Risk factors and trends analysis of unwanted pregnancy in Indonesia

Unwanted pregnancy has serious and adverse health, social, and economic impacts, as well as the risk of maternal and child mortality. In Indonesia, unwanted pregnancy is one of the most troubling public health problems and a major reproductive health problem. The sample consisted of 2002 (12,612), 2007 (14,471), 2012 (14,212), and 2017 (8,838), so the total sample was 50,233 couples of childbearing age by random sample method. This study was analyzed using logistic regression analysis. Unintended pregnancies were associated with maternal age, age at first marriage, number of children, maternal education, contraceptive use, contraceptive failure, residence, and the interval between pregnancies. Unwanted pregnancies at the mother's vulnerable age have increased over the past 10 years and decreased after entering the last 5 years, tend to be stable and constant at the age of first marriage. About one and a half women in Indonesia encounter unwanted pregnancies. Unwanted pregnancies fluctuate over 20 years. Women, especially the most vulnerable should be empowered to avoid unwanted pregnancies for their awareness and independence. Programs to expand access and quality of information and counseling centers, access and quality of women's health services, and specific reproductive health services as needed.