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Effects of unintended pregnancy on maternal healthcare services utilization in low- and lower-middle-income countries: systematic review and meta-analysis

Author

Listed:
  • Md Nuruzzaman Khan

    (Hunter Medical Research Institute, University of Newcastle
    Jatiya Kabi Kazi Nazrul Islam University)

  • Melissa L. Harris

    (Hunter Medical Research Institute, University of Newcastle)

  • Desalegn Markos Shifti

    (Hunter Medical Research Institute, University of Newcastle)

  • Alexander Suuk Laar

    (Hunter Medical Research Institute, University of Newcastle)

  • Deborah Loxton

    (Hunter Medical Research Institute, University of Newcastle)

Abstract

Objectives To examine the association between unintended pregnancy and maternal healthcare services utilization in low- and lower-middle-income countries. Methods A systematic literature search of Medline, Cinahl, Embase, PsycINFO, Cochrane Library, Popline, Maternity and Infant Care, and Scopus databases published since the beginning of the Millennium Development Goals (i.e. January 2000) to June 2018 was performed. We estimated the pooled odds ratios using random effect models and performed subgroup analysis by participants and study characteristics. Results A total of 38 studies were included in the meta-analysis. Our study found the occurrence of unintended pregnancy was associated with a 25–39% reduction in the use of antenatal, delivery, and postnatal healthcare services. Stratified analysis found the differences of healthcare services utilization across types of pregnancy unintendedness (e.g. mistimed, unwanted). Conclusions Integrating family planning and maternal healthcare services should be considered to encourage women with unintended pregnancies to access maternal healthcare services.

Suggested Citation

  • Md Nuruzzaman Khan & Melissa L. Harris & Desalegn Markos Shifti & Alexander Suuk Laar & Deborah Loxton, 2019. "Effects of unintended pregnancy on maternal healthcare services utilization in low- and lower-middle-income countries: systematic review and meta-analysis," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(5), pages 743-754, June.
    • Handle: RePEc:spr:ijphth:v:64:y:2019:i:5:d:10.1007_s00038-019-01238-9
    DOI: 10.1007/s00038-019-01238-9
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    Cited by:

    1. Saverio Bellizzi & Giuseppe Pichierri & Catello M Panu Napodano & Paola Murgia & Susanna Padrini & Quique Bassat, 2021. "Place of birth for unintended pregnancies in six former Soviet Union countries," International Journal of Health Planning and Management, Wiley Blackwell, vol. 36(5), pages 1553-1560, September.
    2. Md Nuruzzaman Khan & Melissa L Harris & Deborah Loxton, 2020. "Assessing the effect of pregnancy intention at conception on the continuum of care in maternal healthcare services use in Bangladesh: Evidence from a nationally representative cross-sectional survey," PLOS ONE, Public Library of Science, vol. 15(11), pages 1-20, November.
    3. Laísa Rodrigues Moreira & Fernanda Ewerling & Iná S. Santos & Fernando César Wehrmeister & Alicia Matijasevich & Aluisio J. D. Barros & Ana M. B. Menezes & Helen Gonçalves & Joseph Murray & Marlos R. , 2020. "Trends and inequalities in unplanned pregnancy in three population-based birth cohorts in Pelotas, Brazil," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(9), pages 1635-1645, December.

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