Unintended pregnancy and use of emergency contraception among a large cohort of women attending for antenatal care or abortion in Scotland

Unintended pregnancy and use of emergency contraception among a large cohort of women attending for antenatal care or abortion in Scotland
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DOI:
10.1016/s0140-6736(06)69737-7
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发表时间:
2006-11-18
期刊:
影响因子:
168.9
通讯作者:
Glasier, Anna
Glasier, Anna
中科院分区:
医学1区
文献类型:
--
作者:
Lakha, Fatim;Glasier, Anna

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背景 意外怀孕很常见。尽管许多意外怀孕以人工流产告终,但比例高达三分之一。那些即将出生的人可能是计划外的。其中一些怀孕可以通过紧急避孕来预防。我们试图确定有多少意外怀孕以分娩或流产告终,以及使用紧急避孕药来预防怀孕的女性比例。方法 291018 名在爱丁堡医院接受产前护理的女性和 907 名前往堕胎的女性完整完成了一份自填问卷,其中包括经过验证的怀孕意愿测量和有关紧急避孕药使用的问题。结果 814 名(89.7%)要求堕胎的妇女中有 907 名是意外怀孕,而计划继续怀孕的 2908 名妇女中只有 250 名 (8.6%) 是意外怀孕。 然而,只有 1909 名 (65.6%) 打算继续怀孕。其余女性对怀孕意愿持矛盾态度。在继续怀孕的女性中,意向性与年龄有关,年轻女性最有可能意外怀孕(p
Background Unintended pregnancy is common. Although many unintended pregnancies end in induced abortion, up to a third. of those proceeding to birth might be unplanned. Some of these pregnancies could be prevented by emergency contraception. We have sought to establish how many pregnancies ending in either childbirth or abortion are unintended, and what proportion of women use emergency contraception to try to prevent pregnancy.Methods 291018 women who attended an Edinburgh hospital for antenatal care and 907 attending for abortion fully completed a self-administered questionnaire including a validated measure of pregnancy intention and questions about emergency contraceptive use.Findings 814 (89.7%) of 907 pregnancies among women requesting abortion were unintended compared with only 250 (8.6%) among 2908 women who planned to continue pregnancy However, only 1909 (65.6%) of continuing pregnancies were intended. The rest of the women were ambivalent about pregnancy intention. In women who continued with their pregnancies intendedness was related to age, with unintended pregnancy most probable in young women (p