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已发表论文
意外怀孕中的认知与分娩决策：一项定性研究
Authors Qiu D, Zou Y, Xiong H, Huang J, Geng L, Zhai J
Received 25 June 2025
Accepted for publication 17 October 2025
Published 5 December 2025 Volume 2025:17 Pages 5181—5193
DOI https://doi.org/10.2147/IJWH.S546376
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Professor Elie Al-Chaer
Dan Qiu,1,* Yinting Zou,2,* Haiyan Xiong,2 Jingyi Huang,1 Lingling Geng,1 Jinguo Zhai3
1DongGuan Maternal and Child Health Care Hospital, Dongguan, 523057, People’s Republic of China; 2School of Nursing, Guangdong Maoming Health Vocational College, Maoming, 525400, People’s Republic of China; 3School of Nursing, Southern Medical University, Guangzhou, 510515, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Jinguo Zhai, School of Nursing, Southern Medical University, Guangzhou, 510515, People’s Republic of China, Tel +8618620287620, Email helenjxzhai@gmail.com
Introduction: It’s estimated that about 121 million unintended pregnancies occur worldwide every year, which has significant impacts on individuals, families, and society. It’s important to explore the factors influencing the childbirth decision in these women, thereby informing midwifery practice.
Methods: A qualitative study was performed on women with unintended pregnancies via focus group discussion. The thematic analysis was guided by the theory of planned behavior. Data were analyzed using a combination of deductive and inductive content analysis.
Results: The analysis revealed three main themes and several subthemes: attitudes toward behavior (changes in fertility concepts, impact of fertility policies, conflicts in women’s roles), subjective norms (influence from friends, family, societal attitudes towards fertility), and perceived behavioral control (health-related pregnancy factors, pressures of child-rearing responsibilities, concerns about family, workplace support).
Discussion: Women are eager to make informed decisions regarding unintended pregnancies. A collaborative effort from society, healthcare providers, and families is essential to support these women in making appropriate decisions. Healthcare providers hold a pivotal role in caring for pregnant women. Additional studies are required to assess and integrate strategies within healthcare practice.
Trial Registration: The study received the approval from the Ethics Committee at Dongguan Maternal and Child Health Care Hospital (No. 2024– 14) on 12 April 2024.
Keywords: unintended pregnancy, decision-making, reproductive health, midwifery practice
1DongGuan Maternal and Child Health Care Hospital, Dongguan, 523057, People’s Republic of China; 2School of Nursing, Guangdong Maoming Health Vocational College, Maoming, 525400, People’s Republic of China; 3School of Nursing, Southern Medical University, Guangzhou, 510515, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Jinguo Zhai, School of Nursing, Southern Medical University, Guangzhou, 510515, People’s Republic of China, Tel +8618620287620, Email helenjxzhai@gmail.com
Introduction: It’s estimated that about 121 million unintended pregnancies occur worldwide every year, which has significant impacts on individuals, families, and society. It’s important to explore the factors influencing the childbirth decision in these women, thereby informing midwifery practice.
Methods: A qualitative study was performed on women with unintended pregnancies via focus group discussion. The thematic analysis was guided by the theory of planned behavior. Data were analyzed using a combination of deductive and inductive content analysis.
Results: The analysis revealed three main themes and several subthemes: attitudes toward behavior (changes in fertility concepts, impact of fertility policies, conflicts in women’s roles), subjective norms (influence from friends, family, societal attitudes towards fertility), and perceived behavioral control (health-related pregnancy factors, pressures of child-rearing responsibilities, concerns about family, workplace support).
Discussion: Women are eager to make informed decisions regarding unintended pregnancies. A collaborative effort from society, healthcare providers, and families is essential to support these women in making appropriate decisions. Healthcare providers hold a pivotal role in caring for pregnant women. Additional studies are required to assess and integrate strategies within healthcare practice.
Trial Registration: The study received the approval from the Ethics Committee at Dongguan Maternal and Child Health Care Hospital (No. 2024– 14) on 12 April 2024.
Keywords: unintended pregnancy, decision-making, reproductive health, midwifery practice