Women’s Life Experiences and Shifting Reports of Pregnancy Planning

Chamberlin, Stephanie; Njerenga, Synab; Smith‐Greenaway, Emily; Yeatman, Sara

doi:10.1007/s10995-022-03447-w

Cited by 7 publications

(6 citation statements)

References 32 publications

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“…Future analyses may rely on imputed values based on women's other characteristics to avoid exclusion. In addition, women may adjust their reported preferences for a number of children to match their number of living children, as fertility preferences are often dynamic and may change based on women's experiences after having their children (Chamberlin et al 2022;Trinitapoli and Yeatman 2018;Yeatman, Sennott, and Culpepper 2013). Thus, measures of IFS are not without complication, given the nuances of both the question asked in the DHS and its interpretation, as studies suggest rationalization of ideals to reality (Kebede, Striessnig, and Goujon 2022;Casterline and El-Zeini 2007).…”

Section: Discussionmentioning

confidence: 99%

“…In addition, some number of mothers may not provide a precise numeric response, either because their desires are not finalized, because they want a high number of children but do not have a precise number in mind, or because fertility control may not be a desired option (Hayford and Agadjanian 2011; though Frye and Bachan 2017 show a decline in nonnumeric reports over time). Such responses may also be sensitive to events such as child mortality (Smith‐Greenaway and Sennott 2016) and may shift substantially over time in light of changing circumstances or uncertainty (Chamberlin et al 2022; Trinitapoli and Yeatman 2018; Yeatman, Sennott, and Culpepper 2013; Sennott and Yeatman 2012;). Despite these potential issues with validity, the measure of IFS is widely used to understand mothers’ preferences about their desired number of children and broadly helps to capture how mothers feel about family size.…”

Section: Family Size Preferences In Sub‐saharan Africamentioning

confidence: 99%

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Child Fostering and Family Size Preferences in Uganda

Cotton

2024

Studies in Family Planning

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Mothers who exceed their ideal family size (IFS) may find themselves caring for more children than desired. In the absence of reliable and desirable prenatal controls of family size, mothers may foster‐out children to reduce burdens of childrearing, particularly in contexts where fostering is common. Using six rounds of Demographic and Health Surveys collected in Uganda between 1988 and 2016, I explore the relationship between exceeding IFS and child out‐fostering, proposing that fostering‐out may serve to manage excess fertility and that this relationship may change as actual and desired fertility declines. Models are run separately for mothers and children aged 0–17 to explore mothers’ overall out‐fostering behavior versus out‐fostering strategies for children. Results at the mother level suggest a strong positive relationship between exceeding IFS and out‐fostering that remains relatively stable over time, but results at the child level indicate children's age explains the relationship between mothers’ exceeding IFS and being fostered‐out, demonstrating the nuances of how family size preferences might impact family life in practice. Though mothers report a desire for smaller families over time, childbearing and childrearing behaviors, including high fertility and child out‐fostering, remain consistent over the course of Uganda's fertility transition, signifying the central role out‐fostering plays in Ugandan families.

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Section: Discussionmentioning

confidence: 99%

Section: Family Size Preferences In Sub‐saharan Africamentioning

confidence: 99%

Child Fostering and Family Size Preferences in Uganda

Cotton

2024

Studies in Family Planning

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“…This difference could be attributed to population growth policies in Iran in recent years and the fact that this study was conducted during the COVID-19 pandemic. In a cross-sectional study conducted in Iran to compare contraceptive methods, abortion, and unintended pregnancies before and during the COVID-19 pandemic, it was found that the prevalence of unintended pregnancies increased from 20.4% before the pandemic to 25.4% during the pandemic [ 36 ].…”

Section: Discussionmentioning

confidence: 99%

The prevalence of unintended pregnancy and its influence on pregnancy experience in Tabriz, Iran, 2023: a cross-sectional study

