شیوع و علل حاملگی‌های ناخواسته در مراجعین با تست مثبت حاملگی و ارائه راهکار مناسب

Unintended pregnancy is a world wide problem that affects women, their families, and society. From a total of 175 million pregnancies per year 75 million of them are unintended. This cross-sectional study was undertaken to determine prevalence of unintended pregnancies and pertinent factors and suggests an appropriate solution. A sample of 400 women who were seeking pregnancy tests in laboratories of hospitals affiliated of Tehran University of Medical Sciences, at the obstetric and gynecologic ward, and who had positive tests were selected by the Poisson random sampling method. Women who were found to have diseases such as hydatidiform mole were excluded. A questionnaire was used to collect data. Pregnancy intention was measured using NSFG 2001 questionnaire. Descriptive and analytic tests (chi-square, Fisher exact, t-test) were used to analyze the data. Prevalence of unintended pregnancy was 47.5%, of whom 36.3% hadn’t used contraception methods. Fear of side effects (66.7%) was the most prevalent reason of not using contraception. The main reason for unintended pregnancy was economical problems (42.6%). 63.7% of women with unintended pregnancy had used one of contraceptive method but 86.8% of users had used that method in an incorrect way. Also the results indicated that the age of women, educational status, number of children, husband’s age and education were associated with contraceptive use. The results indicated that prevalence of unintended pregnancy is high and the contraceptive methods weren't used or were used incorrectly by most of them (91.6%). This may show the necessity of training women about contraceptive methods and side effects of unintended pregnancy. Due to the important role of health care providers they should be trained to give such consultation to women.