Nunintended pregnancy worldwide levels trends and outcomes pdf

Preventing repeat abortion among women in kumasi, ghana. Intended and unintended pregnancies worldwide in 2012 and recent trends gilda sedgh, susheela singh, and rubina hussain periodic estimation of the incidence of global unintended pregnancy can help demonstrate the need for and impact of family planning programs. The third section analyzes a complex set of studies in which the intendedness of pregnancy itself is related to a variety of outcomes for both the child such as birthweight and cognitive development and parents such as educational achievement. Antenatal care attendance, institutional delivery and skilled attendance at delivery all help to improve maternal and neonatal health. We estimate the incidence of pregnancy by intention status and outcome at worldwide, regional, and subregional. Backgroundthe rate of unintended pregnancy in the united states increased slightly between 2001 and 2008 and is higher than that in many other industrialized countries. Unintended pregnancy in the united states guttmacher institute. Unintended pregnancies are defined here as being comprised of unplanned births, induced abortions, and. It has often been described through the press as a sensational subject with emphasis on the multiple infanticide cases as a main consequence, especially among young unmarried girls. Where investments are occurring at the national and subnational level, measures of impact will ideally take place at these levels.

With the recently estimated abortion rates and ne w estimates of. Global, regional, and national levels and causes of maternal mortality during 199020. Substance use in pregnancy is associated with increased risks for antepartum haemorrhage and poor perinatal outcomes. Level, trend and correlates of mistimed and unwanted. Global shifts in the timing of lifecourse events such as cohabitation, marriage, and childbearing, and declines in the desired number of children, mean that most women will spend an increasing period of their reproductive years trying to avoid pregnancy. The benefits of maternal health care to maternal and neonatal health outcomes have been well documented.

Systematic global analysis of early antenatal care visits has not been done previously. Authorship and contribution to the article is limited to the 4 authors indicated. Perinatal outcomes included 3 fetal growth restricted neonates, 144 preterm deliveries 36. Having the means to monitor levels and trends in the incidence of unintended pregnancy is that much more important in the wake of the 2012 london summit on family planning, which called for heightened investments in programs that will reduce unintended pregnancy worldwide family planning 2020 n. Objectives to identify risk factors for and the consequences several adverse perinatal outcomes of physiciandiagnosed major depression during pregnancy treated in specialised healthcare. Although abortion is generally safe, many women resort to unsafe. Estimation of high risk pregnancy contributing to perinatal. Levels of repeat unintended pregnancy were greatest among black women suggesting that they may differ in their birth control decisions as well as in their access to and ability to afford family planning services. Worldwide levels, trends, and outcomes susheela singh, gilda sedgh, and rubina hussain unintended pregnancy can carry serious consequences for women and their families.

Current trends in narcotic use in pregnancy and neonatal outcomes. Global, regional, and national levels of neonatal, infant. This statistic shows the rates of unintended pregnancy worldwide from 1990 to 2014. Adverse maternal outcomes associated with fetal macrosomia. Ethiopias population policy specifically aims to reduce tfr from 7. Even mild preterm delivery substantially increases the risk of neonatal death. The impact of us international family planning assistance.

Pregnancy is a physiological phenomenon for most women. It is obvious that postpartum contraceptive use provides numerous socioeconomic and healthy outcomes within the society as well as the country at large by decreased maternal mortality, miscarriage. Risk of maternal mortality is highest in girls aged pregnancy and childbirth are the major cause of death in adolescent girls in most developing countries. Prevalence and determinants of unintended pregnancy in sub. Articles global, regional, and national levels and trends in. Unintended pregnancies are defined here as being comprised of unplanned births, induced abortions, and unintended pregnancy.

Sep 25, 2017 the timing of the first antenatal care visit is paramount for ensuring optimal health outcomes for women and children, and it is recommended that all pregnant women initiate antenatal care in the first trimester of pregnancy early antenatal care visit. Unintended pregnancies are a global public health concern and contribute. Trends in prevalence and outcomes of pregnancy in women with. Information on the demography of unintended pregnancy the subject of this chapteris dominated by data from the national survey of family growth nsfg, a federallysponsored survey that has developed quite specific terminology and definitions to measure unintended pregnancy.

However, only a small amount of the variance in outcomes can be explained by the substance use alone. Estimates from a bayesian hierarchical model jonathan bearak, guttmacher institute anna popinchalk, guttmacher institute leontine alkema, university of massachusetts amherst gilda sedgh. Cdcs pregnancy mortality surveillance system uses data from all u. Factors associated with unintended pregnancy among women. Numbers of births are based on united nations estimates. This doughnut shows 98% had no history of preeclampsia figure 6. Cultural legacy facts on unintended pregnancy in the.

