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Child Indicators Research

, Volume 8, Issue 2, pp 389–402 | Cite as

Outcomes for Children and Families Following Unplanned Pregnancy: Findings from a Longitudinal Birth Cohort

  • Joseph M. BodenEmail author
  • David M. Fergusson
  • L. John Horwood
Article

Abstract

This study examined the associations between a measure of unplanned pregnancy and outcomes related to family socioeconomic conditions, family functioning, parent–child relationships, and child educational and behavior outcomes in a New Zealand birth cohort studied to 18 years. Associations were modelled between a measure of pregnancy planning (planned; unplanned) and 12 outcomes using multiple regression, negative binomial regression and logistic regression. The associations were adjusted for a series of factors related to parental characteristics, birth family characteristics, and maternal family background. After adjustment for sources of confounding, there were statistically significant (p < 0.05) and marginally significant (p < 0.10) associations between pregnancy planning and: family socioeconomic outcomes; family functioning; and measures of parent–child relationship quality. Estimates of Cohen’s d ranged from 0.12 to 0.38, with a median value of 0.16, suggesting relatively weak associations after adjustment. Adjustment for confounding reduced the magnitude of the association between pregnancy planning and achieving secondary school qualifications, and between pregnancy planning and childhood conduct problems to statistical non-significance. The results suggest that even after accounting for potential sources of confounding, unplanned pregnancy was related to modest increases in the risk of adverse family socioeconomic outcomes, family dysfunction, and poorer parent–child relationship outcomes. Programs designed to reduce the incidence of unplanned pregnancy may help to reduce risks in these areas for families and children.

Keywords

Unplanned pregnancy Family socioeconomic outcomes Family functioning Parent–child relationships Child behavior Education Longitudinal study 

Supplementary material

12187_2014_9241_MOESM1_ESM.docx (27 kb)
ESM 1 (DOCX 27.4 kb)

