unintended Pregnancy among Women Receiving Antenatal Care Services: A Facility-Based Cross-Sectional Study in Ghana

Adu‐Bonsaffoh¹,

Tamma²,

Seffah³

2021

GJHS

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Globally, unintended pregnancy represents an important public health challenge with significant social, economic and clinical repercussions which are worse in low-income and middle-income countries. Appropriate use of modern contraceptives averts significant proportions of unintended pregnancies and pregnancy complications. The objective of this study was to determine the prevalence and determinants of unintended pregnancy and explore modern contraceptive use among pregnant women A cross-sectional study was conducted among pregnant women receiving antenatal care at Korle-Bu Teaching hospital in Ghana using a face-to-face structured interview. Descriptive analysis was performed and multivariable logistic regression was used to assess the determinants of unintended pregnancy. Among the included 450 pregnant women receiving antenatal care, 155 (34.4%) had unintended pregnancy out of which 33 (21.3%) were using contraceptives prior to conception. In all, 14.2% (64/450) were using modern contraceptives. There was a significant difference between women and their partners regarding the perception of their index pregnancy as unintended (34.4% versus 31.6%, p-value <0.001). Significant determinants of unintended pregnancy include younger maternal age [aOR:5.706, 95%CI (1.860, 19.732)], unmarried status [aOR:5.238, 95%CI (2.882, 9.735)], previous childbirth [(aOR:2.376, 95%CI (1.460, 4.758], number of pregnancies ≥6 [aOR:2.640, 95%CI (1.210, 5.854)], number pregnancies ≤2 [aOR:0.417, 95%CI (0.252, 0.682)], previous caesarean birth [aOR:2.034, 95%CI (1.154, 3.306)] and contraceptive use prior to index pregnancy [aOR:2.305 95%CI (1.283-4.162)]. The prevalence of unintended pregnancy remains markedly high while prior contraceptive use was relatively low among women receiving antenatal care. Evidence-based interventions including specialized client education are vital in improving optimal use of contraceptive services. We recommend further research including community-based qualitative studies to better understand the factors associated with contraceptive uptake and outcomes of unintended pregnancy.

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Section: Discussionsupporting

confidence: 88%

Prevalence and Determinants of Unintended Pregnancy among Women Receiving Antenatal Care Services: A Facility-Based Cross-Sectional Study in Ghana

Adu‐Bonsaffoh¹,

Tamma²,

Seffah³

2021

GJHS

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“…Analysis of this study revealed that women living in urban areas had fewer chances to have ill time pregnancies than those residing in rural areas. 24 This could be due to poverty, limited availability of health services, and poor utilization of health care facilities, and ignorance. 25 We have found a significant relationship among age at first marriage with mistimed and not wanted pregnancy in India.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and triggering factors of unintended pregnancies among women in India: Evidence from Indian Demographic and Health Survey 2015–2016

Islam

Rahim

Jabbar

2022

Clinical Epidemiology and Global Health

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The primary focus of this study was to estimate the prevalence and assess the associated risk factors that impact unintended pregnancies among women who were married in India.Study design: This study utilized a cross sectional study design. Methods: It was a cross-sectional study on 32224 pregnant women that was extracted from the most recent Demographic and Health Study organized from 2015 to 2016 (round 7) in India. Facts and statistics were examined by utilizing different data analysis techniques, i.e., univariate, bivariate and multivariate analysis. Results: Nearly 11.9% of cases were unplanned pregnancies, out of which 7% were early pregnancies. The mistimed pregnancy for women aged 15-19 years was 7.896 (6.246, 9.981) times more likely than the women of age 30. The women living in urban areas were having 0.877 (0.778, 0.988) times fewer chances to have an early parturiency as compared to those living in rural areas. Women who got married before 18 years of age were 0.583 (0.524, 0.650) times less likely to have mistimed pregnancy than the women who got married at the age of 18 and over. Women with no children were 0.217 (0.176, 0.268) times less likely to have early pregnancy than women with more than three children. Conclusion: Factors that enhance the probability of unfavorable pregnancies are the age at first marriage, number of dead children, wealth status, fertility preference, and family planning knowledge. This survey suggests strengthening the strategies of family planning so that the ratio of unplanned pregnancies decreases.

