Abstract

Objective: We examined whether adult women's intention for future pregnancy predicted actual pregnancies occurring in a 2-year follow-up study. Methods: Data are from the Central Pennsylvania Women's Health Study population-based longitudinal survey of women ages 18-45 (n = 1,420). The analytic sample consists of 889 nonpregnant women who had reproductive capacity. Intention for future pregnancy was ascertained at baseline, and women were re-interviewed 2 years later to document interval pregnancies. The impact of pregnancy intention on subsequent pregnancy was analyzed using multiple logistic regression adjusting for relevant covariates. Results: At baseline, 46% of women were considering a future pregnancy. One hundred thirty-seven women became pregnant during the 2-year study; of these pregnancies, 83% were intended (occurring in women considering a future pregnancy at baseline) and 17% were unintended (occurring in women not considering a future pregnancy at baseline). Pregnancies occurred in 28% of women who at baseline were considering future pregnancy and 5% of women not considering pregnancy. In adjusted analysis, baseline pregnancy intention was predictive of with pregnancy occurrence in women ages 25-34 (adjusted odds ratio [OR], 4.19; 95% confidence interval [CI], 2.20-7.97) and ages 35-45 (adjusted OR, 26.89; 95% CI, 9.05-79.93), but not in women ages 18-24. Conclusions: In this prospective study, pregnancy intention was strongly associated with pregnancy incidence over a 2-year follow-up period among women ages 25 and older, suggesting that pregnancy intentions could be used to identify women at greater risk of pregnancy. Future investigation is needed to confirm these findings and to explore the reasons why pregnancy intentions were not predictive for women ages 18-24.

Original languageEnglish (US)
Pages (from-to)159-166
Number of pages8
JournalWomen's Health Issues
Volume19
Issue number3
DOIs
StatePublished - May 1 2009

Fingerprint

pregnancy
Pregnancy
Odds Ratio
confidence
Confidence Intervals
Birth Intervals
Women's Health
Longitudinal Studies
Pregnant Women

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Obstetrics and Gynecology
  • Public Health, Environmental and Occupational Health
  • Maternity and Midwifery

Cite this

Chuang, Cynthia H. ; Weisman, Carol S. ; Hillemeier, Marianne M. ; Camacho, Fabian T. ; Dyer, Anne Marie. / Predicting Pregnancy from Pregnancy. In: Women's Health Issues. 2009 ; Vol. 19, No. 3. pp. 159-166.
@article{5af7539264f74ec485c1d0e10c377ed6,
title = "Predicting Pregnancy from Pregnancy",
abstract = "Objective: We examined whether adult women's intention for future pregnancy predicted actual pregnancies occurring in a 2-year follow-up study. Methods: Data are from the Central Pennsylvania Women's Health Study population-based longitudinal survey of women ages 18-45 (n = 1,420). The analytic sample consists of 889 nonpregnant women who had reproductive capacity. Intention for future pregnancy was ascertained at baseline, and women were re-interviewed 2 years later to document interval pregnancies. The impact of pregnancy intention on subsequent pregnancy was analyzed using multiple logistic regression adjusting for relevant covariates. Results: At baseline, 46{\%} of women were considering a future pregnancy. One hundred thirty-seven women became pregnant during the 2-year study; of these pregnancies, 83{\%} were intended (occurring in women considering a future pregnancy at baseline) and 17{\%} were unintended (occurring in women not considering a future pregnancy at baseline). Pregnancies occurred in 28{\%} of women who at baseline were considering future pregnancy and 5{\%} of women not considering pregnancy. In adjusted analysis, baseline pregnancy intention was predictive of with pregnancy occurrence in women ages 25-34 (adjusted odds ratio [OR], 4.19; 95{\%} confidence interval [CI], 2.20-7.97) and ages 35-45 (adjusted OR, 26.89; 95{\%} CI, 9.05-79.93), but not in women ages 18-24. Conclusions: In this prospective study, pregnancy intention was strongly associated with pregnancy incidence over a 2-year follow-up period among women ages 25 and older, suggesting that pregnancy intentions could be used to identify women at greater risk of pregnancy. Future investigation is needed to confirm these findings and to explore the reasons why pregnancy intentions were not predictive for women ages 18-24.",
author = "Chuang, {Cynthia H.} and Weisman, {Carol S.} and Hillemeier, {Marianne M.} and Camacho, {Fabian T.} and Dyer, {Anne Marie}",
year = "2009",
month = "5",
day = "1",
doi = "10.1016/j.whi.2009.02.001",
language = "English (US)",
volume = "19",
pages = "159--166",
journal = "Women's Health Issues",
issn = "1049-3867",
publisher = "Elsevier USA",
number = "3",

}

Predicting Pregnancy from Pregnancy. / Chuang, Cynthia H.; Weisman, Carol S.; Hillemeier, Marianne M.; Camacho, Fabian T.; Dyer, Anne Marie.

