Determinants of second pregnancy among pregnant women

A hospital-based cross-sectional survey in China

Xianglong Xu, Hanxiao Zuo, Zumin Shi, Yunshuang Rao, Lianlian Wang, Huan Zeng, Lei Zhang, Manoj Sharma, Cesar Reis, Yong Zhao

Research output: Contribution to journalArticleResearchpeer-review

3 Citations (Scopus)

Abstract

Objectives: This study aimed to explore determinants of second pregnancy and underlying reasons among pregnant Chinese women. Design: The study was a population-based cross-sectional survey. Setting: 16 hospitals in 5 provinces of Mainland China were included. Participants: A total of 2345 pregnant women aged 18 years or above were surveyed face to face by investigators between June and August 2015. Main outcome measures: The pregnancy statuses (first or second pregnancy) and reasons for entering second pregnancy. Results: A total of 1755 (74.8%) and 590 (25.2%) women in their respective first and second pregnancies were enrolled in this study. The most common self-reported reasons for entering second pregnancy among participants included the benefits to the first child (26.1%), love of children (25.8%), adoption of the 2-child policy (11.5%), concerns about losing the first child (7.5%) and suggestions from parents (7.5%). Pregnant women with low (prevalence ratio (PR) 1.96; 95% CI 1.62 to 2.36) and moderate education level (PR 1.97; 95% CI 1.65 to 2.36) were more likely to have a second pregnancy than their higher educated counterparts. Income was inversely associated with second pregnancy. However, unemployed participants (PR 0.79; 95% CI 0.66 to 0.95) were less likely to enter a second pregnancy than those employed. Women with moderate education were 3 times more likely to have a second child following the '2-child policy' than the low education level subgroup. Conclusions: 1 in every 4 pregnant women is undergoing a second pregnancy. The benefits of the firstborn or the love of children were the key drivers of a second pregnancy. Low socioeconomic status was positively associated with a second pregnancy as well. The new 2-child policy will have an influence on China's demographics.

Original languageEnglish
Article numbere014544
Number of pages9
JournalBMJ Open
Volume7
Issue number3
DOIs
Publication statusPublished - 1 Mar 2017

Cite this

Xu, Xianglong ; Zuo, Hanxiao ; Shi, Zumin ; Rao, Yunshuang ; Wang, Lianlian ; Zeng, Huan ; Zhang, Lei ; Sharma, Manoj ; Reis, Cesar ; Zhao, Yong. / Determinants of second pregnancy among pregnant women : A hospital-based cross-sectional survey in China. In: BMJ Open. 2017 ; Vol. 7, No. 3.
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title = "Determinants of second pregnancy among pregnant women: A hospital-based cross-sectional survey in China",
abstract = "Objectives: This study aimed to explore determinants of second pregnancy and underlying reasons among pregnant Chinese women. Design: The study was a population-based cross-sectional survey. Setting: 16 hospitals in 5 provinces of Mainland China were included. Participants: A total of 2345 pregnant women aged 18 years or above were surveyed face to face by investigators between June and August 2015. Main outcome measures: The pregnancy statuses (first or second pregnancy) and reasons for entering second pregnancy. Results: A total of 1755 (74.8{\%}) and 590 (25.2{\%}) women in their respective first and second pregnancies were enrolled in this study. The most common self-reported reasons for entering second pregnancy among participants included the benefits to the first child (26.1{\%}), love of children (25.8{\%}), adoption of the 2-child policy (11.5{\%}), concerns about losing the first child (7.5{\%}) and suggestions from parents (7.5{\%}). Pregnant women with low (prevalence ratio (PR) 1.96; 95{\%} CI 1.62 to 2.36) and moderate education level (PR 1.97; 95{\%} CI 1.65 to 2.36) were more likely to have a second pregnancy than their higher educated counterparts. Income was inversely associated with second pregnancy. However, unemployed participants (PR 0.79; 95{\%} CI 0.66 to 0.95) were less likely to enter a second pregnancy than those employed. Women with moderate education were 3 times more likely to have a second child following the '2-child policy' than the low education level subgroup. Conclusions: 1 in every 4 pregnant women is undergoing a second pregnancy. The benefits of the firstborn or the love of children were the key drivers of a second pregnancy. Low socioeconomic status was positively associated with a second pregnancy as well. The new 2-child policy will have an influence on China's demographics.",
author = "Xianglong Xu and Hanxiao Zuo and Zumin Shi and Yunshuang Rao and Lianlian Wang and Huan Zeng and Lei Zhang and Manoj Sharma and Cesar Reis and Yong Zhao",
year = "2017",
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Xu, X, Zuo, H, Shi, Z, Rao, Y, Wang, L, Zeng, H, Zhang, L, Sharma, M, Reis, C & Zhao, Y 2017, 'Determinants of second pregnancy among pregnant women: A hospital-based cross-sectional survey in China', BMJ Open, vol. 7, no. 3, e014544. https://doi.org/10.1136/bmjopen-2016-014544

Determinants of second pregnancy among pregnant women : A hospital-based cross-sectional survey in China. / Xu, Xianglong; Zuo, Hanxiao; Shi, Zumin; Rao, Yunshuang; Wang, Lianlian; Zeng, Huan; Zhang, Lei; Sharma, Manoj; Reis, Cesar; Zhao, Yong.

