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Predicting maternal behaviors during pregnancy: does intention status matter?

K Kost1, D J Landry, J E Darroch

  • 1Alan Guttmacher Institute, New York, USA.

Family Planning Perspectives
|April 30, 1998
PubMed
Summary

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Pregnancy intention influences early prenatal care and smoking cessation. However, social and demographic factors independently impact other pregnancy behaviors, regardless of birth planning status.

Area of Science:

  • Maternal and Child Health
  • Sociology of Health
  • Reproductive Health

Background:

  • Maternal behavior during pregnancy significantly impacts infant health.
  • Attitudes toward pregnancy can influence these maternal behaviors.

Purpose of the Study:

  • To investigate differences in pregnancy behaviors between women with unplanned births and other women.
  • To determine if these differences persist independently of social and demographic characteristics.

Main Methods:

  • Utilized multivariate analyses of data from the 1988 National Maternal and Infant Health Survey and the 1988 National Survey of Family Growth.
  • Compared pregnancy behaviors of women with unplanned births against a control group, controlling for social and demographic factors.
Keywords:
AmericasBehaviorCorrelation StudiesDelivery Of Health CareDemographic FactorsDeveloped CountriesFertilityHealthHealth ServicesMaternal Health ServicesMaternal-child Health ServicesNorth AmericaNorthern AmericaPopulationPopulation DynamicsPregnancyPregnancy, PlannedPregnancy, UnplannedPrenatal CarePrimary Health CareReproductionReproductive BehaviorResearch MethodologyResearch ReportSampling StudiesSmokingStatistical StudiesStudiesSurveysUnited States

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Main Results:

  • Women with intended pregnancies were more likely to recognize early pregnancy signs and seek early prenatal care.
  • Intended conception was associated with a slightly higher likelihood of smoking cessation.
  • No significant differences were observed in adherence to prenatal visit schedules, alcohol reduction, or following clinician advice on vitamins and weight gain based on pregnancy planning status.
  • Social and demographic differences in behaviors were largely independent of pregnancy planning status.

Conclusions:

  • Pregnancy intendedness is a significant predictor of specific pregnancy-related behaviors.
  • Maternal social and demographic characteristics are also crucial, independent predictors of pregnancy behaviors.