Format

Send to

Choose Destination
J Pediatr. 2019 Feb;205:183-189.e1. doi: 10.1016/j.jpeds.2018.09.026. Epub 2018 Oct 30.

Effects of Carrying an Unwanted Pregnancy to Term on Women's Existing Children.

Author information

1
Advancing New Standards in Reproductive Health (ANSIRH), UCSF Department of Obstetrics, Gynecology & Reproductive Sciences, Oakland, CA. Electronic address: Diana.foster@ucsf.edu.
2
Advancing New Standards in Reproductive Health (ANSIRH), UCSF Department of Obstetrics, Gynecology & Reproductive Sciences, Oakland, CA.
3
Department of Community Health Sciences, UCLA Fielding School of Public Health, Los Angeles, CA.

Abstract

OBJECTIVE:

To examine how receiving or being denied a wanted abortion affects the subsequent development, health, caregiving, and socioeconomics of women's existing children at time of seeking abortion.

STUDY DESIGN:

The Turnaway Study is a 5-year longitudinal study with a quasi-experimental design. Women were recruited from January 2008 to December 2010 from 30 abortion facilities throughout the US. We interviewed women regarding the health and development of their living children via telephone 1 week after seeking an abortion and semiannually for 5 years. We compare the youngest existing children younger than the age 5 years of women denied abortion because they presented for care beyond a facility's gestational limit (Turnaway group) with those of women who received the abortion (Abortion group). We used mixed-effects regression models to test for differences in outcomes of existing children of women in the Turnaway group (n = 55 children) compared with existing children of women in the Abortion group (n = 293 children).

RESULTS:

From 6 months to 4.5 years after their mothers sought abortions, existing children of women denied abortions had lower mean child development scores (adjusted β -0.04, 95% CI -0.07 to -0.00) and were more likely to live below the Federal Poverty Level (aOR 3.74, 95% CI 1.59-8.79) than the children of women who received a wanted abortion. There were no significant differences in child health or time spent with a caregiver other than the mother.

CONCLUSIONS:

Denying women a wanted abortion may have negative developmental and socioeconomic consequences for their existing children.

KEYWORDS:

caregiving; child development; child health; poverty; unwanted pregnancy

PMID:
30389101
DOI:
10.1016/j.jpeds.2018.09.026
Free full text

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center