Maghalian,

Nikanfar,

Nabighadim

et al. 2024

Reprod Health

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Background There is a lack of quantitative studies that specifically measure the association between the experience of pregnancy and unintended pregnancy. The present study aims to address the prevalence of unintended pregnancy and identify its predictors. Additionally, the study explores whether unintended pregnancy is associated with pregnancy uplifts and hassles. Methods This cross-sectional study was conducted on 488 pregnant women between 20 to 40 weeks' gestation at the comprehensive health center in Tabriz City from February 2022 to January 2023. A cluster sampling method was used for sampling, and data were collected using socio-demographic questionnaires and the Pregnancy Experience Scale (PES). Descriptive statistics were used to describe the socio-demographic characteristics and the prevalence of unintended pregnancy. Binary logistic regression was employed to identify the predictors of pregnancy desirability. To examine the relationship between unintended pregnancy and pregnancy experience, an independent t-test was used for bivariate analysis, and a general linear model (GLM) was utilized for multivariate analysis, with control for potential confounding variables. Results The prevalence of unintended pregnancies was 30.7% (24.3% unwanted pregnancies, and 6.4% mistimed pregnancies). The results of the binary logistic regression indicated that the lower age of both the woman and her spouse were significant predictors for unintended pregnancy (P < 0.05). Based on an independent t-test, the mean score for uplifts in women with unintended pregnancy was significantly lower than in women with intended pregnancy (mean difference (MD): -4.99; 95% confidence interval (CI): -5.96 to -4.02; p < 0.001), While the mean score of hassles in women with unintended pregnancy was significantly higher than women with intended pregnancy (MD: 2.92; 95% CI: 2.03 to 3.80; p < 0.001). The results of GLM showed that women who had unintended pregnancies had significantly lower scores for uplifts (B = -4.99; 95% CI: -5.96 to -4.03; P < 0.001) and higher scores for hassles (B = 2.92; 95% CI: 2.06 to 3.78; P < 0.001). Conclusions The high prevalence of unintended pregnancies in Tabriz highlights the importance of targeted interventions to address this issue, considering the policy framework and unique challenges faced by women. Future studies should focus on developing context-specific interventions that effectively meet the needs of women with unintended pregnancies.

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“…Thirdly, most of the women participating in this study gave the birth beyond one year (61.77%). The information they provided may be biased by recall [ 30 ], but no relationship was observed between FA supplementation and child age [ 31 ]. The estimate may also be biased by the multi-interviewers of 19 although they were well-trained.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Investigating continuation of folic acid supplementation during peri-conceptional period: a community-based cross-sectional study

Mao

Hu²,

Chen³

et al. 2023

Reprod Health

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Background Maternal folate may not reach an optimal level to prevent neural tube defects if supplementation commenced post-conception or took place pre-conception only. Our study aimed to investigate the continuation of folic acid (FA) supplementation from pre-conception to post-conception during peri-conceptional period and to examine its differences in FA supplementation between the subgroups taking the initiation timing into consideration. Methods This study was conducted in two community health service centers in Jing-an District of Shanghai. Women accompanying their children to pediatric health clinics of the centers were recruited and asked to recall information concerning their socioeconomic and previous obstetric characteristics, utilization of healthcare and FA supplementation before and/or during pregnancy. The continuation of FA supplementation during peri-conceptional period were categorized into three subgroups: Supplementing with FA pre- and post-conception; supplementing with FA preconception only or post-conception only; no FA supplements pre-conception and post-conception. The relationship between FA continuation and couples’ characteristics were examined as setting the first subgroup as the base reference. Results Three hundred and ninety-six women were recruited. Over 40% of the women started FA supplementation after conception and 30.3% of them supplemented with FA from pre-conception to the first trimester of their pregnancy. Compared to this one-third of participants, women who didn’t supplemented with any FA during peri-conceptional period were more likely to have no utilization of pre-conception healthcare ($$OR$$ OR = 2.47, 95% $$CI$$ CI : 1.33–4.61) or antenatal care ($$OR$$ OR = 4.05, 95% $$CI$$ CI : 1.76–9.34), or who had a lower family socioeconomic status ($$OR$$ OR = 4.36, 95% $$CI$$ CI : 1.79–10.64). Women who supplemented with FA pre-conception only or post-conception only were more likely to have no utilization of pre-conception healthcare ($$OR$$ OR = 2.94, 95% $$CI$$ CI : 1.79–4.82), or to have no previous pregnancy complication ($$OR$$ OR =1.80, 95% $$CI$$ CI : 0.99–3.28). Conclusion Over two-fifth of the women started FA supplementation and only one-third of them had an optimal supplementation from pre-conception to the first trimester. Maternal utilization of healthcare before or during pregnancy together with maternal and paternal socioeconomic status may play a role in the continuation to FA supplementation pre- and post-conception.

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Women’s Life Experiences and Shifting Reports of Pregnancy Planning

Cited by 7 publications

References 32 publications

Child Fostering and Family Size Preferences in Uganda

Child Fostering and Family Size Preferences in Uganda

The prevalence of unintended pregnancy and its influence on pregnancy experience in Tabriz, Iran, 2023: a cross-sectional study

Investigating continuation of folic acid supplementation during peri-conceptional period: a community-based cross-sectional study

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