Document Detail

Association between pregnancy intention and reproductive-health related behaviors before and after pregnancy recognition, National Birth Defects Prevention Study, 1997-2002.
MedLine Citation:
PMID:  19252975     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: Given that approximately half of all pregnancies in the United States are unplanned, the authors sought to understand the relation between pregnancy intention and health behaviors. METHODS: Mothers of live-born infants without major birth defects were interviewed as part of the National Birth Defects Prevention Study. The interview assessed pregnancy intention as well as exposures to vitamins, alcohol, tobacco, illicit drugs, occupational hazards, exogenous heat (e.g., hot tubs and saunas) and caffeine. Crude odds ratios and 95% confidence intervals were calculated and stratified analyses were performed to assess interaction. Multiple logistic regression was used to calculate adjusted odds ratios. RESULTS: Both before and after the diagnosis of pregnancy, women with unintended pregnancies were more likely to use illicit drugs, smoke, be exposed to environmental smoke, and not take folic acid or multivitamins. The degree to which women altered behaviors after they realized they were pregnant was also associated with their pregnancy intention status. For certain behaviors, maternal age or parity altered the association between pregnancy intention and changing behaviors after awareness of pregnancy. CONCLUSION: Pregnancy intention status is a key determinant of pregnancy-related behavior. To improve reproductive outcomes, preconceptional and prenatal programs should consider a woman's desire for pregnancy.
Mary Dott; Sonja A Rasmussen; Carol J Hogue; Jennita Reefhuis;
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Publication Detail:
Type:  Journal Article     Date:  2009-02-28
Journal Detail:
Title:  Maternal and child health journal     Volume:  14     ISSN:  1573-6628     ISO Abbreviation:  Matern Child Health J     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-05-03     Completed Date:  2010-07-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9715672     Medline TA:  Matern Child Health J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  373-81     Citation Subset:  IM    
Preventive Medicine Residency, Office of Workforce and Career Development, Centers for Disease Control and Prevention, 1600 Clifton Road, NE, MS E-92, Atlanta, GA 30333, USA.
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MeSH Terms
Case-Control Studies
Congenital Abnormalities / epidemiology,  etiology,  prevention & control*
Health Behavior*
Logistic Models
Maternal Age
Maternal Exposure / adverse effects,  prevention & control,  statistics & numerical data
Pregnancy Complications / epidemiology,  psychology
Pregnancy Tests / psychology*
Pregnancy, Unplanned / psychology
Pregnancy, Unwanted / psychology
Pregnant Women / psychology*
Reproductive Medicine*
Self Care / methods,  psychology,  statistics & numerical data
Smoking / adverse effects,  epidemiology,  psychology
Substance-Related Disorders / complications,  epidemiology,  psychology
United States / epidemiology
Vitamins / therapeutic use
Reg. No./Substance:

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