{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T23:58:49Z","timestamp":1792799929952,"version":"4.5.0"},"reference-count":76,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Public Health Services Amsterdam"},{"name":"Academic Medical Centre Amsterdam","id":[{"id":"https:\/\/ror.org\/03t4gr691","id-type":"ROR","asserted-by":"crossref"}]},{"name":"Sarphati Amsterdam"},{"DOI":"10.13039\/501100001826","name":"ZonMw","doi-asserted-by":"publisher","award":["554002012"],"award-info":[{"award-number":["554002012"]}],"id":[{"id":"10.13039\/501100001826","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Womens Health (Lond Engl)"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Given the estimated high rate of unintended pregnancies, it is important to investigate long-term effects on psychological distress in women carrying an unintended pregnancy to term. However, research into associations between unintended pregnancies carried to term and psychological distress postpartum is mixed, and especially, evidence on long-term associations is scarce.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To examine whether carrying an unintended pregnancy to term is associated with maternal psychological distress later in life, up to 12\u2009years postpartum.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>This study is based on the population-based birth cohort study \u2018Amsterdam Born Children and their Development\u2019 study, which included pregnant people in 2003 ( n\u2009=\u20097784) and followed them up until 12\u2009years postpartum.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Unintended pregnancy was measured as a multidimensional construct, based on self-reported data around 16\u2009weeks gestation on pregnancy mistiming, unwantedness and unhappiness. Symptoms of maternal psychological distress were assessed around 3\u2009months, 5\u2009years and 12\u2009years postpartum using multiple questionnaires measuring symptoms of depression, anxiety and stress. Multiple structural equation modelling models were analysed, examining the associations between dimensions of unintended pregnancy and maternal psychological distress per time point, while controlling for important co-occurring risks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Pregnancy mistiming and unhappiness were significant predictors of more maternal psychological distress around 3\u2009months postpartum. Around 5\u2009years postpartum, only pregnancy mistiming was positively associated with maternal psychological distress. Dimensions of unintended pregnancy were no longer associated with maternal psychological distress around 12\u2009years postpartum. Strikingly, antenatal psychological distress was a much stronger predictor of maternal psychological distress than pregnancy intention dimensions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Those who carried a more unintended pregnancy to term reported more symptoms of psychological distress at 3\u2009months and 5\u2009years postpartum. People carrying an unintended pregnancy to term may benefit from extra support, not because of the pregnancy intentions per se, but because they may be related to antenatal psychological distress.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17455057231213737","type":"journal-article","created":{"date-parts":[[2023,12,8]],"date-time":"2023-12-08T01:13:18Z","timestamp":1701997998000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Carrying an unintended pregnancy to term and long-term maternal psychological distress: Findings from the Dutch prospective Amsterdam Born Children and their Development study"],"prefix":"10.1177","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5239-5719","authenticated-orcid":false,"given":"Wieke Y","family":"Beumer","sequence":"first","affiliation":[{"name":"Amsterdam UMC location University of Amsterdam, Epidemiology and Data Science, Amsterdam, Netherlands"},{"name":"Amsterdam UMC location University of Amsterdam, Obstetrics and Gynaecology, Amsterdam, Netherlands"},{"name":"Amsterdam Reproduction and Development, Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tessa J","family":"Roseboom","sequence":"additional","affiliation":[{"name":"Amsterdam UMC location University of Amsterdam, Epidemiology and Data Science, Amsterdam, Netherlands"},{"name":"Amsterdam UMC location University of Amsterdam, Obstetrics and Gynaecology, Amsterdam, Netherlands"},{"name":"Amsterdam Reproduction and Development, Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2683-0737","authenticated-orcid":false,"given":"Marjette H","family":"Koot","sequence":"additional","affiliation":[{"name":"Amsterdam UMC location University of Amsterdam, Epidemiology and Data Science, Amsterdam, Netherlands"},{"name":"Amsterdam UMC location University of Amsterdam, Obstetrics and Gynaecology, Amsterdam, Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3641-4048","authenticated-orcid":false,"given":"Tanja","family":"Vrijkotte","sequence":"additional","affiliation":[{"name":"Amsterdam UMC location Vrije Universiteit Amsterdam, Public and Occupational Health, Amsterdam, Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenneke","family":"van Ditzhuijzen","sequence":"additional","affiliation":[{"name":"Amsterdam UMC location University of Amsterdam, Epidemiology and Data Science, Amsterdam, Netherlands"},{"name":"Amsterdam UMC location University of Amsterdam, Obstetrics and Gynaecology, Amsterdam, Netherlands"},{"name":"Social Policy and Public Health, Department of Interdisciplinary Social Science, Utrecht University, Utrecht, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,12,7]]},"reference":[{"key":"bibr1-17455057231213737","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2021-007151"},{"key":"bibr2-17455057231213737","doi-asserted-by":"publisher","DOI":"10.1363\/psrh.12028"},{"key":"bibr3-17455057231213737","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000092"},{"key":"bibr4-17455057231213737","unstructured":"American Psychological Association. 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