Pdf trends and determinants of unintended pregnancy. In 2011, the use of contraceptive methods increased sevenfold from 4. Pregnancyspecific stress, fetoplacental haemodynamics, and. Postpartum depression among women with unintended pregnancy. Trends in fetal and perinatal mortality are also examined. Unintended pregnancy can have significant, negative consequences for individual. Unintended pregnancy is seen as the key concept for better understanding the fertility and the unmet need for family planning of populations. Prevalence and determinants of unintended pregnancies amongst. Despite substantial evidence linking improved pregnancy outcomes with receipt of prenatal care and. Unintended pregnancy and the changing demography of american.

In countries like pakistan where data for the unintended pregnancies is scarce, studies are required to estimate its accurate. Pregnancyspecific stress, fetoplacental haemodynamics, and neonatal outcomes in women with small for gestational age pregnancies. Conclusion we concluded that the prevalence of hypertension in pregnancy in thailand is dramatically increasing and is associated. It is directed at young people and pursues the vision of a world where every pregnancy is wanted.

Adverse consequences of unintended pregnancy for maternal. Demography of unintended pregnancy the best intentions. Pregnancyinduced hypertension and the neonatal outcome. Roughly, 2 million pregnancies took place globally in 2012, with 85% of all pregnancies occurring in developing or less developed countries, 56% of which occurred in asia. Pdf trends in risk of pregnancy loss among us women, 19902011. During the interval between those two years, the global unintended pregnancy rate declined from 69 to 55 per 1,000 women aged 1544. We also examine trends in unintended pregnancies and their outcomes. Trends, levels, and outcomes is from the december 2010 issue of studies in family planning. Worldwide levels, trends, and outcomes we estimate the incidence of pregnancy by intention status and outcome at worldwide, regional, and subregional levels for 2008, and we assess recent trends since 1995. Declines in unintended pregnancy in the united states, 2008. Trends in risk of pregnancy loss among us women, 19902011. Levels and trends in intended and unintended pregnancies. A prospective populationbased study of maternal, fetal, and.

Less scientific evidence is known on this topic, as fertility issues are rarely discussed within. Unintended pregnancy accounted for 44% of all global pregnancies between 2010 and 2014 and this makes up 62 unintended pregnancies per 1,000 women aged 1544 years. Conceptualizing and measuring unintended pregnancy and. A prospective, populationbased observational study of pregnancy outcomes was performed at seven sites in argentina, guatemala, india 2 sites, belgaum and nagpur, kenya. The results show that the likelihood of a mistimed pregnancy is more prevalent among. Six percent pregnant women had history of both pregnancy induced hypertension and gestational diabetes figure 5. We estimate the incidence of pregnancy by intention status and outcome at worldwide, regional, and subregional levels for 2008, and we assess recent trends since 1995. Each year, there are 16 million pregnancies worldwide in women and girls aged 15 to 19 years.

Pregnancy induced hypertension and associated factors among. Trends in pregnancies and pregnancy rates by outcome. The results shows the increase and decrease of unintended pregnancy based on idhs 200203. It was the objective of this study to determine the prevalence of anaemia, its risk factors and its effect on perinatal outcomes among pregnant women in their 3rd trimester, attending routine antenatal care in moshi municipality, northern tanzania. Level, trend and correlates of mistimed and unwanted pregnancies among currently pregnant ever married women in india. Food and drug administration fda as covered health insurance benefits in public and private plans.

Global, regional, and subregional trends in unintended pregnancy and its outcomes from. In the poorest regions of the world, this rises to over one in three women. May 20, 2009 a multicenter national prospective study of pregnancy and neonatal outcomes in women with inflammatory bowel disease study is being conducted at the university of california san francisco and 30 other sites around the united states who are part of the ccfa clinical alliance. Worldwide, one in five women has a child by the age of 18. Incidence of abortion among adolescents, worldwide. Unintended pregnancies are pregnancies that are mistimed, unplanned or unwanted at the time of conception sexual activity without the use of effective contraception through choice or coercion is the predominant cause of unintended pregnancy. Analysis of demographic and health survey dhs data shows that the magnitude of unintended pregnancy in developing countries ranges from 14 % to 62 % of all births.

