Is a Previous Unplanned Pregnancy a Risk Factor for a Subsequent Unplanned Pregnancy?

Overview

Journal Am J Obstet Gynecol

Publisher Elsevier

Specialty Gynecology & Obstetrics

Date 2008 May 13

PMID 18468575

Citations 24

Authors

Lindsay M Kuroki

Jenifer E Allsworth

Colleen A Redding

Jeffrey D Blume

Jeffrey F Peipert

Affiliations

Soon will be listed here.

Abstract

Objective: The objective of the study was to determine whether a history of unplanned pregnancy was a risk factor for a subsequent unplanned pregnancy.

Study Design: We analyzed 542 women aged 14-35 years, enrolled in Project PROTECT, a randomized clinical trial to promote dual-method contraception use to prevent sexually transmitted diseases and unplanned pregnancy. Predictors of unplanned pregnancy were assessed by comparing women with and without a history of unplanned pregnancy.

Results: More than 1 in 5 women (22.5%) experienced an unintended pregnancy. History of an unintended pregnancy was a predictor of unintended pregnancy (adjusted odds ratio, 1.91; 95% confidence interval, 1.09-3.34). Other factors that were significantly associated with unplanned pregnancy included young age and low educational status.

Conclusions: Future efforts should focus on bridging the gap between identifying risk factors for unplanned pregnancy and interventions aimed at reducing the incidence in high-risk groups.

Citing Articles

Clustering of characteristics associated with unplanned pregnancies: the generation R study.

Enthoven C, El Marroun H, Koopman-Verhoeff M, Jansen W, Lambregtse-van den Berg M, Sondeijker F BMC Public Health. 2022; 22(1):1957.

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Reproductive autonomy and feelings of control over pregnancy among emerging adult clients in a Utah (USA) contraceptive initiative study.

Dalessandro C, Kaiser J, Sanders J Sex Reprod Healthc. 2021; 31:100688.

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Provision of long-acting reversible contraception at surgical abortion-A cross-sectional nationwide register study.

Hogmark S, Envall N, Wikman A, Skoglund C, Kopp Kallner H, Hesselman S Acta Obstet Gynecol Scand. 2021; 101(1):77-83.

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Evaluation of the pregnant women's approaches regarding drug utilization.

Tamirci M, Aydin V, Soyalan M, Akici N, Goren M, Akici A North Clin Istanb. 2021; 8(1):49-56.

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Association between pregnancy intention and late initiation of antenatal care among pregnant women in Ethiopia: a systematic review and meta-analysis.

Tolossa T, Turi E, Fetensa G, Fekadu G, Kebede F Syst Rev. 2020; 9(1):191.

PMID: 32819428 PMC: 7441676. DOI: 10.1186/s13643-020-01449-9.

References

Rosenfeld J, Everett K . Factors related to planned and unplanned pregnancies. J Fam Pract. 1996; 43(2):161-6. View

Mohllajee A, Curtis K, Morrow B, Marchbanks P . Pregnancy intention and its relationship to birth and maternal outcomes. Obstet Gynecol. 2007; 109(3):678-86. DOI: 10.1097/01.AOG.0000255666.78427.c5. View

Than L, Honein M, Watkins M, Yoon P, Daniel K, Correa A . Intent to become pregnant as a predictor of exposures during pregnancy: is there a relation?. J Reprod Med. 2005; 50(6):389-96. View

Kost K, Landry D, Darroch J . The effects of pregnancy planning status on birth outcomes and infant care. Fam Plann Perspect. 1998; 30(5):223-30. View

Foster D, Bley J, Mikanda J, Induni M, Arons A, Baumrind N . Contraceptive use and risk of unintended pregnancy in California. Contraception. 2004; 70(1):31-9. DOI: 10.1016/j.contraception.2004.01.012. View

Jones R, Darroch J, Henshaw S . Contraceptive use among U.S. women having abortions in 2000-2001. Perspect Sex Reprod Health. 2003; 34(6):294-303. View

Trussell J . The cost of unintended pregnancy in the United States. Contraception. 2007; 75(3):168-70. DOI: 10.1016/j.contraception.2006.11.009. View

Peipert J, Redding C, Blume J, Allsworth J, Matteson K, Lozowski F . Tailored intervention to increase dual-contraceptive method use: a randomized trial to reduce unintended pregnancies and sexually transmitted infections. Am J Obstet Gynecol. 2008; 198(6):630.e1-8. PMC: 2535847. DOI: 10.1016/j.ajog.2008.01.038. View

Naimi T, Lipscomb L, Brewer R, Gilbert B . Binge drinking in the preconception period and the risk of unintended pregnancy: implications for women and their children. Pediatrics. 2003; 111(5 Pt 2):1136-41. View

10.

DAngelo D, Gilbert B, Rochat R, Santelli J, Herold J . Differences between mistimed and unwanted pregnancies among women who have live births. Perspect Sex Reprod Health. 2004; 36(5):192-7. DOI: 10.1363/psrh.36.192.04. View

11.

Zhang J, Yu K . What's the relative risk? A method of correcting the odds ratio in cohort studies of common outcomes. JAMA. 1998; 280(19):1690-1. DOI: 10.1001/jama.280.19.1690. View

12.

Zuravin S . Unplanned childbearing and family size: their relationship to child neglect and abuse. Fam Plann Perspect. 1991; 23(4):155-61. View

13.

Mauldon J, Delbanco S . Public perceptions about unplanned pregnancy. Fam Plann Perspect. 1997; 29(1):25-9, 40. View

14.

Besculides M, Laraque F . Unintended pregnancy among the urban poor. J Urban Health. 2004; 81(3):340-8. PMC: 3455954. DOI: 10.1093/jurban/jth122. View

15.

Goto A, Yasumura S, Reich M, Fukao A . Factors associated with unintended pregnancy in Yamagata, Japan. Soc Sci Med. 2002; 54(7):1065-79. DOI: 10.1016/s0277-9536(01)00081-8. View

16.

Peipert J, Redding C, Blume J, Allsworth J, Iannuccillo K, Lozowski F . Design of a stage-matched intervention trial to increase dual method contraceptive use (Project PROTECT). Contemp Clin Trials. 2007; 28(5):626-37. DOI: 10.1016/j.cct.2007.01.012. View

17.

Todd C, Mountvarner G, Lichenstein R . Unintended pregnancy risk in an emergency department population. Contraception. 2005; 71(1):35-9. DOI: 10.1016/j.contraception.2004.08.005. View

18.

Fava J, Ruggiero L, Grimley D . The development and structural confirmation of the Rhode Island Stress and Coping Inventory. J Behav Med. 1999; 21(6):601-11. DOI: 10.1023/a:1018752813896. View

19.

Korenman S, Kaestner R, Joyce T . Consequences for infants of parental disagreement in pregnancy intention. Perspect Sex Reprod Health. 2002; 34(4):198-205. View

20.

Orr S, Miller C, James S, Babones S . Unintended pregnancy and preterm birth. Paediatr Perinat Epidemiol. 2000; 14(4):309-13. DOI: 10.1046/j.1365-3016.2000.00289.x. View