Evidence map›Paper›PMID 32228511›Full record

ArticleBMC pregnancy and childbirth2020

Unintended pregnancy and maternal health complications: cross-sectional analysis of data from rural Uttar Pradesh, India.

Nabamallika Dehingia, Anvita Dixit, Yamini Atmavilas, Dharmendra Chandurkar, Kultar Singh, Jay Silverman, Anita Raj

Open access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 4 pooled it
13.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 4 syntheses or guidelines pooled it, 71 citations in OpenAlex.

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  8. Prevalence and Determinants of Unintended Pregnancies among Currently Pregnant, Ever-married Women in Rural and Urban Aligarh: A Community-based Study.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2025
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  13. Contraceptive use and counselling in women with mental illness: KwaZulu-Natal, South Africa.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Nabamallika DehingiaCenter on Gender Equity and Health, Division of Global Public Health, University of California, San Diego School of Medicine, La Jolla, CA, USA. nabamallika.dehingia@sambodhi.co.in.ORCID http://orcid.org/0000-0003-1787-9050
Anvita DixitCenter on Gender Equity and Health, Division of Global Public Health, University of California, San Diego School of Medicine, La Jolla, CA, USA.
Yamini AtmavilasBill and Melinda Gates Foundation, 5th Floor, Capital Court, Olof Palme Marg, Munirka, New Delhi, India.
Dharmendra ChandurkarSambodhi Research and Communications Pvt. Ltd., C-126, Sector -2, Noida, Uttar Pradesh, 201301, India.
Kultar SinghSambodhi Research and Communications Pvt. Ltd., C-126, Sector -2, Noida, Uttar Pradesh, 201301, India.
Jay SilvermanCenter on Gender Equity and Health, Division of Global Public Health, University of California, San Diego School of Medicine, La Jolla, CA, USA.
Anita RajCenter on Gender Equity and Health, Division of Global Public Health, University of California, San Diego School of Medicine, La Jolla, CA, USA.
Sambodhi Research and Communications · INSan Diego State University · USUniversity of California San Diego · US

Funding

Enhancing male participation in interventions to prevent unintended pregnancyR01HD084453 · NICHD · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI RAJ, ANITA · 2017 to 2021
$2.8M
Bill & Melinda Gates Foundation OPP1083531NICHD NIH HHS R01 HD084453
6 · The paper itself

Abstract

backgroundThis study aims to explore the potential association between unintended pregnancy and maternal health complications. Secondarily, we test whether antenatal care (ANC) and community health worker (CHW) visits moderate the observed association between unintended pregnancy and maternal health complications.

methodsCross sectional data were collected using a multistage sampling design to identify women who had a live birth in the last 12 months across 25 highest risk districts of Uttar Pradesh (N = 3659). Participants were surveyed on demographics, unintendedness of last pregnancy, receipt of ANC clinical visits and community outreach during pregnancy, and maternal complications. Regression models described the relations between unintended pregnancy and maternal complications. To determine if receipt of ANC and CHW visits in pregnancy moderated associations between unintended pregnancy and maternal complications, we used the Mantel-Haenzel risk estimation test and stratified logistic models testing interactions of unintended pregnancy and receipt of health services to predict maternal complications.

resultsAround one-fifth of the women (16.9%) reported that their previous pregnancy was unintended. Logistic regression analyses revealed that unintended pregnancy was significantly associated with maternal complications- pre-eclampsia (AOR:2.06; 95% CI:1.57-2.72), postpartum hemorrhage (AOR:1.46; 95% CI: 1.01-2.13) and postpartum pre-eclampsia (AOR:2.34; 95% CI:1.47-3.72). Results from the Mantel Haenszel test indicated that both ANC and CHW home visit in pregnancy significantly affect the association between unintended pregnancy and postpartum hemorrhage (p < 0.001).

conclusionUnintended pregnancy is associated with increased risk for maternal health complications, but provision of ANC clinical visits and CHW home visits in pregnancy may be able to reduce potential effects of unintended pregnancy on maternal health.

Indexed as

Maternal HealthPregnancy, UnplannedCommunity Health ServicesCross-Sectional StudiesFemaleHumansIndiaPostpartum HemorrhagePostpartum PeriodPre-EclampsiaPregnancyPregnancy ComplicationsPrenatal CareRural PopulationIndiaMaternal complicationsMaternal healthPregnancy careUnintended pregnancy

Identifiers

PMID32228511
PMCPMC7106893
OpenAlexW3013653024

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.