References

  1. Armsden, G. C., & Greenberg, M. T. (1987). The inventory of parent and peer attachment: individual differences and their relationship to psychological well-being in adolescence. Journal of Youth and Adolescence, 16, 427–454.CrossRefGoogle Scholar
  2. Barber, J. S., Axinn, W. G., & Thornton, A. (1999). Unwanted childbearing, health, and mother-child relationships. Journal of Health and Social Behavior, 40(3), 231–257.CrossRefGoogle Scholar
  3. Baydar, N. (1995). Consequences for children of their birth planning status. Family Planning Perspectives, 27(6), 228–245. doi: 10.2307/2136174.CrossRefGoogle Scholar
  4. Brown, S. S., & Eisenberg, L. (Eds.). (1995). The best intentions: Unintended pregnancy and the well-being of children and families. Washington, DC: National Academy Press.Google Scholar
  5. Cheng, D., Schwarz, E. B., Douglas, E., & Horon, I. (2009). Unintended pregnancy and associated maternal preconception, prenatal and postpartum behaviors. Contraception, 79(3), 194–198. doi: 10.1016/j.contraception.2008.09.009.CrossRefGoogle Scholar
  6. Conners, C. K. (1969). A teacher rating scale for use in drug studies with children. American Journal of Psychiatry, 126, 884–888.CrossRefGoogle Scholar
  7. Conners, C. K. (1970). Symptom patterns in hyperkinetic, neurotic and normal children. Child Development, 41, 667–682.CrossRefGoogle Scholar
  8. Crissey, S. (2005). Effect of pregnancy intention on child well-being and development: combining retrospective reports of attitude and contraceptive use. Population Research and Policy Review, 24(6), 593–615. doi: 10.1007/s11113-005-5734-1.CrossRefGoogle Scholar
  9. David, H. P. (2006). Born unwanted, 35 years later: the prague study. Reproductive Health Matters, 14(27), 181–190. doi: 10.1016/S0968-8080(06)27219-7.CrossRefGoogle Scholar
  10. Elley, W. B., & Irving, J. C. (1976). Revised socioeconomic index for New Zealand. New Zealand Journal of Educational Studies, 11, 25–36.Google Scholar
  11. Fergusson, D. M., & Horwood, L. J. (2001). The Christchurch Health and Development Study: review of findings on child and adolescent mental health. Australian and New Zealand Journal of Psychiatry, 35(3), 287–296. doi: 10.1046/j.1440-1614.2001.00902.x.CrossRefGoogle Scholar
  12. Fergusson, D. M., & Lynskey, M. T. (1997). Physical punishment/maltreatment during childhood and adjustment in young adulthood. Child Abuse and Neglect, 21(7), 617–630.CrossRefGoogle Scholar
  13. Fergusson, D. M., Horwood, L. J., Shannon, F. T., & Lawton, J. M. (1989). The Christchurch Child Development Study: a review of epidemiological findings. Paediatric and Perinatal Epidemiology, 3(3), 278–301. doi: 10.1111/j.1365-3016.1989.tb00382.x.CrossRefGoogle Scholar
  14. Fergusson, D. M., Horwood, L. J., & Lloyd, M. (1991). Confirmatory factor models of attention deficit and conduct disorder. Journal of Child Psychology and Psychiatry, 32(2), 257–274.CrossRefGoogle Scholar
  15. Files, J. A., Frey, K. A., David, P. S., Hunt, K. S., Noble, B. N., & Mayer, A. P. (2011). Developing a reproductive life plan. Journal of Midwifery and Women’s Health, 56(5), 468–474. doi: 10.1111/j.1542-2011.2011.00048.x.CrossRefGoogle Scholar
  16. Finer, L. B., & Zolna, M. R. (2011). Unintended pregnancy in the United States: incidence and disparities, 2006. Contraception, 84(5), 478–485. doi: 10.1016/j.contraception.2011.07.013.CrossRefGoogle Scholar
  17. Forrest, J. D. (1994). Epidemiology of unintended pregnancy and contraceptive use. American Journal of Obstetrics and Gynecology, 170(5 Pt 2), 1485–1489.CrossRefGoogle Scholar
  18. Gipson, J. D., Koenig, M. A., & Hindin, M. J. (2008). The effects of unintended pregnancy on infant, child, and parental health: a review of the literature. Studies in Family Planning, 39(1), 18–38.CrossRefGoogle Scholar
  19. Goto, A., Yasumura, S., Yabe, J., Anazawa, Y., & Hashimoto, Y. (2005). Association of pregnancy intention with parenting difficulty in Fukushima, Japan. Journal of Epidemiology, 15(6), 244–246.CrossRefGoogle Scholar
  20. Hayatbakhsh, M. R., Najman, J. M., Khatun, M., Al Mamun, A., Bor, W., & Clavarino, A. (2011). A longitudinal study of child mental health and problem behaviours at 14 years of age following unplanned pregnancy. Psychiatry Research, 185(1–2), 200–204. doi: 10.1016/j.psychres.2010.05.019.CrossRefGoogle Scholar
