The earlier a woman learns about her pregnancy status, the sooner she can make decisions about her own and infant's health. This paper examines how women learn about their pregnancy status and measures how access to pregnancy tests affects earlier pregnancy knowledge. Using 10 years of individual-level monthly panel data in Nepal, we find that, on average, women learn they are pregnant in their 4.6th month of pregnancy. Living approximately a mile further from a clinic offering pregnancy tests increases the time a woman knows she is pregnant by one week (5 percent increase) and decreases the likelihood of knowing in the first trimester by 4.5 percentage points (16 percent decrease). Women with prior pregnancies experience the most substantial effects of distance within the first two trimesters, while, for women experiencing their first pregnancy, distance does not affect knowledge. These results suggest that, while access to clinics can increase pregnancy awareness for women who recognize pregnancy symptoms, other complementary policies are needed to increase pregnancy awareness of women in their first pregnancy.

中文翻译：

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女性如何知道自己怀孕了？尼泊尔诊所介绍和怀孕意识

女性越早了解自己的怀孕状况，就能越早对自己和婴儿的健康做出决定。本文研究了女性如何了解她们的怀孕状况，并衡量了获得妊娠测试如何影响早孕知识。使用尼泊尔 10 年的个人月度面板数据，我们发现，平均而言，女性在怀孕 4.6 个月时才知道自己怀孕了。住在距离提供妊娠试验的诊所大约一英里的地方，会使女性知道自己怀孕的时间增加一周（增加 5%），并使在妊娠早期知道自己怀孕的可能性降低 4.5 个百分点（减少 16%）。有过妊娠经历的女性在前两个三个月内经历了距离的最显着影响，同时，对于第一次怀孕的妇女来说，距离不会影响知识。这些结果表明，虽然进入诊所可以提高识别怀孕症状的妇女的怀孕意识，但还需要其他补充政策来提高首次怀孕妇女的怀孕意识。