Antecedents and maternal health outcomes of unintended pregnancy: a systematic review

Abajobir, Amanuel, Alati, Rosa, Kisely, Steve and Najman, Jake (2017) Antecedents and maternal health outcomes of unintended pregnancy: a systematic review. Ethiopian Medical Journal, 55 4: 325-354.

Author Abajobir, Amanuel
Alati, Rosa
Kisely, Steve
Najman, Jake
Title Antecedents and maternal health outcomes of unintended pregnancy: a systematic review
Journal name Ethiopian Medical Journal   Check publisher's open access policy
ISSN 0014-1755
2415-2420
Publication date 2017-10-01
Year available 2017
Sub-type Critical review of research, literature review, critical commentary
Open Access Status Not yet assessed
Volume 55
Issue 4
Start page 325
End page 354
Total pages 30
Place of publication Addis Ababa, Ethiopia
Publisher Ethiopian Medical Association
Language eng
Subject 2700 Medicine
Abstract Background: While concerns about adverse health outcomes of unintended pregnancies for the mother have been expressed, there has only been limited research on the outcomes of unintended pregnancies. This review provides an overview of antecedents and maternal health outcomes of unintended pregnancies (UIPs) carried to term live birth. Methods: The authors extracted published and unpublished data on current evidence of U1P using the search engines MEDLINE, PubMed and EM BASE and presented the findings in accordance with the Preferred Reporting Items for Systematic Reviews and M eta-Analyses (PRISMA) guidelines. Results: The systematic review included 64 studies with a mean quality score of 4.94 (SD 0.72). It involved 671,046 reproductive age women who had given birth to a single child. Socio-demographic and reproductive characteristics were antecedents for and/or consequences of UIPs. Unintended pregnancies were associated with reduced use of prenatal healthcare services, illicit drug use, intimate partner violence, and adverse maternal mental and physical health. Conclusions: Antecedents of an UIP may include socio-demographic and reproductive characteristics of women, as well as family and socio-cultural characteristics of a society. Findings on adverse outcomes of UIPs were mixed, but are generally suggestive of negative outcomes. Longitudinal multi-wave studies with appropriate comparison groups are needed to fill the gaps and identify research and policy alternatives.
Keyword Antecedents
Maternal health outcomes
Systematic review
Unintended pregnancy
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: HERDC Pre-Audit
Centre for Youth Substance Abuse Research Publications
School of Public Health Publications
School of Social Science Publications
 
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Created: Thu, 05 Apr 2018, 20:53:27 EST