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Pregnancy and pregnancy intention after experiencing infertility: A longitudinal study of women in Malawi
BACKGROUND: Infertility is a common experience among individuals and couples. Infertility may resolve without intervention, but little is known about pregnancy intentions and incidence of pregnancy following infertility, particularly in low-resource settings. METHODS: Data come from UTHA, a longitud...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10645290/ https://www.ncbi.nlm.nih.gov/pubmed/37963107 http://dx.doi.org/10.1371/journal.pgph.0001646 |
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author | Bornstein, Marta Gemmill, Alison Norris, Alison H. Huber-Krum, Sarah Gipson, Jessica D. |
author_facet | Bornstein, Marta Gemmill, Alison Norris, Alison H. Huber-Krum, Sarah Gipson, Jessica D. |
author_sort | Bornstein, Marta |
collection | PubMed |
description | BACKGROUND: Infertility is a common experience among individuals and couples. Infertility may resolve without intervention, but little is known about pregnancy intentions and incidence of pregnancy following infertility, particularly in low-resource settings. METHODS: Data come from UTHA, a longitudinal cohort study in Central Malawi, with baseline and follow up surveys conducted from 2014–2019 (N = 1,030 reproductive-aged women). We assessed bivariable and multivariable relationships between reported infertility at baseline and subsequent pregnancy and retrospective pregnancy intentions. Pregnancy intention was measured with the London Measure of Unplanned Pregnancy (LMUP), a scale validated in Malawi (Range = 0–12). RESULTS: Approximately 20% of the sample reported that they had ever experienced infertility (tried to become pregnant for at least two years without conceiving in that time) at baseline. The proportion of women who reported a new pregnancy during the follow up period (mean = 4.3 years) was the same (65%) for women who had and had not experienced infertility. Among women who became pregnant, levels of pregnancy intendedness were similar between women who had and had not experienced infertility. Prospective desire for a/another child at baseline was associated with subsequent pregnancy (AOR: 1.59; 95%CI: 1.06–2.39) and was also associated with higher levels of pregnancy intendedness measured retrospectively (LMUP of 9.4 vs. 8.4). CONCLUSIONS: Experienced infertility was not associated with differential odds of having a subsequent pregnancy or the intendedness of a subsequent pregnancy. Thus, women who have experienced infertility should be included in family planning programs and research to support all women in achieving their reproductive goals. |
format | Online Article Text |
id | pubmed-10645290 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-106452902023-11-14 Pregnancy and pregnancy intention after experiencing infertility: A longitudinal study of women in Malawi Bornstein, Marta Gemmill, Alison Norris, Alison H. Huber-Krum, Sarah Gipson, Jessica D. PLOS Glob Public Health Research Article BACKGROUND: Infertility is a common experience among individuals and couples. Infertility may resolve without intervention, but little is known about pregnancy intentions and incidence of pregnancy following infertility, particularly in low-resource settings. METHODS: Data come from UTHA, a longitudinal cohort study in Central Malawi, with baseline and follow up surveys conducted from 2014–2019 (N = 1,030 reproductive-aged women). We assessed bivariable and multivariable relationships between reported infertility at baseline and subsequent pregnancy and retrospective pregnancy intentions. Pregnancy intention was measured with the London Measure of Unplanned Pregnancy (LMUP), a scale validated in Malawi (Range = 0–12). RESULTS: Approximately 20% of the sample reported that they had ever experienced infertility (tried to become pregnant for at least two years without conceiving in that time) at baseline. The proportion of women who reported a new pregnancy during the follow up period (mean = 4.3 years) was the same (65%) for women who had and had not experienced infertility. Among women who became pregnant, levels of pregnancy intendedness were similar between women who had and had not experienced infertility. Prospective desire for a/another child at baseline was associated with subsequent pregnancy (AOR: 1.59; 95%CI: 1.06–2.39) and was also associated with higher levels of pregnancy intendedness measured retrospectively (LMUP of 9.4 vs. 8.4). CONCLUSIONS: Experienced infertility was not associated with differential odds of having a subsequent pregnancy or the intendedness of a subsequent pregnancy. Thus, women who have experienced infertility should be included in family planning programs and research to support all women in achieving their reproductive goals. Public Library of Science 2023-11-14 /pmc/articles/PMC10645290/ /pubmed/37963107 http://dx.doi.org/10.1371/journal.pgph.0001646 Text en © 2023 Bornstein et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Bornstein, Marta Gemmill, Alison Norris, Alison H. Huber-Krum, Sarah Gipson, Jessica D. Pregnancy and pregnancy intention after experiencing infertility: A longitudinal study of women in Malawi |
title | Pregnancy and pregnancy intention after experiencing infertility: A longitudinal study of women in Malawi |
title_full | Pregnancy and pregnancy intention after experiencing infertility: A longitudinal study of women in Malawi |
title_fullStr | Pregnancy and pregnancy intention after experiencing infertility: A longitudinal study of women in Malawi |
title_full_unstemmed | Pregnancy and pregnancy intention after experiencing infertility: A longitudinal study of women in Malawi |
title_short | Pregnancy and pregnancy intention after experiencing infertility: A longitudinal study of women in Malawi |
title_sort | pregnancy and pregnancy intention after experiencing infertility: a longitudinal study of women in malawi |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10645290/ https://www.ncbi.nlm.nih.gov/pubmed/37963107 http://dx.doi.org/10.1371/journal.pgph.0001646 |
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