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The unanticipated pregnancy: a preliminary study.

D Bluestein1

  • 1Department of Family and Community Medicine, Eastern Virginia Medical School, Norfolk 23501.

Family Practice Research Journal
|January 1, 1990
PubMed
Summary
This summary is machine-generated.

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Women seeking non-pregnancy care often have early gestation pregnancies with fewer symptoms. These patients may not anticipate pregnancy, impacting clinical judgment for possible pregnancy diagnosis.

Area of Science:

  • Reproductive Health
  • Clinical Diagnosis
  • Symptom Perception

Background:

  • Clinical judgment for possible pregnancy relies on symptom presentation.
  • Distinguishing early pregnancy from other conditions is crucial for timely care.
  • Understanding patient demographics and symptom profiles aids diagnostic accuracy.

Purpose of the Study:

  • To compare characteristics of pregnant women seeking pregnancy confirmation versus those diagnosed during symptom clarification for non-pregnancy concerns.
  • To identify factors influencing presentation and symptom reporting in early pregnancy.

Main Methods:

  • Retrospective comparison of two groups of pregnant women: pregnancy confirmation (n=75) and symptom clarification (n=31).
  • Analysis of demographic data, contraceptive use, gestation, pregnancy symptoms, and pregnancy acceptance.
Keywords:
AmericasAttitudeBehaviorData AnalysisData CollectionDemographic FactorsDeveloped CountriesDiseasesEconomic FactorsEmotionsExaminations And DiagnosesFertilityLaboratory Examinations And DiagnosesLaboratory ProceduresNorth AmericaNorthern AmericaPerceptionPopulationPopulation CharacteristicsPopulation DynamicsPregnancyPregnancy TestsPregnancy, UnplannedPsychological FactorsReproductionReproductive BehaviorResearch MethodologySigns And SymptomsSocioeconomic FactorsUnited StatesVirginia

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  • Statistical comparison using P-values to determine significant differences between groups.

    • Main Results:

    • Symptom clarification patients were more likely to be unmarried, unemployed, uninsured, black, using contraception, and carrying unwanted gestations.
    • Symptom clarification patients presented earlier in gestation with fewer reported pregnancy symptoms (median 2 vs 3).
    • Abdominal pain was more common in symptom clarification patients, while amenorrhea and breast tenderness were less common compared to pregnancy confirmation patients.

    Conclusions:

    • Pregnant women diagnosed during symptom clarification often present earlier with fewer typical pregnancy symptoms.
    • Demographic and socioeconomic factors may influence symptom perception and reporting in early pregnancy.
    • Findings suggest that symptom clarification patients may not anticipate pregnancy, highlighting the need for broader screening in non-pregnancy related visits.