Recent reproductive coercion and unintended pregnancy among female family planning clients

Adolescent girls who report intimate partner violence (IPV) are at an increased risk of experiencing reproductive coercion (RC); both these forms of gender-based violence (GBV) are associated with unintended pregnancy. Yet little is known about these experiences among adolescent girls in Mexico. Qualitative data were collected as part of formative research for the adaptation of an evidence-based intervention to address RC and IPV in community health centers in Tijuana, Mexico. From September, 2017 to January, 2018, adolescent girls aged 16 to 20 years old ( n = 20) seeking voluntary family planning (FP) services were identified and recruited from two publicly funded community health centers. We conducted semi-structured, in-depth interviews and analyzed the transcripts using inductive and deductive techniques. Participants in this sample commonly described experiencing IPV and RC (including pregnancy coercion and contraceptive sabotage), which many girls reported resulted in unintended pregnancy. Further, participants’ narratives and general lack of knowledge on how to cope with IPV or RC illuminated the acceptability of offering GBV prevention intervention within FP clinics serving this population. Findings highlight an urgent need to prevent IPV and RC, and reduce risk for unintended pregnancy among adolescent girls in this region and the potential of FP clinics to serve as a safe space for intervention delivery. Findings contribute to the limited qualitative evidence from Mexico, describing adolescent girl’s experiences of IPV and RC, strategies for preventing pregnancy in the context of RC, and opportunities for support from FP providers.

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Racial Differences in Pregnancy Intention, Reproductive Coercion, and Partner Violence among Family Planning Clients: A Qualitative Exploration

Women s Health Issues ◽

10.1016/j.whi.2018.02.003 ◽

2018 ◽

Vol 28 (3) ◽

pp. 205-211 ◽

Cited By ~ 11

Author(s):

Charvonne N. Holliday ◽

Elizabeth Miller ◽

Michele R. Decker ◽

Jessica G. Burke ◽

Patricia I. Documet ◽

...

Keyword(s):

Family Planning ◽

Racial Differences ◽

Partner Violence ◽

Pregnancy Intention ◽

Reproductive Coercion ◽

Qualitative Exploration ◽

Family Planning Clients ◽

In Pregnancy

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Access to Methods of Family Planning Among California Women Ages 18-44 Who are at Risk of Unintended Pregnancy, 2003-2004

PsycEXTRA Dataset ◽

10.1037/e576382006-001 ◽

2006 ◽

Keyword(s):

At Risk ◽

Family Planning ◽

Unintended Pregnancy

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Unintended Repeat Pregnancies Among HIV Positive Women in Rio De Janeiro, Brazil

The Open AIDS Journal ◽

10.2174/1874613601812010174 ◽

2018 ◽

Vol 12 (1) ◽

pp. 174-180

Author(s):

Bernardo B. Wittlin ◽

Alice W. Carvalho ◽

Giulia P. Lima ◽

Rune Andersson ◽

Susanne Johansson ◽

...

Keyword(s):

Viral Load ◽

Family Planning ◽

Antenatal Care ◽

Unintended Pregnancy ◽

Rio De Janeiro ◽

Hiv Positive ◽

Continuous Family ◽

Unintended Pregnancies ◽

Illegal Abortion ◽

Hiv Positive Women

Introduction: High rates of unintended pregnancies among HIV positive women have been reported by several studies. Among repeated pregnancies, these rates may be higher. Our aim was to describe the unintended pregnancy rate in repeat gestations of the same group of HIV-positive women. Methodology: From a prospective cohort of HIV-infected pregnant women followed-up from 1995 to 2013 in an Antenatal Clinic (ANC) in Rio de Janeiro, we selected women who had at least two consecutive pregnancies. Patient data were prospectively obtained from standardized questionnaires. The main dependent variable was if the pregnancy was intended or unintended. Some of the other variables were: age, the interval between pregnancies, household income, CD4 cells count at admission in the ANC and at delivery, viral load<1000 copies/ml at admission and close to delivery, and attempts to illegal abortion. Results: From a total of 287 women included, the number of unintended pregnancies increased from 138 (63.6%) at first pregnancy to 198 (81.8%) at second pregnancy (p < 0.01). At first pregnancy, we observed 8 women who had made an attempt to illegal abortion (7 with an unintended pregnancy and 1 with a wanted pregnancy, p = 0.06), while at second pregnancy, 34 of them had made an attempt (33 with unintended pregnancy and 1 with a wanted pregnancy, p < 0.01). Regarding viral load suppression close to delivery, there was no statistic difference between first and second pregnancies (72,7% vs. 70,5%, p = 0.36) as well as between intended and unintended pregnancies (in first pregnancy: 80% vs. 86%, p = 0.4; in second pregnancy: 72% vs. 83%, p = 0,1). Conclusion: High rates of unintended pregnancies and illegal abortion attempts, along with their increase from one pregnancy to the subsequent, reinforce the need for continuous family planning practices in HIV-infected patients. The majority of the women were able to reach undetectable viral load at the end of the pregnancy, including those with unintended pregnancies. Implications: HIV infected patients presenting in antenatal care for sequential unintended pregnancies. Despite the fact that abortion is illegal in this country, a substantial number of women, still attempt it before attending antenatal care. Family planning actions should be performed during the antenatal care.

