London Measure of Unplanned Pregnancy, Krio Translation for Sierra Leone (Brima et al., 2019) (Barrett et al., 2004)

Pregrenancy planning, intentionality around pregnancy in individuals who either are or recently have been pregnant. 6 Items, age 15-42
  • Populations: Adolescents and Adults
  • Age ranges: 15 - 42
  • Languages: Amharic, Arabic, Chichewa, Dutch/Flemish, English (Australia), English (USA), Spanish, Hindi, Krio, Luganda, Achoil, Lugisu, Runyakole, Persian, Portugese (Brazil), Portugese (Mosambique), Sinhala/Sinhalese, Tamil, Kannada, Turkish, Urdu
  • Countries: Australia; Belgium; Brazil; Ethiopia; India; Iran; Malawi; Mozambique; Pakistan; Saudi Arabia; Sierra Leone; Sri Lanka; Turkey; Uganda; United Kingdom; United States

Items

Items (reported in Karp et al., (2023))

Item 1 (Contraception)
In the month that you became pregnant, you:
2) not using contraception 
1) were using contraception, but not on every occasion
1) always used contraception, but knew that the method
had failed at least once
0) always used contraception

Item 2 (Timing)
In terms of becoming a mother (first time or again), you feel that your pregnancy happened at the:
2) Right time
1) OK, but not quite right time
0) Wrong time

Item 3 (Intention)
Just before you became pregnant:
2) You intended to get pregnant 
1) Your intentions kept changing 
0) You did not intend to get pregnant

Item 4 (Desire)
Just before you became pregnant:
2) You wanted to have a baby
1) You had mixed feelings about having a baby
0) You did not want to have a baby

Item 5 (Partner)
Before you became pregnant, you and your partner:
2) Agreed for you to get pregnant
1) Discussed having children together, but hadn’t agreed for you to get pregnant
0) Never discussed having children together

Item 6 (Preparation)
Before you became pregnant, did you do any of the following in preparation for pregnancy: took folic acid/vitamins; ate more healthily; sought medical/health advice; saved money for healthcare; did none of the above.
2) Did two or more preparatory lifestyle changes
1) Did one preparatory lifestyle changes
0) No preparatory lifestyle changes

Scoring

“The answers to those questions are converted into a total score from zero to 12, with 0 meaning most unplanned and 12 most planned. The range of LMUP scores from one to twelve was captured in the field test (see Figure 1). The median score was seven.” (Brima et al., 2019)

 

Citations

Brima, N., Samba, T. T., Yamba, A., Barrett, G., Stephenson, J., & Hall, J. (n.d.). Evaluation of the Krio Language Version of the London Measure of Unplanned Pregnancy in Western Area, Sierra Leone.

 

Barrett G, Smith SC, Wellings K. 2004 Conceptualisation, development and evaluation of a measure of unplanned pregnancy Journal of Epidemiology and Community Health 58:426-433

 

Karp, C., Moreau, C., Shiferaw, S., Seme, A., Yihdego, M., & Zimmerman, L. A. (2023). Evaluation of the London Measure of Unplanned Pregnancy (LMUP) among a nationally representative sample of pregnant and postpartum women Ethiopia. Contraception: X, 5, 100094. https://doi.org/10.1016/j.conx.2023.100094

 