In: Women's Health Issues, Vol. 19, No. 3, 01.05.2009, p. 159-166.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Predicting Pregnancy from Pregnancy

AU - Chuang, Cynthia H.

AU - Weisman, Carol S.

AU - Hillemeier, Marianne M.

AU - Camacho, Fabian T.

AU - Dyer, Anne Marie

PY - 2009/5/1

Y1 - 2009/5/1

N2 - Objective: We examined whether adult women's intention for future pregnancy predicted actual pregnancies occurring in a 2-year follow-up study. Methods: Data are from the Central Pennsylvania Women's Health Study population-based longitudinal survey of women ages 18-45 (n = 1,420). The analytic sample consists of 889 nonpregnant women who had reproductive capacity. Intention for future pregnancy was ascertained at baseline, and women were re-interviewed 2 years later to document interval pregnancies. The impact of pregnancy intention on subsequent pregnancy was analyzed using multiple logistic regression adjusting for relevant covariates. Results: At baseline, 46% of women were considering a future pregnancy. One hundred thirty-seven women became pregnant during the 2-year study; of these pregnancies, 83% were intended (occurring in women considering a future pregnancy at baseline) and 17% were unintended (occurring in women not considering a future pregnancy at baseline). Pregnancies occurred in 28% of women who at baseline were considering future pregnancy and 5% of women not considering pregnancy. In adjusted analysis, baseline pregnancy intention was predictive of with pregnancy occurrence in women ages 25-34 (adjusted odds ratio [OR], 4.19; 95% confidence interval [CI], 2.20-7.97) and ages 35-45 (adjusted OR, 26.89; 95% CI, 9.05-79.93), but not in women ages 18-24. Conclusions: In this prospective study, pregnancy intention was strongly associated with pregnancy incidence over a 2-year follow-up period among women ages 25 and older, suggesting that pregnancy intentions could be used to identify women at greater risk of pregnancy. Future investigation is needed to confirm these findings and to explore the reasons why pregnancy intentions were not predictive for women ages 18-24.

AB - Objective: We examined whether adult women's intention for future pregnancy predicted actual pregnancies occurring in a 2-year follow-up study. Methods: Data are from the Central Pennsylvania Women's Health Study population-based longitudinal survey of women ages 18-45 (n = 1,420). The analytic sample consists of 889 nonpregnant women who had reproductive capacity. Intention for future pregnancy was ascertained at baseline, and women were re-interviewed 2 years later to document interval pregnancies. The impact of pregnancy intention on subsequent pregnancy was analyzed using multiple logistic regression adjusting for relevant covariates. Results: At baseline, 46% of women were considering a future pregnancy. One hundred thirty-seven women became pregnant during the 2-year study; of these pregnancies, 83% were intended (occurring in women considering a future pregnancy at baseline) and 17% were unintended (occurring in women not considering a future pregnancy at baseline). Pregnancies occurred in 28% of women who at baseline were considering future pregnancy and 5% of women not considering pregnancy. In adjusted analysis, baseline pregnancy intention was predictive of with pregnancy occurrence in women ages 25-34 (adjusted odds ratio [OR], 4.19; 95% confidence interval [CI], 2.20-7.97) and ages 35-45 (adjusted OR, 26.89; 95% CI, 9.05-79.93), but not in women ages 18-24. Conclusions: In this prospective study, pregnancy intention was strongly associated with pregnancy incidence over a 2-year follow-up period among women ages 25 and older, suggesting that pregnancy intentions could be used to identify women at greater risk of pregnancy. Future investigation is needed to confirm these findings and to explore the reasons why pregnancy intentions were not predictive for women ages 18-24.

UR - http://www.scopus.com/inward/record.url?scp=65549098856&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=65549098856&partnerID=8YFLogxK

U2 - 10.1016/j.whi.2009.02.001

DO - 10.1016/j.whi.2009.02.001

M3 - Article

C2 - 19447320

AN - SCOPUS:65549098856

VL - 19

SP - 159

EP - 166

JO - Women's Health Issues

JF - Women's Health Issues

SN - 1049-3867

IS - 3

ER -