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We use the natural experiment of twins at first birth to estimate the effects of unplanned fertility on the nutritional status and school enrolment of children in Romania, a country with a unique fertility history. A first‐birth twins shock has negative impacts on children's human capital investments, particularly for later‐born siblings. We infer that harsh pronatalist policies prior to the 1989 Revolution had adverse consequences for the human capital of Romanian children, and that policies to make fertility control easier will have significant positive impacts on children's health and schooling.