title: Is Unwanted Birth Associated with Child Malnutrition in Bangladesh?
abstract: BACKGROUND
  The association between unintended pregnancy and maternal and child health has been well documented. However, the relationship of unintended pregnancy with child malnutrition is not well understood, and may be important in countries such as Bangladesh that have high levels of these events.
  
  
  METHODS
  Data from the 2011 Bangladesh Demographic and Health Survey on 6,506 last-born, singleton children younger than five were used to investigate the relationship between pregnancy intendedness and the prevalence of stunting, wasting and underweight during early childhood. Multivariate logistic regression analyses were used to identify associations.
  
  
  RESULTS
  Substantial proportions of children were stunted (40%), wasted (16%) and underweight (35%) at the time of the survey. Mothers reported that at the time of conception, 14% of their index pregnancies had been unwanted and 16% had been mistimed. Compared with children whose conception had been intended, those whose conception had been unwanted were more likely to be stunted (46% vs. 39%), wasted (19% vs. 15%) or underweight (43% vs. 33%). In regression analyses, children who had been unwanted at the time of conception had an elevated risk of being stunted (odds ratio, 1.4), wasted (1.4) or underweight (1.3).
  
  
  CONCLUSIONS
  Maternal pregnancy intentions are associated with child stunting, wasting and underweight. If these associations are causal, preventing unwanted pregnancies may help reduce the prevalence of childhood malnutrition in Bangladesh.
authors: Associate professor, Department of Population Science and Human Resource Development, University of Rajshahi, Bangladesh, mosfeque@gmail.com.
authors: Md Mosfequr
authors: MM
authors: Rahman
mesh_terms: D000293:Adolescent; D000328:Adult; D001459:Bangladesh / Q000453:epidemiology; D015992:Body Mass Index; D002648:Child; D015362:Child Nutrition Disorders / Q000453:epidemiology* / Q000209:etiology; D002675:Child, Preschool; D002676:Child, Unwanted; D005260:Female; D006130:Growth Disorders / Q000209:etiology*; D006306:Health Surveys; D006801:Humans; D007223:Infant; D007229:Infant Welfare; D007231:Infant, Newborn; D033182:Intention; D016015:Logistic Models; D008297:Male; D008425:Maternal Behavior; D008875:Middle Aged; D009035:Mothers / Q000523:psychology*; D011247:Pregnancy; D049168:Pregnancy, Unplanned; D011275:Pregnancy, Unwanted; D015995:Prevalence; D012959:Socioeconomic Factors; D055815:Young Adult