Maternal depletion of energy and protein resulting from short interpregnancy intervals or early pregnancies leads to a reduction in maternal nutritional status at conception and altered pregnancy outcomes 1, 2, 33. Pdf unintended pregnancies are a worldwide problem, which disproportionately impact developing countries. Pregnancy induced hypertension is one of the maternal diseases that causes the most detrimental effects to the maternal, fetal, and neonatal organisms. A new who report shows that preconception care has a positive impact on maternal. This populationbased study sought to quantify maternal, fetal, and neonatal morbidity and mortality in low and middleincome countries associated with obstructed labor, prolonged labor and failure to progress olplftp. Family planning and the burden of unintended pregnancies. Global, regional, and subregional trends in unintended. Global unintended pregnancy rate 19902014 statista. A multicenter national prospective study of pregnancy and. Risk factors for and perinatal outcomes of major depression during pregnancy. They proposed using the term unwanted pregnancy to refer to those pregnancies in cases where the women did not want to have more children, and mistimed pregnancy, when the mother would have liked to have them at another time, grouping both these categories within another unintended.

More than half of women who experience an unintended pregnancy obtain an abortion in order to avoid having unwanted child. The use of modern contraceptives is, however, much higher in the capital addis ababa. Worldwide, the unintended pregnancy rate is approximately 45% of all pregnancies, but rates of unintended pregnancy vary in different. Worldwide levels, trends, and outcomes,studies in family planning. Setting data were gathered from finnish health registers for 19962010.

Data from the 2002 national survey of family growth was used to determine the number of unintended pregnancies. Intended and unintended pregnancies worldwide in 2012 and. Novel methods for capturing variation in unintended. This study aims to explain trends in unintended pregnancy and. Maternal and perinatal outcome in pregnancies complicated with hypertensive disorder of pregnancy. A significant proportion of these pregnancies result in abortion and other adverse pregnancy outcomes 1, 2. This study aimed to determine the prevalence, risk factors, and adverse perinatal outcomes of anaemia among pregnant women in moshi municipal, northern tanzania. We will identify areas with notable declines in unintended pregnancy incidence, as well as those with negligible change or possibly increases. Unintended pregnancy is a major public health concern, being defined as a mistimed, unplanned or unwanted pregnancy at the time of conception. To achieve this, the average woman spends about five years pregnant, postpartum or trying to become pregnant, and three decadesmore than threequarters of her reproductive lifetrying to avoid an unintended pregnancy. Official symbols of united nations documents are composed of capital letters combined with numbers, as.

Socioeconomic inequality of unintended pregnancy in the. Estimated pregnancy rates and rates of pregnancy outcomes for the united states, 19902008 pdf icon pdf. To compare these outcomes in primiparous and multiparous pih women. Levels, trends and implications of unintended pregnancy worldwide background and objectives. Pregnancy loss can have physical and psychological consequences for women and their families. The majority of hypertensive disorders of pregnancy gestational hypertension gh, preeclampsia pe present at term or late preterm, only 10% occur before 32 weeks. However, use of maternal health services is still very low in developing countries with high maternal mortality including ethiopia. According to the data, from 2010 to 2014, the unintended pregnancy rate worldwide was about 62 per 1,000 women. Consequences of unintended pregnancy the best intentions. Mar 05, 2018 global, regional, and subregional trends in unintended pregnancy and its outcomes from 1990 to 2014. This statistic shows the number of unintended pregnancies in developing regions worldwide in 2017, by outcome and level of contraceptive care. Oct 17, 2015 incidence of abortion among adolescents, worldwide.

The results shows the increase and decrease of unintended pregnancy based on idhs 2002 03. Worldwide, 10 % of all pregnancies are complicated by hypertension, with preeclampsia and eclampsia being the major causes of maternal and prenatal morbidity and mortality 1. Participants all singleton births n511 938 for 20022010 in finland. Aug 17, 2016 unintended pregnancy is a pregnancy that is either unplanned or unwanted at the time of conception, and it is a significant public health concern in the world nowadays. At the national level, pregnancies to women who were indifferent or unsure about. However, there is scarcely nationally representative information on its prevalence and predictors in ghana. We estimate the incidence of pregnancy by intention status and outcome at worldwide, regional, and subregional levels for 2008, and we assess recent trends.