In: BMJ Open, Vol. 7, No. 3, e014544, 01.03.2017.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Determinants of second pregnancy among pregnant women

T2 - A hospital-based cross-sectional survey in China

AU - Xu, Xianglong

AU - Zuo, Hanxiao

AU - Shi, Zumin

AU - Rao, Yunshuang

AU - Wang, Lianlian

AU - Zeng, Huan

AU - Zhang, Lei

AU - Sharma, Manoj

AU - Reis, Cesar

AU - Zhao, Yong

PY - 2017/3/1

Y1 - 2017/3/1

N2 - Objectives: This study aimed to explore determinants of second pregnancy and underlying reasons among pregnant Chinese women. Design: The study was a population-based cross-sectional survey. Setting: 16 hospitals in 5 provinces of Mainland China were included. Participants: A total of 2345 pregnant women aged 18 years or above were surveyed face to face by investigators between June and August 2015. Main outcome measures: The pregnancy statuses (first or second pregnancy) and reasons for entering second pregnancy. Results: A total of 1755 (74.8%) and 590 (25.2%) women in their respective first and second pregnancies were enrolled in this study. The most common self-reported reasons for entering second pregnancy among participants included the benefits to the first child (26.1%), love of children (25.8%), adoption of the 2-child policy (11.5%), concerns about losing the first child (7.5%) and suggestions from parents (7.5%). Pregnant women with low (prevalence ratio (PR) 1.96; 95% CI 1.62 to 2.36) and moderate education level (PR 1.97; 95% CI 1.65 to 2.36) were more likely to have a second pregnancy than their higher educated counterparts. Income was inversely associated with second pregnancy. However, unemployed participants (PR 0.79; 95% CI 0.66 to 0.95) were less likely to enter a second pregnancy than those employed. Women with moderate education were 3 times more likely to have a second child following the '2-child policy' than the low education level subgroup. Conclusions: 1 in every 4 pregnant women is undergoing a second pregnancy. The benefits of the firstborn or the love of children were the key drivers of a second pregnancy. Low socioeconomic status was positively associated with a second pregnancy as well. The new 2-child policy will have an influence on China's demographics.

AB - Objectives: This study aimed to explore determinants of second pregnancy and underlying reasons among pregnant Chinese women. Design: The study was a population-based cross-sectional survey. Setting: 16 hospitals in 5 provinces of Mainland China were included. Participants: A total of 2345 pregnant women aged 18 years or above were surveyed face to face by investigators between June and August 2015. Main outcome measures: The pregnancy statuses (first or second pregnancy) and reasons for entering second pregnancy. Results: A total of 1755 (74.8%) and 590 (25.2%) women in their respective first and second pregnancies were enrolled in this study. The most common self-reported reasons for entering second pregnancy among participants included the benefits to the first child (26.1%), love of children (25.8%), adoption of the 2-child policy (11.5%), concerns about losing the first child (7.5%) and suggestions from parents (7.5%). Pregnant women with low (prevalence ratio (PR) 1.96; 95% CI 1.62 to 2.36) and moderate education level (PR 1.97; 95% CI 1.65 to 2.36) were more likely to have a second pregnancy than their higher educated counterparts. Income was inversely associated with second pregnancy. However, unemployed participants (PR 0.79; 95% CI 0.66 to 0.95) were less likely to enter a second pregnancy than those employed. Women with moderate education were 3 times more likely to have a second child following the '2-child policy' than the low education level subgroup. Conclusions: 1 in every 4 pregnant women is undergoing a second pregnancy. The benefits of the firstborn or the love of children were the key drivers of a second pregnancy. Low socioeconomic status was positively associated with a second pregnancy as well. The new 2-child policy will have an influence on China's demographics.

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U2 - 10.1136/bmjopen-2016-014544

DO - 10.1136/bmjopen-2016-014544

M3 - Article

VL - 7

JO - BMJ Open

JF - BMJ Open

SN - 2044-6055

IS - 3

M1 - e014544

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