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Long-term consequences of unintended pregnancy: Impacts on early childhood growth and development in a multicenter
Linda Yanti1, Surtiningsih2, Fauziah Hanum Nur Ardiyani2
1Midwifery Study Program, Faculty of Health, Universitas Harapan Bangsa, Banyumas 53182, Central Java, Indonesia. lindayanti@uhb.ac.id.
Insights
Unintended pregnancy negatively impacts child growth and development, leading to issues like malnutrition and developmental disorders. Early intervention and family planning are crucial for mitigating these long-term effects.
Area of Science:
- Pediatrics
- Developmental Psychology
- Public Health
Background:
- Unintended pregnancies pose risks to child well-being and can create socioeconomic challenges.
- Limited research exists on the long-term effects of unintended pregnancy on child development, especially in multicenter settings.
Purpose of the Study:
- To investigate the long-term consequences of unintended pregnancy on early childhood growth and development.
Main Methods:
- A case-control study involving 700 children (≤ 5 years) across Indonesian research centers.
- Data collected through interviews, anthropometric measurements, and developmental assessments.
- Analysis utilized multivariate statistics and partial least squares structural equation modeling.
Main Results:
- Unintended pregnancy significantly impacted child growth (P < 0.001) and development (P < 0.001).
- Growth issues included underweight, undernutrition, abnormal head circumference, and stunting.
- Developmental problems encompassed behavioral disorders, autism spectrum disorder, ADHD, social/motor deficits, and sensory impairments.
Conclusions:
- Unintended pregnancy has significant adverse effects on child growth and development.
- Highlights the necessity for early interventions and comprehensive prenatal care.
- Emphasizes the importance of robust family planning policies.
Background:
Unintended pregnancy occurs when an individual or couple conceives without planning or desire, which can potentially affect a child's physical, mental, and social well-being. This can then lead to long-term socioeconomic challenges for families and communities. Although its impact on child growth and development is a pressing concern, research remains limited particularly in multicenter settings.
Aim:
To examine the long-term consequences of unintended pregnancy on the critical years of early childhood growth and development.
Methods:
This analytical observational study employed a case-control design and was conducted in research centers across Indonesia, encompassing those located in Central Java, Lampung, Bali, and West Nusa Tenggara. A total of 700 children aged ≤ 5 years with histories of intended or unintended pregnancies participated. Data collection involved structured interviews and direct anthropometric and developmental assessments. Data analyses were conducted using multivariate statistics and partial least squares structural equation modeling.
Results:
Unintended pregnancy was found to have a statistically significant effect on both child growth (t = 8.178; P < 0.001) and child development (t = 25.688; P < 0.001). Key growth problems identified included underweight, undernutrition, abnormal head circumference, and stunting. Developmental challenges prominently associated with unintended pregnancy included behavioral and emotional disorders, autism spectrum disorder, attention-deficit/hyperactivity disorder, social and motor skill deficits, as well as visual and hearing impairments.
Conclusion:
Unintended pregnancy significantly affects child growth and development, underscoring the need for early intervention, quality prenatal care, and strengthened family planning policies.
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