title: Pregnancy intention in an urban Australian antenatal population.
abstract: OBJECTIVE
  To determine the prevalence of unintended pregnancy in women presenting for antenatal care to a large metropolitan hospital in Sydney, Australia, and to investigate health behaviours and demographic factors associated with unintended pregnancy.
  
  
  METHODS
  From October 2010 to April 2011, a self-administered questionnaire covering pregnancy intention, contraceptive use and demographic information was given to 1,554 women. A total of 1,218 women (78.4%) completed all questions in the validated pregnancy intention instrument.
  
  
  RESULTS
  Two-thirds of pregnancies (67.6%) were clearly intended, 30.0% were ambivalent and more than 2% experienced an unplanned pregnancy. Those more likely to experience an unintended pregnancy were women under 25 years old (OR 1.86, 95% CI 1.10-3.14), unmarried women (OR 6.08, 95% CI 3.40-10.87) and women of Asian background (OR: 2.45, 95% CI 1.76-3.42). More than one-third of women (34.6%) did not take any health actions such as stopping smoking before pregnancy.
  
  
  CONCLUSIONS
  Unintended pregnancies in this population were associated with young age, being unmarried and being of Asian background. This study confirms the idea that many women do not take health actions before pregnancy.
  
  
  CONCLUSIONS
  Experts believe that an effective strategy to address unintended pregnancy is to improve access to long-acting reversible contraceptives, which do not require daily compliance.
authors.forename: Angela
authors.initials: A
authors.lastname: Rassi
authors.forename: Jeany
authors.initials: J
authors.lastname: Wattimena
authors.forename: Kirsten
authors.initials: K
authors.lastname: Black
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D001315:Australia / Q000453:epidemiology; D003268:Contraception Behavior / Q000208:ethnology / Q000523:psychology; D005260:Female; D015438:Health Behavior / Q000208:ethnology; D006779:Hospitals, Public; D006801:Humans; D033182:Intention; D017533:Marital Status; D008875:Middle Aged; D015999:Multivariate Analysis; D011247:Pregnancy; D049168:Pregnancy, Unplanned / Q000208:ethnology* / Q000523:psychology; D011295:Prenatal Care; D015995:Prevalence; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014505:Urban Population; D055815:Young Adult