Maternal pregnancy intention and its association with low birthweight and pregnancy complications in Bangladesh: findings from a hospital-based study
Maternal pregnancy intention and its association with low birthweight and pregnancy complications in Bangladesh: findings from a hospital-based study
复制标题
DOI：
10.1093/inthealth/ihz010
复制
发表时间：
2019-11-01
影响因子：
2.5
通讯作者：
Buchanan, Fiona
中科院分区：
文献类型：
--
作者：
Rahman, Md Mosfequr;Nasrin, Sarkar Obaida;Buchanan, Fiona
背景：调查意外怀孕对孕产妇和儿童健康的潜在影响对于设计有效的干预措施非常重要。本研究探讨了意外怀孕与低出生体重 (LBW) 和妊娠并发症之间的关联。方法：对孟加拉国 Rajshahi 医学院医院产后病房中随机抽取的 400 名妇女进行横断面调查。使用多变量逻辑回归分析来确定相关性。 结果：这项研究的结果表明，30.5% 的怀孕是意外怀孕，29.3% 的婴儿出生时患有低出生体重。此外，79.3% 的女性在上次怀孕期间经历过任何妊娠并发症 (AC)，69.5% 经历过医疗并发症，44.3% 经历过产科并发症 (OC)。意外怀孕与 LBW（调整后比值比 [AOR]：3.18，95% CI：1.79 至 5.54）、产妇 OC 经历（AOR：1.83，95% CI：1.03 至 3.28）和 AC（AOR：2.93，95%：1.14 至 7.58）显着相关。意外怀孕的女性在怀孕期间患高血压和贫血的风险较高。结论：意外怀孕的女性生产低体重婴儿和怀孕期间出现并发症的风险较高。因此，在旨在降低孕产妇和儿童发病率和死亡率的干预措施中应考虑孕产妇怀孕意愿。
Background: The investigation of the potential impact of unintended pregnancy on maternal and child health is important to design effective interventions. This study explored the associations between unintended pregnancy and low birthweight (LBW) and pregnancy complications.Methods: A cross-sectional survey was conducted among 400 randomly selected women in the postnatal wards of Rajshahi Medical College Hospital, Bangladesh. Multivariate logistic regression analyses were used to identify associations.Results: Results of this study indicate that 30.5% of all pregnancies were unintended and 29.3% of babies were born with LBW. Additionally, 79.3% of women experienced any pregnancy complication (AC), 69.5% experienced medical complications and 44.3% experienced obstetric complications (OCs) during their last pregnancy. Unintended pregnancy was significantly associated with LBW (adjusted odds ratio [AOR]: 3.18, 95% CI: 1.79 to 5.54), maternal experience of OCs (AOR: 1.83, 95% CI: 1.03 to 3.28) and AC (AOR: 2.93, 95%: 1.14 to 7.58). Women with unintended pregnancies were at higher risk of developing high blood pressure and anemia during pregnancy.Conclusions: Women with unintended pregnancies are at increased risk of producing LBW babies and experiencing complications during pregnancy. Therefore, maternal pregnancy intention should be addressed in interventions aimed to reduce maternal and child morbidity and mortality.