The effect of pregnancy intention on child development

Joyce, Ted; Kaestner, Robert; Korenman, Sanders

doi:10.2307/2648098

Cited by 176 publications

(181 citation statements)

References 17 publications

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“…24 Data from 3,000 American families when the subjects were between 4 and 13 years of age, showed that unwanted pregnancy did not have significant effects on infant health or early child development. This was similar to the findings of a review of local health clinic records and other observations when the Prague subjects were of a similar age.…”

Section: Siblingsmentioning

confidence: 99%

Born Unwanted, 35 Years Later: The Prague Study

David¹

2006

Reproductive Health Matters

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Section: Siblingsmentioning

confidence: 99%

Born Unwanted, 35 Years Later: The Prague Study

David¹

2006

Reproductive Health Matters

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“…The large majority of the research focused on unintended pregnancies has attempted to document the effects of pregnancy intention on the health and development of infants and children-with poorer comparative outcomes found among children resulting from unintended pregnancies. [12][13][14][15][16][17][18][19][20] The literature exploring the effect on the well-being of women who continue these unintended pregnancies to term is comparatively thin. Gipson et al highlighted the "scarcity of studies on the effects of unintended pregnancy on the physical and mental health of men and women."…”

mentioning

confidence: 99%

The Implications of Unintended Pregnancies for Mental Health in Later Life

et al. 2016

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Despite decades of research on unintended pregnancies, we know little about the health implications for the women who experience them. Moreover, no study has examined the implications for women whose pregnancies occurred before Roe v. Wade was decided-nor whether the mental health consequences of these unintended pregnancies continue into later life. Using the Wisconsin Longitudinal Study, a 60-year ongoing survey, we examined associations between unwanted and mistimed pregnancies and mental health in later life, controlling for factors such as early life socioeconomic conditions, adolescent IQ, and personality. We found that in this cohort of mostly married and White women, who completed their pregnancies before the legalization of abortion, unwanted pregnancies were strongly associated with poorer mental health outcomes in later life. (Am J Public Health. 2016;106:421-429. doi: 10.2105106:421-429. doi: 10. /AJPH.2015 B ecause of its prevalence, potential consequences, and political salience, unintended pregnancy has been a source of significant research and policy concern for decades. Current estimates indicate that half (51%) of all US pregnancies are unintended, 1 and North America is the only region of the world in which rates have not declined in the past decade.2 Strikingly, however, although a robust literature documents the well-being repercussions for women who terminate pregnancies, as well as the consequences for the well-being of children who result from unplanned pregnancies, we know relatively little about the ramifications for the wellbeing of women who continue unplanned pregnancies to term. Having a child and raising that child are key events in the life course. What are the long-term mental health implications for mothers who bear children resulting from unplanned pregnancies? Furthermore, do these implications differ according to whether the pregnancy was simply mistimed or unwanted altogether?We addressed 2 key limitations of the research. First, the few previous investigations of pregnancy intention and mental health have focused on births that occurred after Roe v. Wade (1973). Because 40% of unintended pregnancies are terminated, 1 women who carried these children to term after Roe v. Wade are different-and potentially different in ways that confound the relationship between unintended pregnancies and mental health outcomes.Second, the studies have focused on the link between unintended pregnancies and mothers' mental health outcomes only when the children that resulted from these pregnancies were relatively young. We don't know if this influence on mental health is sustained into midlife. A large body of life course research shows how early life course experiences, such as poverty and family conflict, have independent and long-ranging effects on mental health in mid and later life.3-7 More generally, we do know that children influence parental outcomes long after they become adults. 8 Consequently, having and raising a child of an unwanted pregnancy may result in similar long-lasting e...

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“…Vários estudos apontam que crianças frutos de uma gestação não planejada teriam maior probabilidade de apresentar dificuldades quanto ao seu desenvolvimento 10,11,[13][14][15][16] . Contudo, a originalidade deste estudo constitui-se na discriminação de dois grupos diferentes, indicando um risco maior quando além de não planejada a gravidez não é aceita até o quarto mês.…”

Section: Discussionunclassified

A não aceitação da gravidez e o desenvolvimento de crianças com quatro anos de idade no bairro Vila Jardim, Porto Alegre, Rio Grande do Sul, Brasil

Marin

Falceto

Collares

et al. 2012

Rev Bras Med Fam Comunidade

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ResumoObjetivo: investigar como a gravidez não planejada e não aceita pode afetar o desenvolvimento da criança e quais os fatores sociodemográficos, das relações familiares e da rede social que podem interagir nessa relação. Método: participaram 82 mulheres que não planejaram a gestação, parte de um estudo longitudinal que incluiu todas as famílias do Bairro Vila Jardim de Porto Alegre, que tiveram filhos em hospital público entre novembro de 1998 e dezembro de 1999. Estas foram divididas em dois grupos: 73 mulheres que aceitaram a gestação até o quarto mês e nove delas que não a aceitaram. As participantes foram entrevistadas sobre: a gravidez e o parto, o relacionamento do casal e o impacto do nascimento da criança tanto para as suas vidas como para a dos pais da criança e famílias de origem. O desenvolvimento das crianças aos quatro anos foi avaliado pelo Teste de Denver II. Resultados: encontrou-se uma diferença significativa entre os grupos, demonstrando que os filhos de mães que não aceitaram a gestação apresentam maiores dificuldades de desenvolvimento da linguagem e da coordenação motora fina em relação às crianças cujas gestações foram aceitas até o quarto mês. Destaca-se que o grupo de mães que não aceitou a gestação apresentou problemas conjugais de moderados a graves e maior número de filhos. Conclusões: as crianças cuja gestação não foi aceita têm maiores riscos de apresentarem problemas de desenvolvimento, quando comparadas com aquelas fruto de gestações não planejadas, mas aceitas até o quarto mês. Esse achado salienta a importância de os profissionais de saúde identificarem durante o pré-natal a aceitação ou não da gestação, visto que este fator, assim como a qualidade da relação conjugal e o número de filhos, está associado com as dificuldades de desenvolvimento da criança, sendo sensível a intervenções terapêuticas e/ou programas de prevenção.

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The effect of pregnancy intention on child development

Cited by 176 publications

References 17 publications

Born Unwanted, 35 Years Later: The Prague Study

Born Unwanted, 35 Years Later: The Prague Study

The Implications of Unintended Pregnancies for Mental Health in Later Life

A não aceitação da gravidez e o desenvolvimento de crianças com quatro anos de idade no bairro Vila Jardim, Porto Alegre, Rio Grande do Sul, Brasil

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