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Pregnancy planning does not interfere with child development in children aged from 11 to 23 months old
Katherine Solís-Cordero1, Luciana Assis Couto1,2, Luciane Simões Duarte3
1Universidade de São Paulo, Escola de Enfermagem, São Paulo, SP, Brazil.
Insights
Pregnancy planning did not correlate with child development in a study of 125 dyads. However, socioeconomic factors like Bolsa Família and child
Area of Science:
- Pediatrics
- Public Health
- Developmental Psychology
Background:
- Pregnancy planning is crucial for maternal and child well-being.
- Socioeconomic factors can significantly impact child development outcomes.
- Understanding the interplay between planning and development is vital for targeted interventions.
Purpose of the Study:
- To investigate the correlation between child development and pregnancy planning.
- To explore other factors associated with child development in disadvantaged areas.
Main Methods:
- Cross-sectional study of 125 mother-child dyads (children aged 11-23 months).
- Child development assessed using Ages & Stages Questionnaire-BR.
- Pregnancy planning evaluated with the London Measure of Unplanned Pregnancy.
Main Results:
- 17.6% unplanned, 24.8% planned, 57.6% ambivalent pregnancies.
- Inadequate child development (21%-40%) was not linked to pregnancy planning.
- Developmental domains associated with Bolsa Família, child's gender, and age.
Conclusions:
- No direct correlation found between pregnancy planning and child development.
- High rates of inadequate development and low planned pregnancies highlight a need for improved preconception and contraceptive care.
- Investment in health professional training is recommended for socioeconomically disadvantaged contexts.
Objective:
to analyze the correlation between child development and pregnancy planning and other associated aspects.
Method:
a cross-sectional study conducted with 125 mother-child dyads, the children aged from 11 to 23 months old and attending daycare centers located in socially disadvantaged areas. Child development according to domains was assessed using the Ages & Stages Questionnaire-BR and pregnancy planning was evaluated through the London Measure of Unplanned Pregnancy. The mothers were interviewed at their homes and non-parametric tests were used for data analysis.
Results:
17.6% of the pregnancies were unplanned, 24.8% were planned and 57.6% were ambivalent. Inadequate development in the different domains ranged from 21% to 40% and was not associated with pregnancy planning. However, the "communication" domain was associated with Bolsa Família and the "personal/social" and "communication" domains, with gender; while "personal/social", "broad motor coordination" and "fine motor coordination" were domains related to the child's age.
Conclusion:
no correlation between pregnancy planning and child development was observed; however, the low frequency of planned pregnancies and the high percentages of inadequate child development show the need to invest in the training of health professionals, both for contraceptive care and preconception health and for the promotion of child development, especially in socioeconomically disadvantaged contexts.
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