Women’s experience of unintended pregnancy and changes in contraceptive methods: evidence from a nationally representative survey
Plain Language summary Unintended pregnancy is considered a public health challenge in low- and middle-income countries (LMICs). Around 89% of the global occurrences of unintended pregnancies occur in LMICs. In absolute numbers, this is equivalent to nearly 88 million pregnancies. Adverse pregnancy...
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| Format: | Article |
| Language: | English |
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BMC
2022-09-01
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| Series: | Reproductive Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12978-022-01492-w |
| _version_ | 1811274875679014912 |
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| author | Md Nuruzzaman Khan M. Mofizul Islam |
| author_facet | Md Nuruzzaman Khan M. Mofizul Islam |
| author_sort | Md Nuruzzaman Khan |
| collection | DOAJ |
| description | Plain Language summary Unintended pregnancy is considered a public health challenge in low- and middle-income countries (LMICs). Around 89% of the global occurrences of unintended pregnancies occur in LMICs. In absolute numbers, this is equivalent to nearly 88 million pregnancies. Adverse pregnancy consequences, including bleeding, haemorrhage and maternal mortality are common in this group. The adverse consequences are even higher among women facing unintended pregnancies more than once, i.e., repeat unintended pregnancies, which represent around half of the total occurrences of unintended pregnancies in LMICs. Ensuring proper access to effective contraceptives following birth is key to reducing repeat unintended pregnancies and associated adverse consequences. It is critical to know the patterns of women’s pre-pregnancy contraceptive methods use and whether experiences of unintended pregnancies affect their contraceptive methods uptake and their types. However, this data is completely lacking in the context of LMICs. Using nationally representative survey data from Bangladesh, we examined women’s contraceptive switching patterns from before to after pregnancy and their association with pregnancy types. We found increased likelihood of no change in contraceptive using pattern or switching to less effective contraceptives among women after they experienced mistimed pregnancy compared to those whose pregnancy was wanted. This pattern increases the risk of repeat unintended pregnancies in Bangladesh and associated adverse consequences, including maternal and child morbidity and mortality. |
| first_indexed | 2024-04-12T23:26:56Z |
| format | Article |
| id | doaj.art-54dd127ea8344c2eb0b704264abc40c8 |
| institution | Directory Open Access Journal |
| issn | 1742-4755 |
| language | English |
| last_indexed | 2024-04-12T23:26:56Z |
| publishDate | 2022-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Reproductive Health |
| spelling | doaj.art-54dd127ea8344c2eb0b704264abc40c82022-12-22T03:12:23ZengBMCReproductive Health1742-47552022-09-0119111110.1186/s12978-022-01492-wWomen’s experience of unintended pregnancy and changes in contraceptive methods: evidence from a nationally representative surveyMd Nuruzzaman Khan0M. Mofizul Islam1Department of Population Science, Jatiya Kabi Kazi Nazrul Islam UniversityDepartment of Public Health, La Trobe UniversityPlain Language summary Unintended pregnancy is considered a public health challenge in low- and middle-income countries (LMICs). Around 89% of the global occurrences of unintended pregnancies occur in LMICs. In absolute numbers, this is equivalent to nearly 88 million pregnancies. Adverse pregnancy consequences, including bleeding, haemorrhage and maternal mortality are common in this group. The adverse consequences are even higher among women facing unintended pregnancies more than once, i.e., repeat unintended pregnancies, which represent around half of the total occurrences of unintended pregnancies in LMICs. Ensuring proper access to effective contraceptives following birth is key to reducing repeat unintended pregnancies and associated adverse consequences. It is critical to know the patterns of women’s pre-pregnancy contraceptive methods use and whether experiences of unintended pregnancies affect their contraceptive methods uptake and their types. However, this data is completely lacking in the context of LMICs. Using nationally representative survey data from Bangladesh, we examined women’s contraceptive switching patterns from before to after pregnancy and their association with pregnancy types. We found increased likelihood of no change in contraceptive using pattern or switching to less effective contraceptives among women after they experienced mistimed pregnancy compared to those whose pregnancy was wanted. This pattern increases the risk of repeat unintended pregnancies in Bangladesh and associated adverse consequences, including maternal and child morbidity and mortality.https://doi.org/10.1186/s12978-022-01492-wUnintended pregnancyContraceptiveMistimed pregnancySwitching patterns of contraceptionBangladesh |
| spellingShingle | Md Nuruzzaman Khan M. Mofizul Islam Women’s experience of unintended pregnancy and changes in contraceptive methods: evidence from a nationally representative survey Reproductive Health Unintended pregnancy Contraceptive Mistimed pregnancy Switching patterns of contraception Bangladesh |
| title | Women’s experience of unintended pregnancy and changes in contraceptive methods: evidence from a nationally representative survey |
| title_full | Women’s experience of unintended pregnancy and changes in contraceptive methods: evidence from a nationally representative survey |
| title_fullStr | Women’s experience of unintended pregnancy and changes in contraceptive methods: evidence from a nationally representative survey |
| title_full_unstemmed | Women’s experience of unintended pregnancy and changes in contraceptive methods: evidence from a nationally representative survey |
| title_short | Women’s experience of unintended pregnancy and changes in contraceptive methods: evidence from a nationally representative survey |
| title_sort | women s experience of unintended pregnancy and changes in contraceptive methods evidence from a nationally representative survey |
| topic | Unintended pregnancy Contraceptive Mistimed pregnancy Switching patterns of contraception Bangladesh |
| url | https://doi.org/10.1186/s12978-022-01492-w |
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