Patterns and Associated Factors of Caesarean Delivery Intention among Expectant Mothers in China: Implications from the Implementation of China’s New National Two-Child Policy

Lianlian Wang, Xianglong Xu, Philip Baker, Chao Tong, Lei Zhang, Hongbo Qi and Yong Zhao
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Lianlian Wang: The Department of Obstetrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
Xianglong Xu: School of Public Health and Management, Chongqing Medical University, Chongqing 400016, China
Philip Baker: Canada-China-New Zealand Joint Laboratory of Maternal and Fetal Medicine, Chongqing Medical University, Chongqing 400016, China
Chao Tong: The Department of Obstetrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
Lei Zhang: Research Center for Public Health, School of Medicine, Tsinghua University, Beijing 100062, China
Hongbo Qi: The Department of Obstetrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
Yong Zhao: School of Public Health and Management, Chongqing Medical University, Chongqing 400016, China

IJERPH, 2016, vol. 13, issue 7, 1-11

Abstract: Objective : This study explores the basic demographic characteristics of expectant mothers in the context of their intentions regarding mode of delivery, in particular, the preference for caesarean delivery, and analyzes the social and psychological factors that influence delivery preference. Method : A cross-sectional survey of pregnant women was conducted during June to August in 2015. This study adopted a stratified sampling method, and 16 representative hospitals in five provinces of China were included. Results : 1755 and 590 of expectant mothers in their first and second pregnancies, respectively, were enrolled in this study. 354 (15.10%) intended to deliver by caesarean section and 585 (24.95%) participants were uncertain prior to delivery. 156 (8.89%) of expectant mothers in their first pregnancy and 198 (33.56%) expectant mothers in their second pregnancy intended to deliver by caesarean section. Ordinal logistic regression analysis found that nationality, parity, trimester of pregnancy, and advanced maternal age were factors associated with intention to deliver by caesarean (ordered logistic regression/three-level caesarean delivery intention criterion; odds ratios p < 0.05). Conclusions : 8.89% of first pregnancy expectant mothers and 33.56% of second pregnancy expectant mothers intended to deliver by caesarean section. Any intervention program to reduce the rate of Caesarean delivery should focus on the Han population, older pregnant women, and expectant mothers in their second pregnancy, at an early gestation.

Keywords: caesarean delivery intention; expectant mothers; two-child policy; China (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2016
References: View complete reference list from CitEc
Citations: View citations in EconPapers (4)

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