Prevalence and predictors of unintended pregnancy among antenatal women in Sierra Leone: A cross-sectional study.

ABSTRACT: Unintended pregnancy remains a major contributor to adverse maternal and child health outcomes in sub-Saharan Africa, yet recent facility-based data from Sierra Leone are scarce. We aimed to determine the prevalence and identify factors associated with unintended pregnancies among antenatal clinic attendees at a major tertiary maternity hospital in Sierra Leone. We surveyed 1005 first-visit antenatal attendees at Princess Christian Maternity Hospital in Freetown between 19 March and 30 June 2024, using systematic sampling and multivariable logistic regression to identify independent predictors. Overall, 31.8% of women (95% CI 29.0 - 34.7) reported the current pregnancy as unintended; most were mistimed (30.0%) and the remainder unwanted (1.8%). Higher odds of unintended pregnancy were obse

SUBMITTER: Kanu A 

PROVIDER: S-EPMC12373229 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature