{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T20:46:17Z","timestamp":1785876377925,"version":"3.56.0"},"reference-count":30,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T00:00:00Z","timestamp":1770163200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009633","name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["K12-HD001265"],"award-info":[{"award-number":["K12-HD001265"]}],"id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","fertstert.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Fertility and Sterility"],"published-print":{"date-parts":[[2026,6]]},"DOI":"10.1016\/j.fertnstert.2026.01.031","type":"journal-article","created":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T00:19:19Z","timestamp":1770164359000},"page":"1100-1106","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Unplanned pregnancy and severe maternal morbidity"],"prefix":"10.1016","volume":"125","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0767-8984","authenticated-orcid":false,"given":"Alice","family":"Abernathy","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miatta","family":"Goba","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markolline","family":"Forkpa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesse","family":"Chittams","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sindhu K.","family":"Srinivas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunni L.","family":"Mumford","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Courtney A.","family":"Schreiber","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.fertnstert.2026.01.031_bib1","article-title":"Unintended pregnancy","year":"2024","journal-title":"Reprod. Health"},{"key":"10.1016\/j.fertnstert.2026.01.031_bib4","doi-asserted-by":"crossref","first-page":"678","DOI":"10.1097\/01.AOG.0000255666.78427.c5","article-title":"Pregnancy intention and its relationship to birth and maternal outcomes","volume":"109","author":"Mohllajee","year":"2007","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.fertnstert.2026.01.031_bib5","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1016\/j.contraception.2008.09.009","article-title":"Unintended pregnancy and associated maternal preconception, prenatal and postpartum behaviors","volume":"79","author":"Cheng","year":"2009","journal-title":"Contraception"},{"key":"10.1016\/j.fertnstert.2026.01.031_bib6","first-page":"513","article-title":"The influence of attitudes about unintended pregnancy on use of prenatal and postpartum care","volume":"20","author":"Hulsey","year":"2000","journal-title":"J Perinatol Off J Calif Perinat Assoc"},{"key":"10.1016\/j.fertnstert.2026.01.031_bib7","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1007\/s10995-009-0546-2","article-title":"Intention to become pregnant and low birth weight and preterm birth: a systematic review","volume":"15","author":"Shah","year":"2011","journal-title":"Matern Child Health J"},{"key":"10.1016\/j.fertnstert.2026.01.031_bib8","doi-asserted-by":"crossref","first-page":"1709","DOI":"10.2105\/AJPH.87.10.1709","article-title":"Unintended pregnancy and breast-feeding behavior","volume":"87","author":"Dye","year":"1997","journal-title":"Am J Public Health"},{"key":"10.1016\/j.fertnstert.2026.01.031_bib9","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1016\/j.ajog.2009.08.022","article-title":"Disparities in family planning","volume":"202","author":"Dehlendorf","year":"2010","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.fertnstert.2026.01.031_bib10","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1016\/j.socscimed.2004.05.007","article-title":"Understanding pregnancy in a population of inner-city women in New Orleans\u2014results of qualitative research","volume":"60","author":"Kendall","year":"2005","journal-title":"Soc Sci Med"},{"key":"10.1016\/j.fertnstert.2026.01.031_bib11","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1016\/j.contraception.2018.08.012","article-title":"Planned, unplanned and in-between: the meaning and context of pregnancy planning for young people","volume":"99","author":"Arteaga","year":"2019","journal-title":"Contraception"},{"key":"10.1016\/j.fertnstert.2026.01.031_bib13","doi-asserted-by":"crossref","DOI":"10.1016\/j.ajog.2020.01.026","article-title":"Reduction in racial disparities in severe maternal morbidity from hemorrhage in a large-scale quality improvement collaborative","volume":"223","author":"Main","year":"2020","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.fertnstert.2026.01.031_bib15","doi-asserted-by":"crossref","first-page":"S11","DOI":"10.7326\/M19-3253","article-title":"Association of maternal comorbidity with severe maternal morbidity: a cohort study of California mothers delivering between 1997 and 2014","volume":"173","author":"Main","year":"2020","journal-title":"Ann Intern Med"},{"key":"10.1016\/j.fertnstert.2026.01.031_bib16","doi-asserted-by":"crossref","first-page":"1228","DOI":"10.1097\/01.AOG.0000187894.71913.e8","article-title":"Preventability of pregnancy-related deaths: results of a state-wide review","volume":"106","author":"Berg","year":"2005","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.fertnstert.2026.01.031_bib17","doi-asserted-by":"crossref","first-page":"1075","DOI":"10.1097\/AOG.0b013e3181a09fc0","article-title":"Overview of maternal morbidity during hospitalization for labor and delivery in the United States: 1993\u20131997 and 2001\u20132005","volume":"113","author":"Berg","year":"2009","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.fertnstert.2026.01.031_bib18","doi-asserted-by":"crossref","DOI":"10.1016\/j.ajog.2013.11.039","article-title":"Racial and ethnic disparities in severe maternal morbidity: a multistate analysis, 2008-2010","volume":"210","author":"Creanga","year":"2014","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.fertnstert.2026.01.031_bib19","doi-asserted-by":"crossref","DOI":"10.5888\/pcd10.120203","article-title":"Prevalence