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Maternal attitude toward pregnancy and the risk of neonatal death

Author

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  • Bustan, M.N.
  • Coker, A.L.

Abstract

Objectives. Reduced options for fertility control over the past decade have increased the rates of unwanted pregnancy. We evaluated whether a woman's negative attitude toward her pregnancy increased the risk of perinatal mortality, in a large, prospective cohort study. Methods. The association between attitude toward the pregnancy and perinatal mortality was evaluated in a longitudinal cohort study of 8823 married, pregnant patients enrolled from 1959 to 1966 in the Chile Health and Development Studies. Results. Women who reported during the first trimester of prenatal care that the pregnancy was unwanted were more than two times more likely to deliver infants who died within the first 28 days of life than were women reporting accepted pregnancies. A positive attitude toward pregnancy was not associated with fetal death of postneonatal death. Conclusions. These data, collected when induced abortions were illegal, may have important implications for the 1990s. If maternal attitude toward the pregnancy is associated with neonatal mortality and abortion laws change such that access is restricted, infant mortality may increase because a greater proportion of births will be unwanted.

Suggested Citation

  • Bustan, M.N. & Coker, A.L., 1994. "Maternal attitude toward pregnancy and the risk of neonatal death," American Journal of Public Health, American Public Health Association, vol. 84(3), pages 411-414.
    • Handle: RePEc:aph:ajpbhl:1994:84:3:411-414_3
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    Cited by:

    1. Pallitto, Christina C. & O'Campo, Patricia, 2005. "Community level effects of gender inequality on intimate partner violence and unintended pregnancy in Colombia: testing the feminist perspective," Social Science & Medicine, Elsevier, vol. 60(10), pages 2205-2216, May.
    2. Emily Smith-Greenaway & Christie Sennott, 2016. "Death and Desirability: Retrospective Reporting of Unintended Pregnancy After a Child’s Death," Demography, Springer;Population Association of America (PAA), vol. 53(3), pages 805-834, June.
    3. Rau, Tomás & Sarzosa, Miguel & Urzúa, Sergio, 2021. "The children of the missed pill," Journal of Health Economics, Elsevier, vol. 79(C).
    4. Theodore Joyce & Robert Kaestner & Sanders Korenman, 2000. "The effect of pregnancy intention on child development," Demography, Springer;Population Association of America (PAA), vol. 37(1), pages 83-94, February.

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