Pregnancy planning does not interfere with child development in children aged from 11 to 23 months old
DOI:
https://doi.org/10.1590/1518-8345.5356.3506%20Keywords:
Child Development; Unplanned Pregnancy; Child Health; Women’s Health; Maternal and Child Health; Primary Care Nursing.Abstract
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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