Background: Unwanted pregnancy is a type of unplanned pregnancy that can endanger health of mother and child. This study aimed to determine the prevalence of unwanted pregnancy and its associated factors and consequences in Iran. Methods: This cross-sectional study was conducted in regions with low, moderate and high risk of maternal death. Two provinces were randomly selected in each region and 24 public health centers in each province during 2007–2012. Thereafter, 15–20 mothers, received at least one session of pregnancy care, were selected from each healthcare center. Data were gathered from both health records and interview with the mothers. Results: Of 2714 participants, 86.4% and 13.6% had respectively wanted and unwanted pregnancies. The underlying factors of unwanted pregnancy were determined as low distance with previous and next pregnancy, economic problems and have enough children. Moreover, there were significant relationships between unwanted pregnancy and place of residence, mother’s age and education, father’s education, pre-pregnancy care and number of previous pregnancies and children. There were also significant association between unwanted pregnancy and pregnancy care, anemia, exposure to risk factors and disease, intake of folic acid and iron, domestic violence, bitter memories and men’s participation. Conclusion: Although the prevalence of unwanted pregnancy has had a significant decrease in Iran, these mothers still require a higher level of educational, counseling and supportive services due to their low access to pregnancy care services and high exposure to associated risk factors.

中文翻译：

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伊朗意外怀孕的患病率、相关因素和后果

背景：意外怀孕是一种可能危及母婴健康的意外怀孕。本研究旨在确定伊朗意外怀孕的流行率及其相关因素和后果。方法：这项横断面研究是在孕产妇死亡风险低、中度和高风险的地区进行的。2007-2012年间，每个地区随机抽取2个省，每个省24个公共卫生中心。此后，从每个医疗保健中心选择了 15-20 名接受过至少一次妊娠护理的母亲。数据来自健康记录和对母亲的采访。结果：在 2714 名参与者中，分别有 86.4% 和 13.6% 的人曾想要怀孕和意外怀孕。意外怀孕的潜在因素被确定为与上一次和下一次怀孕的距离较近、经济问题和有足够的孩子。此外，意外怀孕与居住地、母亲的年龄和教育程度、父亲的教育程度、孕前护理以及先前怀孕和孩子的数量之间存在显着关系。意外怀孕和怀孕护理、贫血、暴露于危险因素和疾病、叶酸和铁的摄入、家庭暴力、痛苦的记忆和男性参与之间也存在显着关联。结论：尽管伊朗的意外怀孕率显着下降，但这些母亲仍然需要更高的教育水平，