Socio‐demographic predictors of unintended pregnancy and late antenatal booking in Honiara, Solomon Islands

Background The Solomon Islands is a Pacific nation with a maternal mortality of 114 per 100 000 births. Around 57% of pregnancies are unintended and only 15% of women attend their first antenatal visit in the first 12 weeks as recommended by the World Health Organization. Aims We sought to examine t...

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Bibliographic Details
Published in:Australian & New Zealand journal of obstetrics & gynaecology 2018-06, Vol.58 (3), p.349-357
Main Authors: Kluckow, Hannah, Panisi, Leeanne, Larui, Jessie, Jatobatu, Anna, Kim, Dukyeon, Hodges, Laura, Black, Kirsten I.
Format: Article
Language:English
Subjects:
Adolescent
Adult
antenatal care
Cross-Sectional Studies
Demography
Family Planning Services
Female
Gestational Age
Humans
late booking
Maternal-Child Health Services
Melanesia
Pregnancy
Pregnancy, Unplanned
Prenatal Care - statistics & numerical data
Socioeconomic Factors
Surveys and Questionnaires
unplanned pregnancies
Waiting Lists
Young Adult
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Summary:Background The Solomon Islands is a Pacific nation with a maternal mortality of 114 per 100 000 births. Around 57% of pregnancies are unintended and only 15% of women attend their first antenatal visit in the first 12 weeks as recommended by the World Health Organization. Aims We sought to examine the socio‐demographic predictors of unintended pregnancy and late antenatal booking (>18 weeks) among women attending antenatal care in Honiara. Materials and methods From January 2014 to May 2015 we undertook a cross‐sectional survey using a structured questionnaire on women presenting to the National Referral Hospital and community clinics in Honiara for antenatal care. Results Of 1441 women, 41.0% of pregnancies were intended, 55.7% were ambivalent and 3.3% were fully unintended. Unintended pregnancy was significantly associated with being unemployed (adjusted odds ratio (aOR) 1.45, P = 0.024), being a teenager at first intercourse (aOR 1.53; P = 0.004), shared family planning decision making (aOR 0.54; P = 0.006) living with a husband (aOR 0.31 P 
ISSN:0004-8666
1479-828X
DOI:10.1111/ajo.12782