All below citations taken from https://www.lmup.org.uk/pubs.htm

  • Rocca CH, Krishnan S, Barrett G, and Wilson M. 2010 Measuring pregnancy planning: an assessment of the London Measure of Unplanned Pregnancy among urban, south Indian women. Demographic Research 23(11):293-334 Abstract and full pdf Further Information
  • Morof D, Steinauer J, Haider S, Liu S, Darney P, Barrett G. 2009 Evaluation of the reliability and validity of the London Measure of Unplanned Pregnancy in a U.S. population of women. International Journal of Gynecology and Obstetrics Vol.107 Supplement 2 p.S275 journal page Further Information
  • Morof D, Steinauer J, Haider S, Liu S, Darney P, Barrett G. 2012 Evaluation of the London Measure of Unplanned Pregnancy in the a United States population of women. PloS One 7(4) Article number e35381 Abstract and full pdf Further Information
  • Hall J, Barrett G, Mbwana N, Copas A, Malata A, Stephenson J. 2013 Understanding pregnancy planning in a low-income country setting: validation of the London measure of unplanned pregnancy in Malawi BMC Pregnancy and Childbirth 13:200 Abstract and full pdf Further Information
  • Roshanaei S, Shaghaghi A, Jafarabadi MA, and Kousha A. 2015 Measuring unintended pregnancies in postpartum Iranian women: validation of the London Measure of Unplanned Pregnancy Eastern Mediterranean Health Journal 21(8):572-578 Abstract and full text Further information
  • Borges ALV, Barrett G, dos Santos OA, Nascimento NC, Cavalhieri FB, Fujimori E. 2016 Evaluation of the psychometric properties of the London Measure of Unplanned Pregnancy in Brazilian Portuguese BMC Pregnancy and Childbirth 16:244 Abstract and full pdf Further information
  • Habib MA, Raynes-Greenow C, Nausheen S, Soofi SB, Sajid M, Bhutta ZA, Black K. 2017 Prevalence and determinants of unintended pregnancies amongst women attending antenatal clinics in Pakistan BMC Pregnancy and Childbirth 17:156 Abstract and full pdf Further information
  • Almaghaslah E, Rochat R, Farhat G. 2017 Validation of a pregnancy planning measure for Arabic-speaking women PloS ONE 12(10): e0185433 Abstract and full pdf Further information
  • Goossens J, Verhaeghe S, Van Hecke A, Barrett G, Delbaere I, Beeckman D. 2018 Psychometric properties of the Dutch version of the London Measure of Unplanned Pregnancy in women with pregnancies ending in birth PloS ONE 13(4): e0194033 Abstract and full pdf Further information
  • Yeatman S, Smith-Greenaway E. 2018 Birth planning and women’s and men’s health in Malawi Studies in Family Planning 43;3:213-235 Abstract
  • Lang AY, Hall JA, Harrison CL, Teede H, Moran LJ, Barrett G. 2019 Validation of the London Measure of Unplanned Pregnancy among pregnant Australian women PLoS ONE 14(8): e0220774 Abstract and full text Further information
  • Bukenya JN, Nalwadda CK, Neema S, Kyambadde P, Wanyenze RK, Barrett G. 2019 Pregnancy planning among female sex workers: evaluation of the psychometric properties of the London Measure of Unplanned Pregnancy African Journal of Reproductive Health 23;3:79-95 Abstract and full pdf Further information
  • Brima N, Samba TT, Yamba A, Barrett G, Stephenson J, Hall J. 2019 Evaluation of the Krio language version of the London Measure of Unplanned Pregnancy in Western Area, Sierra Leone African Journal of Reproductive Health 23(4):81-91 Abstract and full pdf
  • Ranatunga IDJC, Jayaratne K. 2020 Proportion of unplanned pregnancies, their determinants and health outcomes of women delivering at a teaching hospital in Sri Lanka BMC Pregnancy and Childbirth 20:667 Abstract and full pdf
  • Altiparmak S, Yilmaz AN, Derya YA. 2021 The Turkish validity and reliability study of the London Measure of Unplanned Pregnancy Journal of Obstetrics and Gynaecology Research 47;4:1362-1370 Abstract Further Information
  • Hall JA, Stephenson J, Barrett G, 2021 Evaluating the Chichewa version of the London Measure of Unplanned Pregnancy in Malawi: a validation update BMC Research Notes 14:231 Abstract and full pdf Further Information
  • Das S, Hall J, Barrett G, Osrin D, Kapadia S, Jayaraman A. 2021 Evaluation of the Hindi version of the London Measure of Unplanned Pregnancy among pregnant and postnatal women in urban India BMC Pregnancy and Childbirth 21:602 Abstract and full pdf Further Information
  • Muleva BR, Borges ALV, Hall JA, Barrett G. 2022 Evaluation of the Portuguese version of the London Measure of Unplanned Pregnancy in Mozambique: a psychometric measurement study African Journal of Reproductive Health 26;2:47-57 Abstract and full pdf Further Information
  • Olani AB, Bekelcho T, Woldemeskel A, Tefera K, Eyob D. 2022 Evaluation of the Amharic version of the London Measure of Unplanned Pregnancy in Ethiopia PloS ONE 17(6): e0269781 Abstract and full pdf Further Information
  • Karp C, Moreau C, Shiferaw S, Seme A, Yihdego M, Zimmerman LA. 2023 Evaluation of the London Measure of Unplanned Pregnancy (LMUP) among a nationally representative sample of pregnant and postpartum women Ethiopia Contraception X 5:100094

Team comments

Please see this link for numerous translations of LMUP:

 

https://www.lmup.org.uk/versions.htm

Scoring breakdown

Measure development

  • Significant design input from young people
  • Cognitive interviews with young people
  • Expert input

Validity

  • Green: Face validity
  • Green: Convergent validity
  • Green: Construct validity

Reliability

  • Green: Internal consistency
  • Green: Test-retest

Ease of use

  • Green: Readability

Definitions

Face validity: How well a measure appears to represent the construct it is supposed to be measuring.

Convergent validity: How well a measure correlates with other hypothetically-related measures.

Construct validity: The extent to which a measure reflects the construct it was designed to evaluate.

Internal consistency: The extent to which items in a scale capture aspects of the same construct.

Test-retest: The degree to which measurement scores are consistent over a short period of time (usually 2 weeks).

Readability: The ease with which a reader can understand the questionnaire items.

Key

  • Green: Meets validation criteria
  • Red: Does not meet validation criteria
  • Unknown: Evidence not available

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