Impact of clinical factors and personality on the decision to have a second child. Longitudinal cohort-study of first-time mothers

• Objective To investigate which factors related to the first birth influence subsequent reproduction within 5 years after the birth. Design Prospective cohort study. Setting University hospital, Stockholm, Sweden. Sample Cohort of 547 first-time singleton mothers with a normal pregnancy recruited prospectively of whom 451 women consented to follow-up 5 years later. Methods Data were collected by several questionnaires on sexual, reproductive and childbirth-related factors as well as on personality, postnatal depression, fear of childbirth and contact between mother/child. Medical records were also used. Associations between these factors and having a second child were analyzed using logistic regression. Main outcome measures Women's subsequent reproduction. Results Planning a second child at 9 months postpartum was most important in determining to have a second child. Women who had restored their sex life 9 months after birth and women who had a high score in the personality monotony avoidance scale, were less likely to give birth to a second child. No differences were observed regarding mode of delivery, factors related to birth and having a second child, nor was there an association between postnatal depression, fear of childbirth, a negative birth experience and self-estimated contact with the child and subsequent reproduction. Conclusions Circumstances in relation to the first birth, such as mode of delivery and a negative birth experience, did not affect subsequent reproduction. Planning another child by 9 months after birth was the strongest factor correlated with having a second child. © 2013 Nordic Federation of Societies of Obstetrics and Gynecology.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)

Nyckelord

birth experience

fear of childbirth

mode of delivery

personality

Reproduction

adult

article

birth

childbirth

cohort analysis

decision making

delivery

fear

female

follow up

human

longitudinal study

medical record review

mother

mother child relation

pregnancy

priority journal

prospective study

puerperal depression

reproductive behavior

sexual behavior

socialization

university hospital

women's health

Cesarean Section

Depression

Postpartum

Family Characteristics

Humans

Logistic Models

Longitudinal Studies

Mother-Child Relations

Mothers

Obstetric Labor Complications

Parity

Parturition

Questionnaires

Sweden

Publikations- och innehållstyp

ref (ämneskategori)

art (ämneskategori)