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Apr 2018, Vol 6, Issue 2
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Original Article
The Factors Affecting Women's Decision Making about Unplanned Pregnancy: A Hierarchical Modeling Strategy
Neda Nikkhesal1, Roghaiyeh Nourizadeh2, Saeed Dastgiri3, Esmat Mehrabi2
1Department of midwifery, Faculty of Nursing and Midwifery, Tabriz, Iran
2Department of midwifery, Faculty of Nursing and Midwifery, Medical Science University, Tabriz, Iran
3Health Services Management Research Center. Medical Science University, Tabriz, Iran

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Keywords : Abortion, Decision making,Unplanned, Unwanted, Unintended Pregnancy
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Objectives: Many women experience unplanned pregnancies in their life and have to make the critical decision of whether to abort or continue their pregnancy. The present study was aimed to assess the factors affecting their decision making about unplanned pregnancies.

 Materials and Methods: The present prospective study was conducted on 230 women with unplanned pregnancy who were selected through sequential sampling, including 80 women who had decided to abort and 150 who had decided to continue their unplanned pregnancy, and referring to health complexes and centers and obstetrics, midwifery offices in Tabriz, Iran, in 2017. Data were collected through perceived threats, support and beliefs and values questionnaires and were analyzed using the t-test and the logistic regression with a hierarchical modeling strategy analysis.

Results: According to the results, the mean score of perceived threats (40.02±5.5), perceived support (23.09±2.8) and beliefs and values (18.12±3.2) were significantly higher in the abortion group compared to the continuation group (19±3.3, 21.04±3.05 and 11.2±4.3; P<0.001). The results of the hierarchical modeling strategy showed that the perceived threats of the continuation of pregnancy had the greatest predictive power for the decision to abort (β=1.12; 95% CI: 1.08-1.17; P<0.001).

Conclusion: The results showed that women's decision about the outcome of unplanned pregnancy is potentially affected by three groups of reasons, including perceived threats, support and beliefs and values. Indeed, understanding about these factors provide a broad picture of the situations effecting women's decision-making. This finding suggests the need for planning and implementing counseling interventions based on the above mentioned factors, especially the identification of perceived threats and providing appropriate strategies to remove these threats in women have to make such critical decision in their life.

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