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“…Contrastingly, the cross-sectional study by Kassahun et al [8] reported a lower overall prevalence of unintended pregnancy (29.7%) among pregnant women attending antenatal care in Maichew Town, Tigray region, Northern Ethiopia. In Nigeria, the studies of Lamina [11] and Lawani et al [9] reported an unintended pregnancy prevalence of 35.9% and 43.8% among women in Ogun state and Abakiliki, respectively. However, a descriptive cross-sectional, questionnaire-based survey conducted among 254 pregnant women attending the antenatal clinic at the University of Abuja Teaching Hospital, Gwagwalada, Abuja by Agida et al [1] reported a 16% prevalence of unintended pregnancy.…”

Section: Introductionmentioning

confidence: 98%

“…Moreover, the odds of unintended pregnancy in the study were 38.6 times (AOR = 38.6, 95% CI 10.07, 148.01) as high among women who were single compared to married women. Congruently, a cross-sectional study conducted in 2015 among 185 antenatal clinic attendees by Lawani et al [9] in Federal Teaching Hospital, Abakaliki, showed that the highest percentage (75%) of unintended pregnancies occurred in women within 45 -49 years age group followed by those within 15 -19 years age group (71.4%). The women within the 20 -24 years age group had the lowest percentage, 30.8% of unintended pregnancies.…”

Section: Introductionmentioning

confidence: 99%

Unintended Pregnancy Determinants among Antenatal Clinic Attendees: A University of Port Harcourt Teaching Hospital Experience

Oppah,

Kasso,

Oranu

2024

JBM

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An unintended pregnancy is a pregnancy that is either mistimed or unplanned. The objectives of this study were to determine the prevalence of unintended pregnancy as well as to document the determinant factors among pregnant women attending antenatal clinics at the University of Port Harcourt Teaching Hospital (UPTH), Port Harcourt, Rivers State, Nigeria. It was a descriptive, cross-sectional study of 215 women attending the antenatal clinic of UPTH from July to August 2022. Information on socio-demographic characteristics, reproductive history, desirability of the current pregnancy at the time of conception, knowledge and use of contraceptive methods were collected using a pretested questionnaire and analyzed using SPSS version 26.0. Chi-square test was used for test of associations with the level of significance set at P < 0.05. The prevalence rate of unintended pregnancy from the study was 16.28% (≈16%). The contraceptive awareness was very high (209, 97.21%), however, 101 (46.98%) participants had never used any form of contraceptives. Univariate analysis using Chi-square test showed a statistically significant association between age and unintended pregnancy (P = 0.042), level of education and unwanted pregnancy (P = 0.033) as well as parity and unintended pregnancy (P = 0.019). The prevalence of unintended pregnancy among women attending antenatal clinics was high, possibly due to low contraceptive usage. More efforts should be geared towards ensuring access to comprehensive contraceptive care and contraceptive methods, this will enhance uptake and reduce the rate of unintended pregnancy.

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The Prevalence and Determinants of Unintended Pregnancies Among Women in Abakaliki, Southeast Nigeria

Cited by 4 publications

References 9 publications

Prevalence and Determinants of Unintended Pregnancy among Women Receiving Antenatal Care Services: A Facility-Based Cross-Sectional Study in Ghana

Prevalence and Determinants of Unintended Pregnancy among Women Receiving Antenatal Care Services: A Facility-Based Cross-Sectional Study in Ghana

Prevalence and triggering factors of unintended pregnancies among women in India: Evidence from Indian Demographic and Health Survey 2015–2016

Unintended Pregnancy Determinants among Antenatal Clinic Attendees: A University of Port Harcourt Teaching Hospital Experience

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