In a prospective, crosssectional survey of complete birth populationbased data. Estimates of the global and regional incidence of unintended pregnancy and pregnancy outcomes have been conducted for the years 1995 agi 1999 and 2008 singh, sedgh, and hussain 2010. Adverse consequences of unintended pregnancy for maternal and child health in nepal. Unintended pregnancy is one of the most public health issues in the world, and it is the major sexual and reproductive health problem which carries a higher risk of morbidity and mortality for women, often due to unsafe abortion. Department of health and human services centers for disease control and prevention. Pdf unintended pregnancy and the role of longacting reversible.

Developing regions worldwide unintended pregnancies by. We will also discuss trends in unintended pregnancy incidence measured both as a rate and as a proportion of all pregnancies over 19952012, a nearly 20 year period. Prevalence of pregnancy induced hypertension and pregnancy. Unintended pregnancy was associated with lower levels of psychological wellbeing and contraceptive use was associated with higher levels of psychological wellbeing, while number of children was not associated with level of wellbeing. Pdf level, trend and correlates of mistimed and unwanted. It is seen as a major challenge among women in many developing countries including ghana. How successfully they manage to do so is reflected in the rate of unintended pregnancies.

Sep 30, 2014 neonatal mortality reduction in china over past two decades was reported from nationwide sampling surveys, however, how high risk pregnancy affected neonatal outcome is unknown. Maternal and neonatal outcomes of pregnancy in women with. Annotated bibliography birth control grant proposal. Previous estimates of global trends in unintended pregnancy were made for 1995, 2008, and 2012. Prevalence and determinants of unintended childbirth in. The objective of this study was to explore relations of pregnancy complications and neonatal outcomes from a regional birth population. However, some develop problems during its evolution, putting both the mothers and the conceptus health at sake. Bearak j, popinchalk a, alkema l, sedgh g april 2018. Anaemia in pregnancy is a public health problem in developing countries. Prevalence and determinants of unintended pregnancies. The final three sections address additional consequences of unintended pregnancy. Induced abortions are estimated by projecting from recent trends.

Unintended pregnancy can carry serious consequences for women and their families. Trends in prevalence and outcomes of pregnancy in women with preexisting type i and type ii diabetes. Unintended pregnancies and the use of maternal health. Trends in contraceptive use worldwide 2015 stesaser. The timely use of prenatal care and its effects on birth. Even though family planning services are effective and available than ever before, unintended pregnancy and unsafe abortion are the. Risk of maternal nutritional depletion and poor outcomes. Maternal nutrient depletion has been proposed as a possible cause of these poor pregnancy outcomes. We find that 2 million pregnancies occurred in 2012, up slightly from 211 million in 2008.

Unsafe abortion is risky for women with an unintended pregnancy. Bell r1, bailey k, cresswell t, hawthorne g, critchley j, lewisbarned n. To find the maternal and foetal outcomes in pregnancy induced hypertension pih. Adverse consequences of unintended pregnancy for maternal and child health in nepal show all authors. We draw upon multiple sources of data to estimate pregnancy incidence by intention status and outcome at worldwide, regional, and subregional levels in 2012 and to assess recent trends using previously published estimates for 2008 and 1995. Risk factors for and perinatal outcomes of major depression. In senegal, unintended pregnancy has become a growing concern in public health circles. Unintended pregnancy among pregnant women in ghana. Trends, levels, and outcomes january 17, 2011 family planning. To find prevalence of different types of pih and to study their outcomes.

These point estimates relied on country level data on the incidence of unintended births and estimates or projections of abortion rates, and qualitative assessments of exchangeability to make inference from existing data to countries and. Background most american families want two children. Prevalence and determinants of unintended pregnancy among. Unintended pregnancies are a global public health concern and contribute significantly to adverse maternal and neonatal health, social and economic outcomes and increase the risks of maternal deaths and neonatal mortality. It is also estimated that pregnancy induced hypertension pih, one. We draw upon multiple sources of data to estimate pregnancy incidence by intention. Material and methods data were obtained from the netherlands. Between 199094 and 201014, the global unintended pregnancy rate declined, and the magnitude of the decline and the extent to which this corresponded with a decrease in unintended births or abortions varied across geographical areas. President, american college of obstetricians and gynecologists, 2011 focus on hypertension during pregnancy among maryland women giving birth 20042010 the 2004 2010 maryland prams survey included the following question. Where investments are occurring at the national and subnational level, measures of impact will ideally take place at these levels as well.

Singh s, sedgh g and hussain r, unintended pregnancy. The consequences of unintended pregnancies can be dire. Data in this report are drawn from two different nchs vital statistics data iles. We estimate the incidence of pregnancy by intention.