Abstract
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.