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Published on: January 12, 2018
Changes in intendedness during pregnancy in a high-risk multiparous population
V L Poole1, J S Flowers, R L Goldenberg
1School of Nursing, University of Alabama at Birmingham, 35294-1210, USA. poolev@son.uab.edu
Maternal and Child Health Journal
|November 30, 2000
Summary
Pregnancy intendedness can change during gestation. A study found that 22.5% of women altered their intendedness status, with most changes moving towards a more positive outlook on the pregnancy.
Area of Science:
- Reproductive Health
- Maternal-Fetal Medicine
- Sociology of Health
Background:
- Pregnancy intendedness is a key factor in maternal and child well-being.
- Previous research suggests intendedness may be stable, but data during gestation is limited.
- Understanding shifts in intendedness is crucial for targeted interventions.
Purpose of the Study:
- To investigate changes in pregnancy intendedness as pregnancy progresses.
- To determine the direction of these changes (positive or negative).
Main Methods:
- Administered intendedness surveys in the second and third trimesters to 1223 high-risk, low-income women.
- Collected data on factors previously associated with intendedness.
- Categorized changes as positive (e.g., unwanted to intended) or negative (e.g., intended to unwanted).
Main Results:
- 22.5% of women (275/1223) changed their intendedness status between trimesters.
- A larger proportion of changes were in a positive direction (12.5% of total participants).
- Specific shifts included: intended to mistimed/unwanted, mistimed to intended/unwanted, and unwanted to mistimed/intended.
Conclusions:
- Pregnancy intendedness is dynamic and not fixed throughout gestation.
- A significant percentage of women re-evaluate and potentially alter their feelings about pregnancy.
- Findings highlight the need for ongoing support and policy considerations for pregnant individuals.
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