ArticlePloS one2018
Reassessing pregnancy intention and its relation to maternal, perinatal and neonatal outcomes in a low-income setting: A cohort study.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Association between pregnancy intention and completion of newborn and infant continuum of care in Sub-Saharan Africa: systematic review and meta-analysis.BMC pediatrics · 2024Pooled it
- The epidemiology of postnatal depression in Ethiopia: a systematic review and meta-analysis.Reproductive health · 2020Pooled it
- Age-related disparities and spatial distribution of low birthweight in sub-Saharan Africa: using data from demographic and health survey.Scientific reports · 2025Article
- Article
- DYnamics of Contraception in Eswatini (DYCE): protocol for a high-frequency, longitudinal cell phone survey.BMJ open · 2024Article
- Pathway linking unwanted pregnancy to low birth weight in Indonesia: A conditional mediation analysis.Heliyon · 2024Article
- Pregnancy planning and neonatal outcome - a retrospective cohort study.BMC pregnancy and childbirth · 2024Article
- Impact of unplanned pregnancy on neonatal outcomes: findings of new high-risk newborns in Peru.International health · 2024Article
- Article
- Modeling Contraception and Pregnancy in Malawi: A Thanzi La Onse Mathematical Modeling Study.Studies in family planning · 2023Article
- The impact of depression at preconception on pregnancy planning and unmet need for contraception in the first postpartum year: a cohort study from rural Malawi.Reproductive health · 2023Article
- Longitudinal study of pregnancy intention and its association with pregnancy occurrence among female sex workers in Benin and Mali.Reproductive health · 2023Article
- Cost-effectiveness of the dual prevention pill for contraception and HIV pre-exposure prophylaxis.Frontiers in reproductive health · 2023Article
- Women's Life Experiences and Shifting Reports of Pregnancy Planning.Maternal and child health journal · 2022Article
- Evaluation of the Desire to Avoid Pregnancy Scale in the UK: a psychometric analysis including predictive validity.BMJ open · 2022Article
- Pregnancy intention data completeness, quality and utility in population-based surveys: EN-INDEPTH study.Population health metrics · 2021Article
- Prevalence and factors associated with depression among pregnant mothers in the West Shoa zone, Ethiopia: a community-based cross-sectional study.Annals of general psychiatry · 2020Article
- Women's Health Decline Following (Some) Unintended Births: A Prospective Study.Demographic researchArticle
- Adverse Childhood Experiences and Pregnancy Intentions among Pregnant Women Seeking Prenatal Care.Women's health issues : official publication of the Jacobs Institute of Women's HealthArticle
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Authors and funding
6 authors.
Funding
Abstract
backgroundIt is unclear whether unintended pregnancies are associated with adverse outcomes. Data are predominantly from high-income countries and have methodological limitations, calling the findings into question. This research was designed to overcome these limitations and assess the relationships between pregnancy intention and miscarriage, stillbirth, low birthweight, neonatal death and postnatal depression in a low-income country.
methodsThe pregnancy intention of 4,244 pregnant women in Mchinji District, Malawi, was measured using the validated Chichewa version of the London Measure of Unplanned Pregnancy (LMUP). Women were re-interviewed postnatally to assess pregnancy outcome. Postnatal depression was assessed using the WHO's Self-Reporting Questionnaire. Multivariable regressions were conducted, with the choice of confounders informed by a pre-existing conceptual epidemiological hierarchy.
resultsPlanned pregnancies are associated with a reduced risk of any (adjusted RR 0.90 [95%CI 0.86, 0.95]) or high symptoms of depression (adjusted RR 0.76 [95%CI 0.63, 0.91]) compared to unplanned pregnancies in rural Malawi. There was no relationship between pregnancy intention and the composite measure of miscarriage, stillbirth, low birthweight and neonatal death. There was some evidence that greater pregnancy intention was associated with reduced adjusted risk of stillbirth (0·93 [95%CI 0·87, 1·00]).
conclusionOur study is the first to use a psychometrically valid measure of pregnancy intention, and to do so antenatally. As pregnancy intention increases, the risk of postnatal depression and, possibly, stillbirth decreases. This suggests a new, clinical use for the LMUP; identifying women antenatally who are at risk of these adverse pregnancy outcomes.
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