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| Investigation of the status quo of unwanted pregnancy and the pregnancy outcomes of women of childbearing age in Hangzhou region |
| Hangzhou Ninth People's Hospital, Hangzhou, Zhejiang Province, 311225 |
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Abstract To analysis the status quo of unwanted pregnancy and the pregnancy outcomes of women of childbearing age in Hangzhou region. Methods: Hospitals in Hangzhou area were selected as the project site, and 6500 pregnant women who visited these project sites from January 2017 to December 2022 were randomly selected as the survey objects. The basic information and the related data of these pregnant women were collected by questionnaires and were statistically analyzed. Results: A total of 6454 valid questionnaires were collected, with an effective response rate of 99.3%, including 3680(57.0%) women in urban areas and 2774(43.0%) women in rural areas. 854(13.2%) women had unwanted pregnancy, of which, 73.8% women were ≥25 years old, 74.9% were education level of high school or below, and 70.0% of the women were married. Among the pregnant women with unwanted pregnancy, 331(38.8%) women were caused by contraceptive failure, and 523(61.2%) women were caused by failure to take contraceptive measures. The main reasons for contraceptive failure included no contraception during ovulation period and nonstandard use of condoms. The main reasons of failure to take contraceptive measures included believing not get pregnant during sex without contraceptive measures once in a while. There was no significant difference in the outcomes of unwanted pregnancy between the urban women and the rural women（P>0.05）. Conclusion: This survey finds that the unwanted pregnancies mainly occurred in the women over 25 years old, in the married women, in the women with relatively low education level. Strengthening the contraceptive knowledge publicity and education of the women of childbearing age and guiding them to contraceptive correctly can help prevent unwanted pregnancy.
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