Unintended pregnancy and associated maternal preconception, prenatal and postpartum behaviors

Diana Cheng, Eleanor Schwarz, Erika Douglas, Isabelle Horon

Research output: Contribution to journalArticle

200 Citations (Scopus)

Abstract

Background: This study was conducted to determine the relationship between unintended pregnancy and maternal behaviors before, during and after pregnancy. Study Design: Data were analyzed from a stratified random sample of 9048 mothers who delivered live born infants between 2001 and 2006 and completed the Pregnancy Risk Assessment Monitoring System (PRAMS) survey 2 to 9 months after delivery. Binary and ordinal logistic regression methods with appropriate survey weights were used to control for socio-demographic factors. Results: Compared to women with intended pregnancies, mothers with unwanted pregnancies were more likely to consume less than the recommended amount of preconception folic acid [adjusted odds ratio (OR) 2.39, 95% confidence interval (CI) 1.7-3.2], smoke prenatally (OR 2.03, 95% CI 1.5-2.9), smoke postpartum (OR 1.86, 95% CI 1.35-2.55) and report postpartum depression (OR 1.98, 95% CI 1.48-2.64); they were less likely to initiate prenatal care during the first trimester (OR 0.34, 95% CI 0.3-0.5) and breastfeed for 8 or more weeks (OR 0.74, 95% CI 0.57-0.97). Compared to women with intended pregnancies, women with mistimed pregnancies were also more likely to consume inadequate folic acid, delay prenatal care and report postpartum depression. Conclusion: Even after controlling for multiple socio-demographic factors, unwanted and mistimed pregnancies were associated with unhealthy perinatal behaviors.

Original languageEnglish (US)
Pages (from-to)194-198
Number of pages5
JournalContraception
Volume79
Issue number3
DOIs
StatePublished - Mar 1 2009
Externally publishedYes

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Postpartum Period
Odds Ratio
Mothers
Confidence Intervals
Pregnancy
Unwanted Pregnancies
Postpartum Depression
Prenatal Care
Folic Acid
Smoke
Demography
Maternal Behavior
First Pregnancy Trimester
Logistic Models
Weights and Measures
Surveys and Questionnaires

Keywords

  • Depression
  • Postpartum
  • Preconception
  • Prenatal
  • Smoking
  • Unintended pregnancy

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

Cite this

Unintended pregnancy and associated maternal preconception, prenatal and postpartum behaviors. / Cheng, Diana; Schwarz, Eleanor; Douglas, Erika; Horon, Isabelle.

In: Contraception, Vol. 79, No. 3, 01.03.2009, p. 194-198.

Research output: Contribution to journalArticle

Cheng, Diana ; Schwarz, Eleanor ; Douglas, Erika ; Horon, Isabelle. / Unintended pregnancy and associated maternal preconception, prenatal and postpartum behaviors. In: Contraception. 2009 ; Vol. 79, No. 3. pp. 194-198.
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