Planned versus unplanned pregnancy and it’s Effect on Labor and Fetal Outcome

Abstract

Aim of the study: the study aimed toAssessment the effect of planned versus unplanned pregnancy on labor and fetal Outcome among women. Setting: The study was conducted in labor unit, recovery room atobstetrics and gynecology department, in banha university hospital.Design: descriptive study design. Sampling: APurposive sample included 200 women were recruited in the current study. Tools:Structured interviewing questionnaire: It was developed by researcher after reviewing relevant literature. It was included parts. Part (1):includeSocio demographic data of the women,Part (2) include Obstetric history, part (3) include healthy behavior during pregnancy,Part (4):includeLabor and neonatal condition, andPart (5)includeLondon measureof Unplanned Pregnancy. Results: Unplanned pregnancy rate increase between women aged old. Unplanned pregnancy was associated with mother’s socioeconomic status as age, education, number of live children. There were significantly increase odds of low birth weight and preterm birth among unplanned pregnancy. Also our results indicate significant association between unplanned pregnancy and delayed antenatal care. The majority of women with unplanned pregnancy were used contraception incorrectly and inconsistently before pregnancy than women with planned pregnancy. Conclusion: Unplanned pregnancy was more likely to delay antenatal care, to develop pregnancy complication as gestational diabetes, hypertension during pregnancy. In addition delivered by cesarean, preterm labor and their infants were at risk to low birth weight, respiratory distress and admitted to intensive care unit. Recommendation:Design awareness program for women regarding important of planning pregnancy and risk of unplanned pregnancy and distribute guidelines for women about safe practice of family planning, further researches should develop strategy to reduce its occurrence.