BACKGROUND Intentions-oriented approaches to measuring pregnancy do not necessarily align with how people view and approach pregnancy. Our objective was to obtain an in-depth understanding of the notions women and men hold regarding pregnancy. METHODS We conducted semi-structured in-depth interviews with 176 heterosexual women and men ages 18-35, in the United States. Data were analyzed using grounded theory methodology. RESULTS Participants described notions of getting pregnant in one of three ways. One group of participants used language that solely described pregnancy as a deliberate process, either premeditated or actively avoided. Another described pregnancy as a predetermined phenomenon, due to fate or something that 'just happens.' The third group represented a blending of both notions. CONCLUSIONS Our findings underscore the need to shift the current paradigm of deliberate intentions to one that recognizes that pregnancy can also be viewed as predetermined. These findings can be used to improve measurement, health services, and better direct public health resources.

中文翻译：

---

对怀孕观点的定性评估：社会地位和家庭形成研究。

背景技术以意图为导向的妊娠测量方法并不一定符合人们对妊娠的看法和态度。我们的目标是深入了解女性和男性对怀孕的看法。方法 我们对美国 176 名 18-35 岁的异性恋女性和男性进行了半结构化深度访谈。使用扎根理论方法分析数据。结果 参与者以三种方式之一描述了怀孕的概念。一组参与者使用的语言仅将怀孕描述为一个故意的过程，要么是有预谋的，要么是主动避免的。另一位将怀孕描述为一种预定的现象，由于命运或“恰好发生”的事情。第三组代表了两种概念的混合。结论 我们的研究结果强调，有必要将当前刻意意图的范式转变为认识到怀孕也可以被视为预先确定的范式。这些发现可用于改进测量、卫生服务并更好地引导公共卫生资源。