Kamal M, Islam A

Idioma: Ingles.
Referencias bibliográficas: 30
Paginas: 108-115
Archivo PDF: 313.75 Kb.

RESUMEN

Objetivo. Este artículo evalúa la prevalencia y los factores socioeconómicos asociados a embarazos no deseados en mujeres de áreas rurales de Bangladesh. Material y métodos. Para este estudio empleamos la Encuesta Demográfica y de Salud de Bangladesh de 2007. Para el análisis de los datos se usó la ji cuadrada y regresión logística. Resultados. Treinta por ciento de los embarazos más recientes no fueron planificados. Los análisis bivariados y multivariados confirmaron que la edad, el usar alguna vez anticonceptivos, la religión y el índice de riqueza fueron determinantes importantes de los embarazos no deseados. El orden de la gestación fue el factor único más determinante de tener un embarazo no deseado. Las mujeres con cuatro o más embarazos tuvieron mayor riesgo (RM=4.31, IC 95%=4.31-6.56) de embarazos no deseados que aquellas que estuvieron gestando por primera vez. Conclusión. Los embarazos no deseados son comunes en áreas rurales de Bangladesh. Para evitar embarazos no deseados deberían ser implementados programas de intervención enfocados en servicios de salud reproductiva y se debería incrementar el conocimiento sobre el uso de métodos modernos de anticoncepción.

REFERENCIAS (EN ESTE ARTÍCULO)

1. Santelli JS, Rochat R, Hatfield-Timajchy K, Gilbert B, Curtis K, Cabral R. The measurement and meaning of unintended pregnancy. Perspect Sex Reprod Health 2003; 35:94-101.

2. Smith R, Ashford L, Gribble J, Clifton G. Family planning saves lives. Washington DC: Population Reference Bureau, 2009.

3. World Health Organization (WHO). Maternal Mortality in 2006: Estimates Developed by WHO, UNICEF, UNFPA and the World Bank. Geneva: WHO, 2008.

4. Casterline JB, EI-Zanatay F, El-Zeni LO. Unmet need and unintended fertility: Longitudinal evidence from Upper Egypt. Int Fam Plann Perspect 2003; 29:158-66.

5. Eggleston E. Determinants of unintended pregnancy among women in Ecuador. Int Fam Plann Perspect 1999; 25:27-33.

6. Glasier A, Gulmezoglu AM, Schmid GP, Moreno CG, Van Look PF. Sexual and reproductive health: a matter of life and death. Lancet 2006; 368:1595-1607.

7. Langer A. Unwanted pregnancy: impact on health and society in Latin America and the Caribbean. Rev Panam Salud Publica 2002; 11:192-204.

8. Karim, DRA. Reproductive health, including Adolescent reproductive health: progress and challenges in Asia and the Pacific. Asia-Pac Popul J 2009; 24: 153-196.

9. Reardon DC, Cougle JR. Depression and unintended pregnancy in the national longitudinal survey of youth: a cohort study. BMJ 2002; 324:151-152.

10. Russo NF, Denious JE. Violence in the lives of women having abortions: implications for practice and public policy. Prof Psychol: Res Pract 2001; 32:142-150.

11. Gipson JD, Koenig MA, Hindin MJ. The effects of unintended pregnancy on infant, child, and parental health: a review of the literature. Stud Fam Plann 2008; 39:18-38.

12. Klima CS. Unintended pregnancy: consequences and solutions for a worldwide problem. J Nurse Midwifery 1998; 43:483-491.

13. National Institute of Population Research and Training (NIPORT), Mitra and Associates, and Macro International. Bangladesh Demographic and Health Survey 2007. Dhaka, Bangladesh and Calverton, Maryland, USA: NIPORT, Mitra and Associates, and Macro International, 2009.

14. National Institute of Population Research and Training (NIPORT), ORC Macro, Johns Hopkins University and ICDDR,B. 2003. Bangladesh Maternal Health Services and Maternal Mortality Survey 2001. Dhaka, Bangladesh and Calverton, Maryland (USA): NIPORT, ORC Macro, Johns Hopkins University, and ICDDR,B, 2003.

15. Chowdhury ME, Botlero R, Koblinsky M, Saha SK, Dieltiens G, Ronsmans C. Determinants of reduction in maternal mortality in Matlab, Bangladesh: a 30- year cohort study. Lancet 2007; 370:1320-1328.

16. Barden-O’Fallon JL, Speizer IS, White JS. Association between contraceptive discontinuation and pregnancy intentions in Guatemala. Rev Panam Salud Publica 2008; 23:410-417.

17. Chandra A, Martinez GM, Mosher WD, Abma JC, Jones J. Fertility, family planning, and reproductive health of U.S. women: Data from the 2002 National Survey of Family Growth. Vital and Health Statistics, Series 23, Number 25. Hyattsville, Maryland: National Center for Health Statistics, US Department of Health and Human Services, 2005.

18. Blanc AK, Curtis SL, Croft TN. Monitoring contraceptive continuation: links to fertility outcomes and quality of care. Stud Fam Plann 2002; 33:127-140.

19. Westoff CF, Ryder NB. The predictive validity of reproductive intentions. Demography 1977; 14:431-453.

20. Sedgh G, Bankole A, Oye-Adeniran B, Adewole IF, Singh S, Hussain R. Unwanted pregnancy and associated factors among Nigerian women. Int Fam Plann Perspect 2006; 32:175-184.

21. Adhikari R, Soonthorndhada K, Prasartkul P. Correlates of unintended pregnancy among currently pregnant married women in Nepal. BMC Int Health Hum Rights 2009; 9:17.

22. Le LC, Magnani R, Rice J, Speizer I, Bertrand W. Reassessing the level of unintended pregnancy and its correlates in Vietnam. Stud Fam Plann 2004; 35:15-26.

23. Shokravi AF, Chapman H, Peyman N. A comparison study: Risk factors of unplanned pregnancies in a group of Iranian and New Zealander women. Eur J Sci Res 2009; 26:108-121.

24. Giacaman R, Abu-Rmeileh NME, Mataria A, Wick L. Palestinian women’s pregnancy intentions: analysis and critique of the Demographic and Health Survey 2004. Health Policy 2008; 85:83-93.

25. Magadi MA. Unplanned childbearing in Kenya: the sociodemographic correlates and the extent of repeatability among women. Soc Sci Med 2003; 56:167-78.

26. Pulley LV, Klerman LV, Tang H, Baker BA. The extent of pregnancy mistiming and its association with maternal characteristics and behaviors and pregnancy outcomes. Perspect Sex Reprod Health 2002; 34:206-211.

27. Goto A, Yasumura S, Reich MR, Fukao A. Factors associated with unintended pregnancy in Yamagata, Japan. Soc Sci Med 2002; 54:1065-1079.

28. Weller RH, Sly D, Sukamdi A, and Ekawati R. The wantedness status of births in Indonesia. Demographic and Health Surveys World Conference, Calverton MD: Macro International Inc., 1991.

29. Goicolea I, and Sebastian MS. Unintended pregnancy in the Amazon basin of Ecuador: a multilevel analysis. Int J Equity Health 2010; 9:14.

30. Singh S, Cavigon JV, Hossain A, Kamal H, Perez AE. Estimating the level of abortion in the Philippines and Bangladesh. Int Fam Plann Perspect 1997; 23:100-107 & 144.