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Impact of clinical factors and personality on the decision to have a second child. Longitudinal cohort-study of first-time mothers
Division of Obstetrics and Gynecology, Karolinska Institutet, Danderyd Hospital.ORCID iD: 0000-0002-7840-7885
2014 (English)In: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 93, no 2, p. 182-188Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
2014. Vol. 93, no 2, p. 182-188
Keywords [en]
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
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
URN: urn:nbn:se:du-38876DOI: 10.1111/aogs.12306Scopus ID: 2-s2.0-84892810657OAI: oai:DiVA.org:du-38876DiVA, id: diva2:1615638
Available from: 2021-11-30 Created: 2021-11-30 Last updated: 2021-12-01Bibliographically approved

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Wiklund, Ingela

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