Most pregnancies among young people in the United States are unintended. Previous analyses of unintended pregnancies have typically been restricted by outcome, focusing either on those who had an abortion or those who gave birth. We conducted in-depth interviews with 25 young women in the San Francisco Bay Area who experienced at least one unintended pregnancy at or before age 25, regardless of pregnancy outcome, allowing us to identify themes across both abortion and birth. We asked participants about their decision-making process regarding the pregnancy resolution, with a focus on the role of social support. We present results from secondary analysis of interview transcripts, utilizing reflexive thematic analysis. Most, but not all, participants reported a short decision-making timeline, yet described an unmet need for social support during and after the decision-making process. Researchers and advocates should explore ways to increase support tailored to young people experiencing an unintended pregnancy.

中文翻译：

---

意外怀孕决策期间对社会支持的需求：对加利福尼亚年轻人的深入访谈的定性分析

在美国，大多数年轻人的怀孕都是无意的。以前对意外怀孕的分析通常受到结果的限制，重点关注那些堕胎或分娩的人。我们对旧金山湾区的 25 名年轻女性进行了深入访谈，她们在 25 岁或之前至少经历过一次意外怀孕，无论怀孕结果如何，这使我们能够确定堕胎和分娩的主题。我们向参与者询问了他们关于妊娠解决方案的决策过程，重点是社会支持的作用。我们利用反思性主题分析，展示了对采访记录进行二次分析的结果。大多数（但不是全部）参与者报告了一个较短的决策时间表，然而，描述了在决策过程中和决策过程之后对社会支持的需求未得到满足。研究人员和倡导者应探索增加针对意外怀孕年轻人的支持的方法。