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Is pregnancy planning associated with background characteristics and pregnancy planning behavior?
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centre for Clinical Research, County of Västmanland. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Pediatrics.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH).
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2016 (English)In: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 95, no 2, 182-189 p.Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: Prevalence of planned pregnancies varies between countries but is often measured in a dichotomous manner. The aim of this study was to investigate to what level pregnant women had planned their pregnancies and whether pregnancy planning was associated with background characteristics and pregnancy planning behavior.

MATERIAL AND METHODS: A cross-sectional study that utilized the baseline measurements from the Swedish Pregnancy Planning (SWEPP) study. Pregnant women (n= 3390) recruited at antenatal clinics answered a questionnaire. Data were analyzed with multinomial logistic regression, Kruskal-Wallis H and χ(2) tests.

RESULTS: Three out of four pregnancies were very or fairly planned and 12 % fairly or very unplanned. Of women with very unplanned pregnancies, 32 % had considered an induced abortion. Women with planned pregnancies were more likely to have a higher level of education, higher household income, to be currently working ≥50 %, and to have longer relationships than women with unplanned pregnancies. The level of pregnancy planning was associated with planning behavior, such as information seeking and intake of folic acid, but without a reduction in alcohol consumption. One third of all women took folic acid one month prior to conception, 17 % used tobacco daily and 11 % used alcohol weekly three months before conception.

CONCLUSIONS: A majority rated their pregnancy as very or fairly planned, with socio-economic factors as explanatory variables. The level of pregnancy planning should be queried routinely to enable individualized counselling, especially for women with unplanned pregnancies. Preconception recommendations need to be established and communicated to the public to increase health promoting planning behavior.

Place, publisher, year, edition, pages
2016. Vol. 95, no 2, 182-189 p.
Keyword [en]
Planned pregnancy; unplanned pregnancy; preconception care; folic acid; health behavior
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-270500DOI: 10.1111/aogs.12816ISI: 000368004300007PubMedID: 26566076OAI: oai:DiVA.org:uu-270500DiVA: diva2:889897
Available from: 2015-12-29 Created: 2015-12-29 Last updated: 2017-12-01Bibliographically approved

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Stern, JennySalih Joelsson, LanaTydén, TanjaBerglund, AnnaEkstrand, MariaAarts, ClaraRosenblad, AndreasLarsson, MargaretaKristiansson, Per

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Stern, JennySalih Joelsson, LanaTydén, TanjaBerglund, AnnaEkstrand, MariaAarts, ClaraRosenblad, AndreasLarsson, MargaretaKristiansson, Per
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Caring SciencesCentre for Clinical Research, County of VästmanlandPediatricsInternational Maternal and Child Health (IMCH)Obstetrics and GynaecologyFamily Medicine and Preventive Medicine
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Acta Obstetricia et Gynecologica Scandinavica
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