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Acceptability and Effectiveness of Linking HIV-Positive Family Planning Clients to Treatment and Care Services among Health Care Providers in Kenya

Journal of AIDS & Clinical Research ◽

10.4172/2155-6113.1000232 ◽

2013 ◽

Vol 04 (08) ◽

Author(s):

Wilson Liambila Francis Obare ◽

Harriet Birungi Shiphrah Njeri Kuria

Keyword(s):

Health Care ◽

Family Planning ◽

Health Care Providers ◽

Hiv Positive ◽

Care Providers ◽

Care Services ◽

Family Planning Clients

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Sexual Risk and Perception of Risk for HIV Infection Among Multiethnic Family-Planning Clients

American Journal of Preventive Medicine ◽

10.1016/s0749-3797(18)30746-3 ◽

1993 ◽

Vol 9 (2) ◽

pp. 92-95 ◽

Cited By ~ 7

Author(s):

Rani B. Eversley ◽

Amanda Newstetter ◽

Andrew Avins ◽

Denise Beirnes ◽

Katherine Haynes-Sanstad ◽

...

Keyword(s):

Family Planning ◽

Hiv Infection ◽

Sexual Risk ◽

Perception Of Risk ◽

Family Planning Clients

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Magnitude and Associated Factors of Unintended Pregnancy among Pregnant Women at Saesie Tsaeda Emba Woreda Eastern Zone of Tigray, North Ethiopia, 2018

Journal of Pregnancy ◽

10.1155/2019/1694808 ◽

2019 ◽

Vol 2019 ◽

pp. 1-8

Author(s):

Gebrehiwot Gebremariam Weldearegawi ◽

Kidanemaryam Berhe Tekola ◽

Berhane Fseha Teklehaymanot

Keyword(s):

Family Planning ◽

Pregnant Women ◽

Unintended Pregnancy ◽

Associated Factors ◽

Goodness Of Fit ◽

Outcome Variable ◽

Significant Variable ◽

Health Extension Workers ◽

District Health ◽

Variable Model

Background. Each year there were about 80 million women who experienced unintended pregnancy in the globe. In Ethiopia, around one third of women have experiences of unintended pregnancy. However, the magnitude of unintended pregnancy was not determined in the study area. Hence the aim of the study was to assess the magnitude and associated factors of unintended pregnancy among pregnant women. Methods. Institutional based cross-sectional study design was employed among 345 participants. Participants were selected by systematic random sampling. Data was collected though face to face interview by structured questioner. It was entered, clean and analyzed using SPSS version 20. Descriptive analysis was done to see the frequency, percentage, mean and standard deviation. Adjusted odds ratio was computed at 95% confidence level to determine the effect of independent variable on the outcome variable. Variable at p value < 0.05 was declared as statistically significant variable. Model goodness of fit was checked using Hosmer lemeshow test. Result. The overall magnitude of unintended pregnancy was 24.9%. Employed women were 60% less likely having unintended pregnancy (AOR 0.4, 95% CI: 0.015, 0.785).Single women were 1.4 times more likely reported unintended pregnancy (AOR 1.4, 95% CI: 1.005, 3.675). Unintended pregnancy among ever visited by health extension workers was 1.7 times higher than not visited (AOR 1.7, 95% CI: 1.09, 5. 128). Unintended pregnancy among who had information about family planning were about 70% less likely reported unintended pregnancy than their counterparties (AOR 0.3, 95% CI: 0 .067, 0.845). Marital status, occupational status, visited by health extension workers, having information about family planning, discussing with their partners about contraceptive were found the major factors of unintended pregnancy. Thus the district health office, Tigray regional health office and other stakeholder should work to improve family planning accessibility, awareness, and utilization to overcome the problem.

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