Pregnancy is a joyful event for wives, husbands, families, and communities if desired or intended. However, millions of pregnancies worldwide are unintended due to many factors. An unwanted pregnancy occurs when there is no desire to have a child or one that occurs before the desired time. Every day, more than 100 million sexual intercourses occur around the world, resulting in approximately 1 million pregnancies, of which approximately 50% are unplanned and approximately 25% are unwanted.
Complications and risks of unprotected sex, unwanted pregnancy, and sexually transmitted infections are closely associated with unwanted pregnancy. This study found that women with a history of intimate partner violence (IPV) were at significantly higher risk of unintended pregnancy, and a 50% reduction in IPV could reduce unintended pregnancies by 2-8%. It turned out that. Unsafe abortions caused by unwanted pregnancies are a major public health challenge globally, and many approaches have been used to report this problem, but unsafe abortions caused by unwanted pregnancies are Abortion continue to cause significant maternal morbidity and mortality. The basic public goal is to prevent unplanned pregnancies and to help women plan their pregnancies. Not only that, unplanned pregnancies are also related to underlying demographic patterns, women’s education, and family economic well-being.
1. Research setting
This community-based cross-sectional study was conducted from March 1st to March 30th in selected kebeles in the Ir Jelan district from Addis Ababa to western Ethiopia. There are 28 kebeles in the district (27 rural and 1 urban). The total population of this district is 88,045. There were 19,484 people in the reproductive age group. The number of pregnant women is 3.0 there are three health centers, 17 clinics, and one public hospital in the district.
2. Study population and study design
A community-based cross-sectional study was conducted from March 1 to March 30, 2021, among pregnant women who had lived in Ilu Gelan Woreda for at least the past 6 months.
All pregnant women who lived in the woreda during the data collection period were included, but pregnant women who were unable to communicate or who were seriously ill were excluded from the study.
3. Determination of Sample Size and Sampling Method
The total size of the sample used for this study was determined using a single population proportion formula. The proportion of unintended pregnancies sampled from a study conducted in Ethiopia, considering a 95% confidence level and a 5% margin of error, considering a non-response of 10% and a design effect of 1.5 after that. There were 568 study participants. A multistage stratified sampling technique was used to select participants.
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Pregnancy and health-related characteristics
Most respondents have had five or more pregnancies 235 (43.5%) and are not interested in participating; almost half of the women 243 (45%), were multiparous women. The majority of respondents, 204 of them (37.8%), had births less than 2 years apart. Most of the respondents, 194 (35.9%) have sons. Almost two-thirds (71.9%) of those surveyed (388 people) did not know anything about ovulation timing. Additionally, the majority of respondents, 347 (64.3%) did not receive ANC 4,444. This study showed that the prevalence of unintended pregnancy among pregnant women residing in the Il-Gelan district was 55%. Factors significantly associated with unwanted pregnancies included marital status, monthly income, pregnancy, place of birth, contraceptive awareness, and medical decision-making.
The prevalence of unintended pregnancy determined in this study is consistent with 54.5% in a study conducted in Nepal. Furthermore, a study conducted in Tanzania showed a high prevalence of unintended pregnancies (47.5%). Studies conducted in southern Ethiopia and Botswana found the prevalence of unintended pregnancies among married women of childbearing age to be nearly 43 percent. However, a study conducted in South Africa (64%) found a higher prevalence of unintended pregnancies than the current study
Conclusions and Recommendations
We found a high prevalence of unplanned pregnancies among pregnant women in the Ile Geran district. This study found that the marital status of widowers, low monthly household income, multiple births, birth spacing of less than two years, lack of awareness of contraception, and husbands’ autonomy in medical decisions are factors that lead to unplanned pregnancies identified as a significantly related factor.
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