TITLE

Time-to-pregnancy and pregnancy outcomes in a South African population

AUTHOR(S)
Bello, Braimoh; Kielkowski, Danuta; Heederik, Dick; Wilson, Kerry
PUB. DATE
January 2010
SOURCE
BMC Public Health;2010, Vol. 10, p565
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Time-to-pregnancy (TTP) has never been studied in an African setting and there are no data on the rates of adverse pregnancy outcomes in South Africa. The study objectives were to measure TTP and the rates of adverse pregnancy outcomes in South Africa, and to determine the reliability of the questionnaire tool. Methods: The study was cross-sectional and applied systematic stratified sampling to obtain a representative sample of reproductive age women for a South African population. Data on socio-demographic, work, health and reproductive variables were collected on 1121 women using a standardized questionnaire. A small number (n = 73) of randomly selected questionnaires was repeated to determine reliability of the questionnaire. Data was described using simple summary statistics while Kappa and intra-class correlation statistics were calculated for reliability. Results: Of the 1121 women, 47 (4.2%) had never been pregnant. Mean gravidity was 2.3 while mean parity was 2.0 There were a total of 2467 pregnancies; most (87%) resulted in live births, 9.5% in spontaneous abortion and 2.2% in still births. The proportion of planned pregnancies was 39% and the median TTP was 6 months. The reliability of the questionnaire for TTP data was good; 63% for all participants and 97% when censored at 14 months. Overall reliability of reporting adverse pregnancy outcomes was very high, ranging from 90 - 98% for most outcomes. Conclusion: This is the first comprehensive population-based reproductive health study in South Africa, to describe the biologic fertility of the population, and provides rates for planned pregnancies and adverse pregnancy outcomes. The reliability of the study questionnaire was substantial, with most outcomes within 70 - 100% reliability index. The study provides important public information for health practitioners and researchers in reproductive health. It also highlights the need for public health intervention programmes and epidemiological research on biologic fertility and adverse pregnancy outcomes in the population.
ACCESSION #
55091970

 

Related Articles

  • Methodologic issues in the design and analysis of epidemiologic studies of pregnancy outcome. Savitz, David A.; Dole, Nancy; Herring, Amy H. // Statistical Methods in Medical Research;Apr2006, Vol. 15 Issue 2, p93 

    Using epidemiology to elucidate the causes of adverse pregnancy outcomes offers unique opportunities and poses distinctive challenges. The context of pregnancy includes contraception and planning, medical interventions altering the natural history, and the tendency for selective participation in...

  • Emergency contraception. Masson, Clifford // InnovAiT;Mar2011, Vol. 4 Issue 3, p130 

    Unintended pregnancy is a major public health issue with around 53 million abortions being performed worldwide each year. An estimated 40% of all pregnancies are unplanned and 60% of these end in abortion. Rates of unplanned pregnancy and abortion remain high in the UK compared with other...

  • Pharmacy Access Partnership Shocked by FDA's Decision: Denial of Over-the-Counter Status for Emergency Contraception Is Public Health Setback; California Continues to Provide...  // Ascribe Newswire: Medicine;5/24/2004, p8 

    The Pharmacy Access Partnership, a center of the U.S. Public Health Institute, decries the FDA's decision today to deny over-the-counter status to Emergency Contraception (EC), sold under the brand name Plan B. Sometimes called the morning after pill, emergency contraception is an oral...

  • California's teen pregnancy decline.  // Contemporary Sexuality;May2003, Vol. 37 Issue 5, p10 

    The article focuses on the teenage pregnancy rate in California, which has dropped 40 percent over the past decade. The Public Health Institute reported 72000 births to teenage girls between 15 and 19 in 1991, a number that plummeted to 54,000 in 2001. The stale's ranking for teen births dropped...

  • California Family PACT Program, 1997-1998 and Estimating Prevented Pregnancies.  // Fertility Weekly;9/27/2004, p8 

    Discusses a study about the effectiveness of the Family Planning, Access, Care and Treatment (PACT) Program in preventing pregnancies in low income women in California, by Diana Greene Foster and colleagues, published in a 2004 issue of "American Journal of Public Health." Estimated pregnancies...

  • Contraceptive Failure Rates: New Estimates From the 1995 National Survey of Family Growth. Fu, Haishan; Darroch, Jacqueline E.; Haas, Taylor; Ranjit, Nalini // Family Planning Perspectives;Mar/Apr99, Vol. 31 Issue 2, p56 

    Context: Unintended pregnancy remains a major public health concern in the United States. Information on pregnancy rates among contraceptive users is needed to guide medical professionals' recommendations and individuals' choices of contraceptive methods. Methods: Data were taken from the 1995...

  • SOCIODEMOGRAPHIC DETERMINANTS OF ABORTION IN THE UNITED STATES. Eve Powell-Griner; Trent, Katherine // Demography;Nov1987, Vol. 24 Issue 4, p553 

    Abortion is a public health issue characterized by a history of controversy. Although abortion studies have been conducted for many years, lack of data has prevented multivariate analyses of covariates of abortion, and it has not been possible to address important questions concerning the net...

  • Emergency contraception in Latin America and the Caribbean. Martin, Antonieta // Revista Panamericana de Salud Publica;Dec2004, Vol. 16 Issue 6, p424 

    Introducing the post-coital birth control method in the family-planning services of Latin American countries has not been an easy task. Catholic and other conservative groups with great influence in the political arena have time and again stopped it from being adopted as an alternative method...

  • Hormonal Contraception Update. David, Paru S.; Boatwright, Elizabeth A.; Tozer, Beverly S.; Verma, Deepa P.; Blair, Janis E.; Mayer, Anita P.; Files, Julia A. // Mayo Clinic Proceedings;Jul2006, Vol. 81 Issue 7, p949 

    Unintended pregnancy continues to be a serious public health issue in the United States. Of the 3 million unplanned pregnancies per year, 60% occur in women using some form of contraception. Educating and helping women choose a contraceptive agent that best suits their needs will improve...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics