Consequences of unintended pregnancy on mother and fetus and newborn in North-East of Iran

Masoumeh Gharaee, Hamid Reza Baradaran* (Corresponding Author)

*Corresponding author for this work

Research output: Contribution to journalArticle

Abstract

Introduction: Unintended pregnancy is one of the most important public health problems. The complications of unintended pregnancy can lead to mortality and irreversible health damages in the whole world and may involve the mother, fetus, and neonate. This study aims to determine the most important complications of unintended pregnancy for mother, her fetus, and neonate. Materials and methods: This retrospective cohort study was conducted to assess the effects of unintended pregnancy on pregnant women in Bojnourd County, North Khorasan Province, Iran. In total 748 pregnant mothers were selected, including 374 mothers as exposed group (unintended pregnancy) and 374 as unexposed group (planned pregnancy). The data were collected using a researcher-made checklist and the mothers were interviewed by phone to complete the data. Results: The relationship between unintended pregnancy with maternal complications of maternal age (R2adj = 1.03) (p =.044), education level (R2adj = 2.01) (p <.001), mother’s job (R2adj = 0.88) (p =.025), father’s job (R2adj = 0.86) (p =.018), number of prenatal cares (R2adj = 0.80) (p <.001), private specialist visit (R2adj = 0.28) (p =.001), use of certain drugs (R2adj = 2.58) (p =.001), gestational weight gain (R2adj = 1.79) (p =.01), vaginal bleeding (R2adj = 3.81) (p =.004), breastfeeding start 3-h postpartum (R2adj =19.06) (p <.001), gestational diabetes (R2adj = 12.94) (p <.001), and urinary tract infection (R2adj = 7.48) (p <.001) was significant after adjusting for confounding factors in the logistic regression model. There was a significant relationship between unintended pregnancy with neonatal variables such as deviation of 6- to 12-month neonate from height growth (R2adj = 4.78) (p =.016) and from weight growth (R2adj = 2.01) (p =.011), as well as the presence of another infant under 2 years in the family (R2adj = 4.28) (p =.014). Conclusion: It is concluded that unwanted pregnancy seems to have substantial negative consequences for women during their pregnancy and also her children. It is suggested health policy makes in Iran consider this important issue in national reproductive health and family program to reduce healthcare burden.

Original languageEnglish
JournalJournal of Maternal-Fetal and Neonatal Medicine
Early online date10 Sep 2018
DOIs
Publication statusE-pub ahead of print - 10 Sep 2018

Fingerprint

Iran
Fetus
Mothers
Newborn Infant
Pregnancy
Pregnancy Complications
Logistic Models
Unwanted Pregnancies
Prenatal Care
Gestational Diabetes
Uterine Hemorrhage
Reproductive Health
Maternal Age
Family Planning Services
Growth
Health Policy
Breast Feeding
Checklist
Urinary Tract Infections
Fathers

Keywords

  • fetal complications
  • maternal complications
  • neonatal complications
  • Unintended pregnancy

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynaecology

Cite this

@article{eb658144a11541a18b36609d988c92ef,
title = "Consequences of unintended pregnancy on mother and fetus and newborn in North-East of Iran",
abstract = "Introduction: Unintended pregnancy is one of the most important public health problems. The complications of unintended pregnancy can lead to mortality and irreversible health damages in the whole world and may involve the mother, fetus, and neonate. This study aims to determine the most important complications of unintended pregnancy for mother, her fetus, and neonate. Materials and methods: This retrospective cohort study was conducted to assess the effects of unintended pregnancy on pregnant women in Bojnourd County, North Khorasan Province, Iran. In total 748 pregnant mothers were selected, including 374 mothers as exposed group (unintended pregnancy) and 374 as unexposed group (planned pregnancy). The data were collected using a researcher-made checklist and the mothers were interviewed by phone to complete the data. Results: The relationship between unintended pregnancy with maternal complications of maternal age (R2adj = 1.03) (p =.044), education level (R2adj = 2.01) (p <.001), mother’s job (R2adj = 0.88) (p =.025), father’s job (R2adj = 0.86) (p =.018), number of prenatal cares (R2adj = 0.80) (p <.001), private specialist visit (R2adj = 0.28) (p =.001), use of certain drugs (R2adj = 2.58) (p =.001), gestational weight gain (R2adj = 1.79) (p =.01), vaginal bleeding (R2adj = 3.81) (p =.004), breastfeeding start 3-h postpartum (R2adj =19.06) (p <.001), gestational diabetes (R2adj = 12.94) (p <.001), and urinary tract infection (R2adj = 7.48) (p <.001) was significant after adjusting for confounding factors in the logistic regression model. There was a significant relationship between unintended pregnancy with neonatal variables such as deviation of 6- to 12-month neonate from height growth (R2adj = 4.78) (p =.016) and from weight growth (R2adj = 2.01) (p =.011), as well as the presence of another infant under 2 years in the family (R2adj = 4.28) (p =.014). Conclusion: It is concluded that unwanted pregnancy seems to have substantial negative consequences for women during their pregnancy and also her children. It is suggested health policy makes in Iran consider this important issue in national reproductive health and family program to reduce healthcare burden.",
keywords = "fetal complications, maternal complications, neonatal complications, Unintended pregnancy",
author = "Masoumeh Gharaee and Baradaran, {Hamid Reza}",
year = "2018",
month = "9",
day = "10",
doi = "10.1080/14767058.2018.1500538",
language = "English",
journal = "Journal of Maternal-Fetal & Neonatal Medicine",
issn = "1476-7058",
publisher = "Taylor & Francis",

