Reviewer's report
Title:Prevalence And Determinants Of Unintended Pregnancy Among Pregnant
Woman Attending ANC At Gelemso General Hospital, Oromiya Region, East
Ethiopia: A Facility Based Cross-Sectional Study
Version:4Date:11 January 2016
Reviewer: Kirsten I Black
Reviewer's report:
The following are major revisions that require correcting before publication is
considered.
As a general comment the language has not been well edited and remains
awkward throughout and many of the suggested revisions have not been
addressed adequately.
Abstract
The following sentence needs rewriting “The level of unintended pregnancy and
its consequences in developing country including Ethiopia is high. “ Please
explain why the study is being done if the rate is known.
Methods “control for” confounding
Results
Suggest start second sentence with “The factors associated with unintended
pregnancy in multivariate analysis included single or widowed divorced
compared to married; having more than 3 children compared to having two or
less and women who had no awareness of contraception”
Conclusion
Again poorly written
The Prevalence of unintended pregnancy was found to be high in the study area.
Creating awareness of contraceptives both at community and institutional level
and making contraceptives accessible to all reproductive aged women were
recommended in order to reduce 49 rate of unintended pregnancy.
Introduction
The first sentence is awkward ..”and their families. They also places a huge
burden on in particular and to health sector’s resources and the public at large."
The information is repetitive and poorly structured.
The national reproductive health strategies of Ethiopia- surely it is one strategy?
Line 92 “stated”
Paragraph two is repetitive
Line 104 and 105: Incorrect grammar
Methods
The hospital has a catchment area
Line 120. Monthly x clients attend (not visits)
The way pregnancy intention was captured is still not defined in the text, although
the questionnaire has been supplied, Given that there are multiple ways of
measuring unintended pregnancy from a six item scale to a dichotomous yes/no
then this needs to be spelled out in the methods.
Results
Appreciation of the results is hampered by poor language throughout
Eg line 181 Majority of the mother, 309(74.8%), and their partners
182 252(61.0%) were not attended formal education
Line 200 All participants who had unintended pregnancy were asked the reason
why they get conceived.
Line 201-02 The most frequently mentioned reason for getting conceived was
found to be not considering self as fertile 70(62.5%) (Figure 1).
Discussion
The language remains awkward and not suitable for publication. There are
multiple grammatical errors throughout. There is inappropriate use of capitals in
some sentences and a failure to use capitals in others (eg china) in others. The
discussion still lacks depth. It mostly repeats the results.
An example is about high parity births. There is no discussion for example about
the role of immediate post-partum contraceptive programs in health facilities to
reduce unintended pregnancy. More detail about how services potentially
discriminate against women who are not married and how this might be
addressed.
The way the discussion is structured also needs attention as it should start with
presentation of the key findings.
Examples of language issues
Line 245 Women were asked how they get conceived with the fact they didn’t
intended to be pregnant.
Lines 255-257 The other possible reason might be due to the fact that those
women who
were not with their husband were less likely get access to contraceptives as they
feel shame to
receive contraceptive alongside married in union women.
Level of interest: An article of importance in its field
Quality of written English: Not suitable for publication unless extensively edited
Statistical review: No, the manuscript does not need to be seen by a statistician.
Declaration of competing interests:
I declare i have no competing interests