Patient characteristics associated with pregnancy ambivalence

Area of Science:

• Reproductive Health
• Psychological Health
• Behavioral Science

Background:

• Pregnancy ambivalence is a complex emotional state influencing reproductive decisions and outcomes.
• Understanding the factors associated with pregnancy ambivalence is crucial for public health initiatives.

Purpose of the Study:

• To identify demographic characteristics, health behaviors, sexual behaviors, and psychological health factors linked to pregnancy ambivalence.

Main Methods:

• A cross-sectional survey was administered to 1,388 nonpregnant women aged 16-40 in southeast Texas.
• Data collected included demographics, pregnancy intentions, health/sexual behaviors, violence exposure, coercion, and psychological indicators.
• Multivariate logistic regression analyzed differences between ambivalent and nonambivalent women.

Main Results:

• 38% of women reported ambivalence toward pregnancy.
• Ambivalent women were younger, had fewer children, and were less likely to have been previously pregnant.
• Ambivalent women showed higher rates of smoking, poor sleep, multiple sexual partners, inconsistent contraception use, violence victimization, pregnancy coercion, depressive symptoms, and perceived stress.

Conclusions:

• Women ambivalent about pregnancy are less likely to use contraception and more prone to unhealthy behaviors and psychological risks.
• These factors pose risks to future pregnancies and offspring, necessitating increased awareness.
• Healthcare providers should screen for pregnancy ambivalence and offer targeted preventive education and contraceptive counseling.