Incidence and influencing factors of unwanted pregnancy within 2 years after delivery among childbearing age women in Henan province
SUN Panpan, JIANG Lifang, ZHANG Junxi, CHAI Jian, DONG Wei, WANG Yuhong, Ji Penghui
Henan Provincial Research Institute of Population and Family Planning, Social medicine research center, National Health Commission Key Laboratory of Birth Defects Prevention, Henan Key Laboratory of Population Defects Prevention, Zhengzhou 450002, China
Abstract:Objective To investigate the incidence and influencing factors of unplanned pregnancy within 2 years after delivery among childbearing age women in Henan province. Methods At 13 hospitals from 7 cities of Henan province, 5 900 women were randomly selected from July 2015 to June 2016, and were surveyed information on the situation on re-pregnancy, menstrual recovery, breast-feeding modes, etc. by telephone from 1 September 2017 to 31 March 2018. Survival analysis was performed by SPSS 21.0 statistical software. Life table method was used to analyze the cumulative incidence of unwanted pregnancy postpartum, and Cox proportional risk regression model was used for multi-factor analysis of the influencing factors of unwanted pregnancy. Results The cumulative incidences of unwanted pregnancies within 3, 6, 9, 12, 15, 18, 21 and 24 months postpartum were 0.0%, 0.5%, 1.9%, 3.6%, 6.4%, 8.1%, 10.2% and 11.3%, respectively. The results of the Cox proportional risk regression model showed that:the older age and more gravidities were associated with lower risk of unwanted pregnancy postpartum, and more abortions was associated with higher risk of unwanted pregnancy postpartum. As comparing with women underwent virginal delivery, the risk of unwanted pregnancy those underwent cesarean delivery were reduced by 20.9%, by 55.2% for women breast-feeding for more than 12 months versus those for 6 months or less, and by 74.8% for women restored sexual life at 6 months or more postpartum versus those within 3 months postpartum. In addition, the risk of unwanted pregnancy increased by 273.7% for women who took birth control at 6 months or more postpartum versus those within 3 months postpartum. Conclusion Abortion history and later birth control are the risk factors for unwanted pregnancy, and older age, cesarean delivery, more gravidities, and longer breast-feeding duration. and the later recovery of sexual life and menstruation are the protective factors.
孙盼盼, 蒋丽芳, 张军喜, 柴健, 董玮, 王雨虹, 纪鹏慧. 河南省育龄妇女产后2年内非意愿妊娠发生率分布及影响因素[J]. 中国生育健康杂志, 2022, 33(2): 119-123.
SUN Panpan, JIANG Lifang, ZHANG Junxi, CHAI Jian, DONG Wei, WANG Yuhong, Ji Penghui. Incidence and influencing factors of unwanted pregnancy within 2 years after delivery among childbearing age women in Henan province. Chinese Journal of Reproductive Health, 2022, 33(2): 119-123.
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