Journal ArticleDOI
The consequences of unintended pregnancy for maternal and child health in rural India: evidence from prospective data
TLDR
This is the first study of its kind which has investigated the relationship between prospectively assessed pregnancy intendedness and early childhood mortality in rural India and provides additional and more conclusive evidence that unwanted births are disadvantaged in terms of maternal and child health outcomes.Abstract:
To investigate the relationship between pregnancy intendedness and utilization of recommended prenatal care for mothers and vaccinations for children against six vaccine preventable diseases in rural India using a prospective dataset. To examine the association between pregnancy intention and neonatal and infant mortality in rural India. The study is based upon a prospective follow-up survey of a cohort selected from the National Family Health Survey 1998-1999, carried out in 2002-2003 in rural areas of four Indian states of Bihar, Jharkhand, Maharashtra and Tamil Nadu. Data for 2108 births for which pregnancy intendedness was assessed prospectively was analyzed using bivariate analysis, logistic regressions and discrete-time survival analysis. Mothers reporting unwanted births were 2.32 (95 % CI: 1.54-3.48) times as likely as mothers reporting wanted births to receive inadequate prenatal care. Moreover, unwanted births were 1.38 (95 % CI: 1.01-1.87) times as likely as wanted births to receive inadequate childhood vaccinations. Likewise, births that were identified as mistimed/unwanted had 83 % higher risk of neonatal mortality compared to wanted births. The association between pregnancy intendedness and infant mortality was only marginally significant. This is the first study of its kind which has investigated the relationship between prospectively assessed pregnancy intendedness and early childhood mortality in rural India. The study provides additional and more conclusive evidence that unwanted births are disadvantaged in terms of maternal and child health outcomes. Findings argue for enhanced focus on family planning to reduce the high prevalence of unintended pregnancy in rural India.read more
Citations
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Journal ArticleDOI
Pregnancy Intention and Pregnancy Outcome: Systematic Review and Meta-Analysis
TL;DR: There seems to be an increased risk of adverse pregnancy outcome in unintended pregnancies and there has been little improvement in either the quantity of evidence from low-income countries or in the quality of evidence generally.
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Unintended pregnancies and the use of maternal health services in southwestern Ethiopia.
TL;DR: Improving access to maternal health services and understanding women’s pregnancy intention at the time of first antenatal care visit is important to encourage women with unintended pregnancies to complete antenatal Care.
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Do antenatal care interventions improve neonatal survival in India
TL;DR: TT injections provided the main protective effect-the risk of neonatal mortality was significantly lower in newborns of women who received two or more TT injections but did not consume 90 or more IFA tablets, as well as for infants of mothers who availed four or more antenatal visits.
Journal ArticleDOI
Effect of antiretroviral therapy including lopinavir/ritonavir or efavirenz on etonogestrel-releasing implant pharmacokinetics in HIV-positive women.
Carolina Sales Vieira,Maria Valeria Bahamondes,Roberto Molina de Souza,Milena Bastos Brito,Tatiana R. Rocha Prandini,Eliana Amaral,Luis Bahamondes,Geraldo Duarte,Silvana Maria Quintana,Carolina Scaranari,Rui Alberto Ferriani +10 more
TL;DR: The co administration of EFV decreased the bioavailability of ENG released from the implant, which could impair contraceptive efficacy, but the coadministration of LPV/r increased the bio availability of ENG release from the implants, which suggests that this antiretroviral combination does not impair the ENG implant efficacy.
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Maternal Tetanus Toxoid Vaccination and Neonatal Mortality in Rural North India
TL;DR: Substantial gains in newborn survival could be achieved in rural North India through increased coverage of antenatal TT vaccination, and health programming should prioritise universal antenatal coverage with at least one dose of TT.
References
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Journal ArticleDOI
The effects of unintended pregnancy on infant, child, and parental health: a review of the literature.
TL;DR: A framework for determining and measuring the pathways between unintended pregnancy and future health outcomes is outlined, indicating a need for more studies in developing countries and for further research to assess the impact of unintended pregnancy on parental health and long-term health outcomes for children and families.
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The Best Intentions: Unintended Pregnancy and the Well-Being of Children and Families
TL;DR: In this article, the authors discuss the unintended pregnancy and its consequences in the United States and represent the collaborative efforts of several groups and individuals, and offer specific recommendations to put the USA on par with other developed nations in terms of unintended pregnancy rates, considering the effectiveness of over 20 pregnancy prevention programs.
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The Best Intentions: Unintended Pregnancy and the Well-Being of Children and Families
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Frequency and timing of antenatal care in Kenya: explaining the variations between women of different communities.
TL;DR: The results show that the use of antenatal care in Kenya is associated with a range of socio-economic, cultural and reproductive factors; the availability and accessibility of health services and the desirability of a pregnancy are also important.
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Family Planning and the Burden of Unintended Pregnancies
TL;DR: A new generation of research is needed to investigate the modest correlation between unintended pregnancy and contraceptive use rates to derive the full health benefits of a proven and cost-effective reproductive technology.