title: Prevalence and Determinants of Unintended Pregnancy Among Women in South-Western Nigeria.
abstract: OBJECTIVE
  To study the prevalence of unwanted pregnancy in urban and rural settlements in Southwestern Nigeria.
  
  
  METHODS
  A prospective cross-sectional study of women within reproductive age.
  
  
  METHODS
  Community-based study of unwanted pregnancy was conducted in 2012.
  
  
  METHODS
  They were women of reproductive age who had experienced unintended and/or unwanted pregnancies and they were randomly selected from rural and urban areas of Ogun state in Nigeria.
  
  
  METHODS
  A semi-structured questionnaire was used for data collection.
  
  
  METHODS
  The prevalence of unintended/unwanted pregnancy, associated factors including the views, perception and attitudes of community members in both urban and rural settlements and the pattern of help-seeking behavior on the problem.
  
  
  RESULTS
  The age range of respondents was 15-48 years (mean age 31.2± 6.7 years). One thousand, two hundred and twenty-one (51.6%) of the respondents were married. The percentage of illiterate respondents was 3.5% in urban area and 4.1% in rural area. There was a statistically significant association between level of education and use of a method to avoid or delay pregnancy (p < 0.001). The prevalence of unintended pregnancy was 35.9% while that of induced abortion was 33.5%. Quality of service was the most important factor in the choice of a place for pregnancy termination in urban and rural areas. Economic reasons were often cited as reasons women make use of abortion services.
  
  
  CONCLUSIONS
  Unwanted pregnancy constitutes a problem, even at the community level. The high contraceptive awareness should be translated to an increased use so as to bridge the large gap of unmet need.
authors.affiliation: Maternal and Fetal Health Unit, Department Of Obstetrics and Gynaecology, Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria.
authors.forename: M A
authors.initials: MA
authors.lastname: Lamina
mesh_terms: D000028:Abortion, Induced / Q000191:economics / Q000706:statistics & numerical data*; D000293:Adolescent; D000328:Adult; D003267:Contraception / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D000066505:Help-Seeking Behavior; D006801:Humans; D016015:Logistic Models; D008875:Middle Aged; D009549:Nigeria / Q000453:epidemiology; D011247:Pregnancy; D011275:Pregnancy, Unwanted / Q000523:psychology*; D015995:Prevalence; D011446:Prospective Studies; D012424:Rural Population; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014505:Urban Population; D055815:Young Adult
keywords: Nigeria; Unintended pregnancy; contraception; determinants; induced abortion; rural area; urban area