菲律宾年轻妇女的意外怀孕及产前、分娩和产后结局

Maria Paz N. Marque
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引用次数: 2

摘要

该研究调查了年轻菲律宾妇女怀孕意愿与产前、分娩和产后结果之间的关系。数据来自2013年青年生育和性行为研究,这是一项具有全国代表性的调查,调查了19178名年龄在15至24岁之间的菲律宾青年。分析样本包括调查前两年的2264名活产婴儿。调查显示,38.7%的分娩是在受孕时意外发生的:23.1%是不合时宜的,15.6%是不想要的。从比例上看,十几岁、未婚、受过大学教育、居住在城市和马尼拉大都会的女性意外生育的比例高于其他女性。第一次出生的意外生育也比第二次出生的意外生育多。逻辑回归结果显示,与计划生育的母亲相比,不合时宜和意外生育的母亲更有可能试图堕胎。与计划生育的母亲相比,不合时宜分娩的母亲在怀孕的前三个月开始产前护理的可能性也更小。研究结果表明,意外怀孕是旨在改善孕产妇和儿童健康的干预措施中的一个重要考虑因素,但需要进一步研究以充分探索意外怀孕与孕产妇健康结果之间的动态关系。
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Unintended pregnancies and prenatal, delivery and postnatal outcomes among young women in the Philippines
The study examined the association between pregnancy intention among young Filipino women and prenatal, delivery and postnatal outcomes. Data were drawn from the 2013 Young Adult Fertility and Sexuality Study, a nationally representative survey of 19,178 Filipino youth aged between 15 and 24. The analytic sample consists of 2,264 live births in the two years prior to the survey. The survey shows that 38.7 per cent of births were unintended at the time of conception: 23.1 per cent were mistimed while 15.6 per cent were unwanted. Proportionately, more unintended births were borne by mothers who were teenagers, unmarried, college-educated, urban and Metro Manila residents than their counterparts. There were also more unintended births among first-order births than among subsequent births. Logistic regression results show that compared with mothers of intended births, mothers of mistimed and unwanted births were more likely to have attempted to abort their pregnancy. Mothers of mistimed births are also less likely to have begun prenatal care within the first trimester of pregnancy than mothers of intended births. The findings suggest that unintended pregnancy is an important consideration in interventions aimed at improving maternal and child health but further studies are needed to fully explore the dynamics between unintended pregnancy and maternal health outcomes.
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