Magnitude and associated factors of unintended pregnancy among pregnant women attending antenatal care at saint Paul hospital millennium medical collage, Addis Ababa, Ethiopia

Abstract

<p><strong>Background:-</strong>Unintended pregnancy is defined as unwanted or mistimed. It is an important public health issue in both developing and developed countries, because of its serious consequences for women and their families. Unintended pregnancies continue to burden many countries in sub-Saharan Africa predisposing the mothers to the possibility of unsafe abortion, delayed prenatal care, poor maternal mental health, and poor child health outcomes. Prevention of unintended pregnancies is critical in reduction of both maternal and infant mortality.</p> <p><strong>Objectives:-</strong>The major objective of this study is to assess the magnitude and factors associated with unintended pregnancy among pregnant women attending antenatal care clinics in St. Paul’s Hospital Millennium Medical College.</p> <p><strong>Methods:- </strong>A Cross-sectional analytic study &nbsp;&nbsp;was conducted among pregnant mothers visiting St. Paul’s Hospital Millennium Medical College for antenatal care follow-up from&nbsp; December, 2019 –January 30, 2020.The study participants were selected using systematic&nbsp; random sampling method, and the data was collected using pre tested structured questionnaire by 4 trained data collectors. Then, the data was cleaned; checked&nbsp;&nbsp; and entered to a computer.<strong> </strong>It was entered into Epi Info version 3.5.3 then transferred to SPSS version 21 for data analysis Descriptive data analysis such as proportions was done and presented using table, graphs. Association between unintended pregnancy and the explanatory variables were assessed by bivariate logistic regression model. P values of ≤0.05 were set at 95%CI to interpret the statistical multiple analysis association.</p> <p><strong>Result: - </strong>Among 326<strong> </strong>pregnant women participated in the study<strong> </strong>50.3% had<strong> </strong>unintended pregnancy. The result showed that pregnant women with monthly income above 4001 birr were 6% less likely to have unintended pregnancy than women with less than 100 birr monthly income [AOR= 0.06(95%CI: 0.01-0.76)]. Participants with 3-4 number of children born alive were 21.75 more likely to have unintended pregnancy than participant with 1-2 number of children born alive [AOR=21.75(95%CI: 2.57-30.24)]. Mothers who would want to have five or more children were 10% less likely to have unintended pregnancy than mothers who would want to have two children [AOR=0.01(95%CI: 0.00-0.71)]. Husband/ boyfriend not allowing his partner to use family planning was 1.93 more likely to get unintended pregnancy [AOR=1.93(95%CI: 1.49-2.99)].</p> <strong>Conclusion: - </strong>the magnitude of unintended pregnancy was relatively high among mother attending Antenatal care clinic at St. Paul’s Hospital Millennium Medical College.