}

TY - JOUR

T1 - Consequences of unintended pregnancy on mother and fetus and newborn in North-East of Iran

AU - Gharaee, Masoumeh

AU - Baradaran, Hamid Reza

PY - 2018/9/10

Y1 - 2018/9/10

N2 - Introduction: Unintended pregnancy is one of the most important public health problems. The complications of unintended pregnancy can lead to mortality and irreversible health damages in the whole world and may involve the mother, fetus, and neonate. This study aims to determine the most important complications of unintended pregnancy for mother, her fetus, and neonate. Materials and methods: This retrospective cohort study was conducted to assess the effects of unintended pregnancy on pregnant women in Bojnourd County, North Khorasan Province, Iran. In total 748 pregnant mothers were selected, including 374 mothers as exposed group (unintended pregnancy) and 374 as unexposed group (planned pregnancy). The data were collected using a researcher-made checklist and the mothers were interviewed by phone to complete the data. Results: The relationship between unintended pregnancy with maternal complications of maternal age (R2adj = 1.03) (p =.044), education level (R2adj = 2.01) (p <.001), mother’s job (R2adj = 0.88) (p =.025), father’s job (R2adj = 0.86) (p =.018), number of prenatal cares (R2adj = 0.80) (p <.001), private specialist visit (R2adj = 0.28) (p =.001), use of certain drugs (R2adj = 2.58) (p =.001), gestational weight gain (R2adj = 1.79) (p =.01), vaginal bleeding (R2adj = 3.81) (p =.004), breastfeeding start 3-h postpartum (R2adj =19.06) (p <.001), gestational diabetes (R2adj = 12.94) (p <.001), and urinary tract infection (R2adj = 7.48) (p <.001) was significant after adjusting for confounding factors in the logistic regression model. There was a significant relationship between unintended pregnancy with neonatal variables such as deviation of 6- to 12-month neonate from height growth (R2adj = 4.78) (p =.016) and from weight growth (R2adj = 2.01) (p =.011), as well as the presence of another infant under 2 years in the family (R2adj = 4.28) (p =.014). Conclusion: It is concluded that unwanted pregnancy seems to have substantial negative consequences for women during their pregnancy and also her children. It is suggested health policy makes in Iran consider this important issue in national reproductive health and family program to reduce healthcare burden.

AB - Introduction: Unintended pregnancy is one of the most important public health problems. The complications of unintended pregnancy can lead to mortality and irreversible health damages in the whole world and may involve the mother, fetus, and neonate. This study aims to determine the most important complications of unintended pregnancy for mother, her fetus, and neonate. Materials and methods: This retrospective cohort study was conducted to assess the effects of unintended pregnancy on pregnant women in Bojnourd County, North Khorasan Province, Iran. In total 748 pregnant mothers were selected, including 374 mothers as exposed group (unintended pregnancy) and 374 as unexposed group (planned pregnancy). The data were collected using a researcher-made checklist and the mothers were interviewed by phone to complete the data. Results: The relationship between unintended pregnancy with maternal complications of maternal age (R2adj = 1.03) (p =.044), education level (R2adj = 2.01) (p <.001), mother’s job (R2adj = 0.88) (p =.025), father’s job (R2adj = 0.86) (p =.018), number of prenatal cares (R2adj = 0.80) (p <.001), private specialist visit (R2adj = 0.28) (p =.001), use of certain drugs (R2adj = 2.58) (p =.001), gestational weight gain (R2adj = 1.79) (p =.01), vaginal bleeding (R2adj = 3.81) (p =.004), breastfeeding start 3-h postpartum (R2adj =19.06) (p <.001), gestational diabetes (R2adj = 12.94) (p <.001), and urinary tract infection (R2adj = 7.48) (p <.001) was significant after adjusting for confounding factors in the logistic regression model. There was a significant relationship between unintended pregnancy with neonatal variables such as deviation of 6- to 12-month neonate from height growth (R2adj = 4.78) (p =.016) and from weight growth (R2adj = 2.01) (p =.011), as well as the presence of another infant under 2 years in the family (R2adj = 4.28) (p =.014). Conclusion: It is concluded that unwanted pregnancy seems to have substantial negative consequences for women during their pregnancy and also her children. It is suggested health policy makes in Iran consider this important issue in national reproductive health and family program to reduce healthcare burden.

KW - fetal complications

KW - maternal complications

KW - neonatal complications

KW - Unintended pregnancy

UR - http://www.scopus.com/inward/record.url?scp=85053288574&partnerID=8YFLogxK

U2 - 10.1080/14767058.2018.1500538

DO - 10.1080/14767058.2018.1500538

M3 - Article

JO - Journal of Maternal-Fetal & Neonatal Medicine

JF - Journal of Maternal-Fetal & Neonatal Medicine

SN - 1476-7058

ER -