ArticlePloS one2023
Unplanned pregnancy and the association with maternal health and pregnancy outcomes: A Swedish cohort study.
Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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14 citing papers in PubMed, 45 citations in OpenAlex.
- A comparative cross-sectional study of planned and unplanned pregnancies, their outcomes, predictors, and health-seeking behaviours among women in Odisha, India.Contraception and reproductive medicine · 2026Article
- Eating Disorders and Subthreshold Symptoms in Pregnancy and the Postpartum Period: an Overview of Recent Research and Future Directions for Researchers and Clinicians.Current psychiatry reports · 2026Review
- Association between adequacy of antenatal care and uptake of intermittent preventive treatment of malaria in pregnancy among women in Ghana.Malaria journal · 2025Article
- Prevalence and contributing factors of postpartum depression risk during the pandemic among women living in Baixo Alentejo at Portugal.Scientific reports · 2025Article
- Prevalence of and factors associated with unintended pregnancy and association with depressive symptoms among pregnant women in Guangdong, China: a multicentre cross-sectional study.BMC psychiatry · 2025Article
- Fear of child birth and its associated factors among pregnant women in Ethiopia: systematic review and meta-analysis.Maternal health, neonatology and perinatology · 2025Review
- The effects of unintended pregnancy on maternal bonding impairment among Japanese mothers: a longitudinal study from pregnancy to one month postpartum.BMC pregnancy and childbirth · 2025Article
- Assessment of maternal healthcare services among the women of reproductive age in the rural municipality of Nepal: a cross-sectional study.BMJ public health · 2025Article
- The Impact of Pregnancy Readiness on Lupus Activity, Maternal Mental Health, and Pregnancy Outcomes.Arthritis care & research · 2024Article
- Article
- Pregnancy planning and neonatal outcome - a retrospective cohort study.BMC pregnancy and childbirth · 2024Article
- How Does an Unplanned Pregnancy Affect Maternal Stress and Depression From Pregnancy to 12 Months Postpartum? A Longitudinal Study.Medical journal of the Islamic Republic of Iran · 2024Article
- Knowledge about unintended pregnancy shortly after childbirth: An issue of ineffective counseling or adherence?Women's health (London, England)Article
- Iron and folic acid supplementation compliance during pregnancy and its effect on post-pregnancy anaemia among reproductive-age women in East Africa.Women's health (London, England)Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesUnplanned pregnancies are common and associated with late initiation and inadequate antenatal care attendance, which may pose health risks to mother and child. How pregnancy planning relates to maternal health and delivery in Sweden, a country with free antenatal care and free abortion, has not been studied previously. Our aims were to study whether pregnancy planning was associated with antenatal care utilization and pregnancy outcomes in a Swedish setting.
methodsData for 2953 women, who answered a questionnaire when recruited at antenatal clinics in Sweden and later gave birth, was linked to the Swedish Medical Birth Register. The degree of pregnancy planning was estimated using the London Measure of Unplanned Pregnancy. Unplanned (comprising unplanned and ambivalent intention to pregnancy) was compared to planned pregnancy. Differences between women with unplanned and planned pregnancy intention and associated pregnancy outcomes were analyzed using Fisher's exact test and logistic regression.
resultsThere were 31% unplanned (2% unplanned and 29% ambivalent) pregnancies, whereas most woman (69%) reported their pregnancy to be planned. Women with an unplanned pregnancy enrolled later to antenatal care, but there was no difference in number of visits compared with planned pregnancy. Women with an unplanned pregnancy had higher odds to have induced labor (17% versus 13%; aOR 1.33 95% CI 1.06-1.67) and a longer hospital stay (41% versus 37%; aOR 1.21 95% CI 1.02-1.44). No associations were found between pregnancy planning and pregnancy-induced hypertension, gestational diabetes mellitus, preeclampsia, epidural analgesia use, vacuum extraction delivery, Caesarean section or sphincter rupture.
conclusionsUnplanned pregnancy was associated with delayed initiation of antenatal care, higher odds for induction of labor and longer hospital stay, but not with any severe pregnancy outcomes. These findings suggest that women with an unplanned pregnancy cope well in a setting with free abortion and free health care.
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