Serrano BMÁ

Language: Spanish
References: 9
Page: 279-283
PDF size: 396.52 Kb.

ABSTRACT

Background: Worldwide, between 75 and 300 million unintended pregnancies occur; of these, 95% occur in developing countries. Between 2.7 and 7.4 million in Latin America, of which approximately 60% are completed, a third are aborted; and from those aborted, 90% occur in developing countries in unfavorable conditions resulting 200 deaths per day from complications of pregnancy termination.
Objective: Determine the incidence and factors associated with unintended pregnancy in pregnant patients attending the emergency department of the Hospital Regional Adolfo Lopez Mateos.
Patients and method: Prospective study in which patients with confirmed pregnancy in the period from 1st January 2012 to 1st January 2013 were identified, informed consent to participate; a previously validated assessment card was directly applied to the patients.
Results: 1180 surveys were conducted, finding an incidence of unplanned pregnancies of 69.3%. Associated factors such as age, marital status and education were analyzed. Validity statistically significant p 𔈺.05 in the ratio of the first pregnancy planning current pregnancy was found.
Conclusions: percentages found for the various factors related mostly agree with those reported in the literature. It is important the need for preventive campaigns and no corrective nature, focusing on the most vulnerable population and at risk for unplanned pregnancy.

REFERENCES

1. Secretaria de salud. Programa Sectorial de Salud 2007 - 2012. México, D.F. 2012.

2. Núñez-Urquiza R, Hernández-Prado B, García-Barrios C, González D, Walker D. Embarazo no deseado en adolescentes, y utilización de métodos anticonceptivos posparto. Salud Pública Méx 2003;45(1):1-2.

3. Vázquez-Nava F, Vázquez-Rodriguez CF, Saldívar-González AH, Vázquez Rodríguez EM, Córdova-Fernández JA, Felizardo- Ávalos J, Sánchez-Márquez W. Unplanned Pregnancy in Adolescents: Association with Family Structure, Employed Mother, and Female Friends with Health-Risk Habits and Behaviors. J Urban Health. 2013 Aug 15.

4. Ariel Miño-Worobiej. Imágenes de género y conductas sexual y reproductiva. Salud Pública Méx 2008;50(1):17-31.

5. González de León A, Billings D, Ramírez S. El aborto y la educación médica en México. Salud Pública Méx 2008;50(3):258-267.

6. Flower A, Shawe J, Stephenson J, Doyle P. Pregnancy planning, smoking behaviour during pregnancy, and neonatal outcome: UK Millennium Cohort Study. BMC Pregnancy Childbirth. 2013;13:238.

7. Mehta S, Tran K, Stewart L, Soutter E, Nauta M, Yoong W. Pregnancy outcomes in women greater than 45 years: a cohort control study in a multi-ethnic inner city population. Arch Gynecol Obstet 2013 Dec 3.

8. Wellings K, Jones KG, Mercer CH, Tanton C, Clifton S, Datta J, Copas AJ, Erens B, Gibson LJ, Macdowall W, Sonnenberg P, Phelps A, Johnson AM. The prevalence of unplanned pregnancy and associated factors in Britain: findings from the third National Survey of Sexual Attitudes and Lifestyles. Lancet 2013;382(9907):1807-16.

9. Backhausen MG, Ekstrand M, Tydén T, Magnussen BK, Shawe J, Stern J, Hegaard HK. Pregnancy planning and lifestyle prior to conception and during early pregnancy among Danish women. Eur J Contracept Reprod Health Care 2013 Nov 15.