Background: Unintended pregnancy is a major public health issue in developed and
developing countries. Unintended pregnancies may be mistimed or unwanted. It had
multiple risky health outcomes. Aim: The study was aimed to assess the associated factors
and outcomes of unintended pregnancy among pregnant women. Subjects and Method:
The study followed a descriptive cross sectional design on 365 pregnant women with
unintended pregnancy who were chosen by convenient sample technique. Setting: The
study was conducted at governmental hospitals in EL-Mansoura City, Egypt including: The
antenatal clinics of Obstetric and Gynecological specialty Center at EL-Mansoura
University Hospitals, Old General Hospital and Mansoura International Hospital. Tools of
data collection: Data were collected by using structured Interviewing Questionnaire.
Results: Age, higher family size, lower family income, gravidity, parity, number of children
and birth spacing were significantly associated with unintended pregnancy. Also, (70.7%)
of the studied women were used family planning method before pregnancy occurred, while
(29.3%) were not using or discontinued contraception. More than half (60%) of studied
women were not attended antenatal follow up regularly with (56.8%) attended antenatal
follow up only once. Conclusion and Recommendations: Age, higher family size,
gravidity, parity, number of children and birth spacing were the most important predictors
of unintended pregnancy. It is recommended to develop educational programs and
campaigns especially for rural areas to improve awareness regarding family planning.
Keyword: Unintended pregnancy, prevalence, contraception, outcomes.