Introduction Unintended pregnancies in Europe have been estimated to constitute 43% of all pregnancies, with the proportion in Sweden being unknown. In striving for equitable healthcare, increased knowledge about unintended pregnancies among women born outside Europe is needed. We aimed to estimate the proportion of unintended pregnancies in women born in Sweden compared with women born outside Europe in an unselected population seeking gynaecological emergency care in early pregnancy. Our secondary aim was to compare contraceptive use at the time of conception in unplanned pregnancies between women born in Sweden and women born outside Europe. Methods Pregnant women seeking gynaecological emergency care in early pregnancy at a tertiary hospital were asked to fill out a questionnaire in their native language. The questionnaire contained questions from the London Measure of Unplanned Pregnancy (LMUP) and questions regarding sociodemographic data, gynaecological health and previous contraception. Results Of 180 pregnancies, 66 were unintended (36.7%) according to the LMUP. Among patients born in Sweden, 49/129 (38.0%) of the pregnancies were unintended compared with 17/51 (33.3%) among patients born outside Europe (p=0.56). 86% of participants with unintended pregnancy did not use any form of contraception during the month of conception, with no difference between women born in Sweden and those born outside Europe. Conclusions Among women seeking gynaecological emergency care in early pregnancy, unintended pregnancies are common. Women with unintended pregnancies had low use of preconception contraceptives, which highlights a need for further interventions aimed at avoiding unintended pregnancies. Data are available upon reasonable request. Data will be made available upon reasonable request.

中文翻译：

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瑞典和非欧洲血统的妇女在妊娠早期寻求紧急护理的怀孕意图和孕前避孕药具使用情况

简介 据估计，欧洲意外怀孕占所有怀孕的 43%，瑞典的比例未知。在争取公平的医疗保健方面，需要增加对在欧洲以外出生的女性意外怀孕的了解。我们的目的是估计在瑞典出生的女性与在欧洲以外出生的女性在妊娠早期寻求妇科急诊护理的未选择人群中意外怀孕的比例。我们的次要目标是比较在瑞典出生的女性和在欧洲以外出生的女性在计划外怀孕时的避孕使用情况。方法要求在三级医院就诊的孕早期妇科急诊患者用母语填写问卷。问卷包含来自伦敦意外怀孕测量 (LMUP) 的问题以及有关社会人口学数据、妇科健康和以前的避孕措施的问题。结果 根据 LMUP，在 180 次怀孕中，有 66 次是意外怀孕（36.7%）。在瑞典出生的患者中，49/129 (38.0%) 的怀孕是意外怀孕，而在欧洲以外出生的患者中，这一比例为 17/51 (33.3%) (p=0.56)。86% 的意外怀孕参与者在受孕月份没有使用任何形式的避孕措施，在瑞典出生的女性和在欧洲以外出生的女性之间没有差异。结论 在妊娠早期寻求妇科急诊的女性中，意外怀孕很常见。意外怀孕的妇女很少使用孕前避孕药，这突出表明需要进一步干预以避免意外怀孕。可根据合理要求提供数据。数据将根据合理要求提供。