Prevalence and determinant factors of unintended pregnancy among pregnant women attending antenatal clinics of Shashamane hospitals

BACKGROUND: Unintended pregnancy is defined as a pregnancy that is a sum of mistimed pregnancy (pregnancy wanted at a later time) and unwanted pregnancy (pregnancy which is not wanted at all). Unintended pregnancy remains a major public health problem in sub-Saharan countries, including Ethiopia. Therefore, the main aim of this study was to assess the magnitude and determinants of unintended pregnancy among pregnant women attending antenatal clinics of Shashemene hospitals. METHODS: An institutional-based cross-sectional study was conducted among 380 pregnant women from March 25 to April 30/2019. A systematic random sampling technique was used to select the study participants. Data was collected through a pre-tested interviewer-administered questionnaire and it was entered into EPIdata 3.1 and exported to SPSS 24 for further analysis. Binary and multivariate logistic regression analysis was used to identify significant factors. Variables with P-value < 0.05 were used to declare statistical significance. RESULT: The magnitude of unintended pregnancy was 31.1%. Age 35-45 years (AOR=0.2 95% CI; 1.057-0.8), parity ≥3 (AOR= 9.7 95% CI; 2.0-47.7), poor knowledge of family planning (AOR= 2.85 95% CI; 1.54-5.3), having rural residence (AOR = 1.27 95% CI; 2.15-4.5), and husbands' educational level (AOR= 4.34 95%CI; 2.16-9.73) were factors associated with unintended pregnancy. CONCLUSION: The magnitude of unintended pregnancy is high in the study area. Low educational status of the husband, maternal age, parity, residence, and knowledge of mothers about family planning were the most important determinant factors of unintended pregnancy.