  21. Henshaw, S. K. (1998). Unintended pregnancy in the United States. Family Planning Perspectives, 30(1), 24–29.CrossRefGoogle Scholar
  22. Henshaw, S. K. (2009). Unintended pregnancy and abortion in the USA: Epidemiology and public health impact, in management of unintended and abnormal pregnancy. In M. Paul, E. S. Lichtenberg, L. Borgatta, D. A. Grimes, P. G. Stubblefield and M. D. Creinin (Eds.), Comprehensive abortion care. Oxford, UK: Blackwell Publishing Ltd. doi: 10.1002/9781444313031.ch3
  23. Joyce, T. J., Kaestner, R., & Korenman, S. (2000). The effect of pregnancy intention on child development. Demography, 37(1), 83–94. doi: 10.2307/2648098.CrossRefGoogle Scholar
  24. Levi, A., & Dau, K. Q. (2011). Meeting the national health goal to reduce unintended pregnancy. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 40(6), 775–781. doi: 10.1111/j.1552-6909.2011.01292.x.CrossRefGoogle Scholar
  25. McCrory, C., & McNally, S. (2013). The effect of pregnancy intention on maternal prenatal behaviours and parent and child health: results of an Irish cohort study. Paediatric and Perinatal Epidemiology, 27(2), 208–215. doi: 10.1111/ppe.12027.CrossRefGoogle Scholar
  26. Mercier, R. J., Garrett, J., Thorp, J., & Siega-Riz, A. M. (2013). Pregnancy intention and postpartum depression: secondary data analysis from a prospective cohort. BJOG: An International Journal of Obstetrics & Gynaecology. doi: 10.1111/1471-0528.12255.Google Scholar
  27. Nelson, J. A., & O’Brien, M. (2012). Does an unplanned pregnancy have long-term implications for mother-child relationships? Journal of Family Issues, 33(4), 506–526. doi: 10.1177/0192513x11420820.CrossRefGoogle Scholar
  28. Orr, S. T., Miller, C. A., James, S. A., & Babones, S. (2000). Unintended pregnancy and preterm birth. Paediatric and Perinatal Epidemiology, 14(4), 309–313. doi: 10.1046/j.1365-3016.2000.00289.x.CrossRefGoogle Scholar
  29. Orr, S. T., James, S. A., & Reiter, J. P. (2008). Unintended pregnancy and prenatal behaviors among urban, black women in Baltimore, Maryland: The Baltimore Preterm Birth Study. Annals of Epidemiology, 18(7), 545–551. doi: 10.1016/j.annepidem.2008.03.005.CrossRefGoogle Scholar
  30. Parker, G., Tupling, H., & Brown, L. B. (1979). A parental bonding instrument. British Journal of Medical Psychology, 52, 1–10.CrossRefGoogle Scholar
  31. Rutter, M., Tizard, J., & Whitmore, K. (1970). Education, health and behaviour. London: Longmans.Google Scholar
  32. Shah, P., Balkhair, T., Ohlsson, A., Beyene, J., Scott, F., & Frick, C. (2011). Intention to become pregnant and low birth weight and preterm birth: a systematic review. Maternal and Child Health Journal, 15(2), 205–216. doi: 10.1007/s10995-009-0546-2.CrossRefGoogle Scholar
  33. Sidebotham, P., & Heron, J. (2003). Child maltreatment in the “children of the nineties:” the role of the child. Child Abuse and Neglect, 27(3), 337–352. doi: 10.1016/S0145-2134(03)00010-3.CrossRefGoogle Scholar
  34. Singh, S., Sedgh, G., & Hussain, R. (2010). Unintended pregnancy: worldwide levels, trends, and outcomes. Studies in Family Planning, 41(4), 241–250. doi: 10.1111/j.1728-4465.2010.00250.x.CrossRefGoogle Scholar
  35. Straus, M. (1979). Measuring intrafamily conflict and violence: the conflict tactics (CT) scale. Journal of Marriage and Family, 41, 75–88.CrossRefGoogle Scholar
  36. Taylor, D., & James, E. A. (2011). An evidence-based guideline for unintended pregnancy prevention. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 40(6), 782–793. doi: 10.1111/j.1552-6909.2011.01296.x.CrossRefGoogle Scholar
  37. Tsui, A. O., McDonald-Mosley, R., & Burke, A. E. (2010). Family planning and the burden of unintended pregnancies. Epidemiologic Reviews, 32(1), 152–174. doi: 10.1093/epirev/mxq012.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media Dordrecht 2014

Authors and Affiliations

  • Joseph M. Boden
    • 1
    Email author
  • David M. Fergusson
    • 1
  • L. John Horwood
    • 1
  1. 1.Christchurch Health and Development Study, Department of Psychological MedicineUniversity of Otago, Christchurch School of Medicine and Health SciencesChristchurchNew Zealand

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