Maternal and Child Health Journal

, Volume 4, Issue 3, pp 183–189 | Cite as

Defining Dimensions of Pregnancy Intendedness

  • Joseph B. Stanford
  • Rachel Hobbs
  • Penny Jameson
  • M. Jann DeWitt
  • Rachel C. Fischer

Abstract

Background: The classification scheme used by the National Survey of Family Growth (NSFG) is a well-established system for defining the intendedness of pregnancy, but its clinical relevance is uncertain. The purpose of this study was to explore how women conceptualize the intention status of their pregnancies and how their concepts relate to the classification scheme used by the NSFG. Methods: This qualitative study used in-depth, semistructured, open-ended interviews with 27 pregnant women seeking prenatal care or abortion. Sampling was based on ethnicity (Caucasian or Hispanic), education, religiosity, and NSFG intention status (intended, mistimed, or unwanted). Results: Five qualitative dimensions of pregnancy intendedness emerged: preconception desire for pregnancy, steps taken to prepare for pregnancy, fertility behavior and expectations, postconception desire for pregnancy, and adaptation to pregnancy and baby. The relationship of these qualitative dimensions to the NSFG categories was varied and complex, particularly for the NSFG mistimed category. Women indicated that their partners had a strong influence on preconception and postconception desire for pregnancy. Conclusion: Further research is needed to develop measures of pregnancy intendedness that accurately reflect the needs and priorities of women. Research that addresses male perspectives and influence is of particular importance.

Pregnancy unwanted pregnancy pregnancy attitudes 

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REFERENCES

  1. 1.
    Brown SS, Eisenberg L. The best intentions: Unintended pregnancy and the well-being of children and families. Washington, DC: National Academy Press, 1995.Google Scholar
  2. 2.
    Kaufmann RB, Morris L, Spitz AM. Comparison of two question sequences for assessing pregnancy intentions. Am J Epidemiol 1997;145:810–6.Google Scholar
  3. 3.
    Petersen R, Moos MK. Defining and measuring unintended pregnancy: Issues and concerns. Women's Health Issues 1997;6:234–40.Google Scholar
  4. 4.
    Fischer RC, Stanford JB, Jameson P, Dewitt MJ. Exploring the concepts of intended, planned, and wanted pregnancy. J Fam Pract 1999;48:117–22.Google Scholar
  5. 5.
    Marshall C, Rossman GB. Designing qualitative research, 2nd ed. Thousand Oaks, CA: Sage, 1995.Google Scholar
  6. 6.
    Rothe JP. Qualitative research: A practical guide. Toronto: RCI, 1993.Google Scholar
  7. 7.
    Qualitative Solutions and Research Pty Ltd. NUD*IST version 4.0, 1997.Google Scholar
  8. 8.
    Miller WB. Reproductive decisions: How we make them and how they make us. Adv Popul 1994;2:1–27.Google Scholar
  9. 9.
    Miller WB, Pasta DJ. Behavioral intentions: Which ones predict fertility behavior in married couples? J Appl Soc Psychol 1995;25:530–55.Google Scholar
  10. 10.
    Ajzen I. From intentions to actions: A theory of planned behavior. In: Kuhl J, Beckmann J, editors. Action control, from cognition to behavior. Berlin: Springer-Verlag, 1985: 11–39.Google Scholar
  11. 11.
    Moos MK, Petersen R, Meadows K, Melvin CL, Spitz AM. Pregnant women's perspective on intendedness of pregnancy. Women's Health Issues 1997;7:385–92.Google Scholar
  12. 12.
    Sable MR, et al. Pregnancy wantedness and adverse pregnancy outcomes: Differences by race and Medicaid status. Fam Plann Perspect 1997;29:76–81.Google Scholar
  13. 13.
    Sable MR, Wilkinson DS. Pregnancy intentions, pregnancy attitudes, and the use of prenatal care in Missouri. Matern Child Health J 1998;2:155–65.Google Scholar
  14. 14.
    Klerman LV, Pully L. Approaches to studying the intendedness of pregnancy in cycle 6 of the National Survey of Family Growth. A report prepared for the staff of the National Survey of Family Growth, National Center for Health Statistics, May 1999.Google Scholar

Copyright information

© Plenum Publishing Corporation 2000

Authors and Affiliations

  • Joseph B. Stanford
    • 1
  • Rachel Hobbs
    • 2
  • Penny Jameson
    • 3
  • M. Jann DeWitt
    • 3
  • Rachel C. Fischer
    • 4
  1. 1.Department of Family and Preventive MedicineUniversity of UtahSalt Lake City
  2. 2.School of MedicineUniversity of UtahSalt Lake City
  3. 3.Department of Family and Preventive MedicineUniversity of UtahSalt Lake City
  4. 4.Department of Hematology and OncologyUniversity of UtahSalt Lake City

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