of multiple chronic conditions among US adults: estimates from the national health interview survey, 2010","volume":"10","author":"Ward","year":"2013","journal-title":"Prev Chronic Dis"},{"key":"10.1016\/j.fertnstert.2026.01.031_bib20","doi-asserted-by":"crossref","first-page":"1319","DOI":"10.1097\/AOG.0000000000002357","article-title":"Disparities in chronic conditions among women hospitalized for delivery in the United States, 2005\u20132014","volume":"130","author":"Admon","year":"2017","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.fertnstert.2026.01.031_bib21","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1016\/j.contraception.2010.11.018","article-title":"Unintended pregnancy and postpartum contraceptive use in women with and without chronic medical disease who experienced a live birth","volume":"84","author":"Chor","year":"2011","journal-title":"Contraception"},{"key":"10.1016\/j.fertnstert.2026.01.031_bib22","doi-asserted-by":"crossref","DOI":"10.1016\/j.ajogmf.2021.100549","article-title":"Preconception care and severe maternal morbidity in the United States","volume":"4","author":"Dude","year":"2022","journal-title":"Am J Obstet Gynecol MFM"},{"key":"10.1016\/j.fertnstert.2026.01.031_bib23","doi-asserted-by":"crossref","DOI":"10.1016\/j.ajogmf.2024.101376","article-title":"Pregnancy planning, prevention, and risk evaluation clinics: rethinking the traditional preconception consult","volume":"6","author":"Dahl","year":"2024","journal-title":"Am J Obstet Gynecol MFM"},{"key":"10.1016\/j.fertnstert.2026.01.031_bib24","doi-asserted-by":"crossref","first-page":"B2","DOI":"10.1016\/j.ajog.2019.12.008","volume":"222","author":"Blackwell","year":"2020","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.fertnstert.2026.01.031_bib25","doi-asserted-by":"crossref","DOI":"10.1016\/j.ajog.2021.05.013","article-title":"Long and short interpregnancy intervals increase severe maternal morbidity","volume":"225","author":"Garg","year":"2021","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.fertnstert.2026.01.031_bib26","unstructured":"CDC. Identifying severe maternal morbidity (SMM) [Internet]. Matern. Infant Health. Available at: https:\/\/www.cdc.gov\/maternal-infant-health\/php\/severe-maternal-morbidity\/icd.html. Accessed January 26, 2026."},{"key":"10.1016\/j.fertnstert.2026.01.031_bib27","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1111\/j.1728-4465.2009.00192.x","article-title":"Toward a multidimensional measure of pregnancy intentions: evidence from the United States","volume":"40","author":"Santelli","year":"2009","journal-title":"Stud Fam Plann"},{"key":"10.1016\/j.fertnstert.2026.01.031_bib28","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1089\/jwh.2024.0859","article-title":"Inequitable screening for pregnancy intention by race, insurance, and site of care in two high-volume urban obstetric hospitals","volume":"34","author":"Abernathy","year":"2025","journal-title":"J Womens Health (Larchmt)"},{"key":"10.1016\/j.fertnstert.2026.01.031_bib29","doi-asserted-by":"crossref","first-page":"1486","DOI":"10.2105\/AJPH.84.9.1486","article-title":"The adequacy of prenatal care utilization index: its US distribution and association with low birthweight","volume":"84","author":"Kotelchuck","year":"1994","journal-title":"Am J Public Health"},{"key":"10.1016\/j.fertnstert.2026.01.031_bib30","doi-asserted-by":"crossref","first-page":"892","DOI":"10.1097\/AOG.0000000000004057","article-title":"Associations between comorbidities and severe maternal morbidity","volume":"136","author":"Brown","year":"2020","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.fertnstert.2026.01.031_bib31","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1007\/s10995-006-0138-3","article-title":"Circumstances of pregnancy: low income women in Georgia describe the difference between planned and unplanned pregnancies","volume":"11","author":"Lifflander","year":"2007","journal-title":"Matern Child Health J"},{"key":"10.1016\/j.fertnstert.2026.01.031_bib32","article-title":"Documentation of contraception and pregnancy Intention in medicaid managed care","volume":"5","author":"Thiel de Bocanegra","year":"2018","journal-title":"Health Serv Res Manag Epidemiol"},{"key":"10.1016\/j.fertnstert.2026.01.031_bib33","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1186\/s12978-023-01687-9","article-title":"Predictive ability of the desire to avoid pregnancy scale","volume":"20","author":"Hall","year":"2023","journal-title":"Reprod Health"},{"key":"10.1016\/j.fertnstert.2026.01.031_bib34","first-page":"167","article-title":"Desire to avoid pregnancy scale: clinical considerations and comparison with other questions about pregnancy preferences","volume":"49","author":"Hall","year":"2023","journal-title":"Br Med J Sex Reprod Health"}],"container-title":["Fertility and Sterility"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0015028226000610?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0015028226000610?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T20:05:18Z","timestamp":1785873918000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0015028226000610"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":30,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["S0015028226000610"],"URL":"https:\/\/doi.org\/10.1016\/j.fertnstert.2026.01.031","relation":{},"ISSN":["0015-0282"],"issn-type":[{"value":"0015-0282","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Unplanned pregnancy and severe maternal morbidity","name":"articletitle","label":"Article Title"},{"value":"Fertility and Sterility","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.fertnstert.2026.01.031","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a92026 The Authors. Published by Elsevier Inc. on behalf of the American Society for Reproductive Medicine.","name":"copyright","label":"Copyright"}]}}