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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

Author

Listed:
  • Lianlian Wang

    (The Department of Obstetrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
    Department of Reproduction Health and Infertility, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
    Canada-China-New Zealand Joint Laboratory of Maternal and Fetal Medicine, Chongqing Medical University, Chongqing 400016, China
    These authors contributed equally to this work.)

  • Xianglong Xu

    (School of Public Health and Management, Chongqing Medical University, Chongqing 400016, China
    Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing 400016, China
    The Innovation Center for Social Risk Governance in Health, Chongqing Medical University, Chongqing 400016, China
    These authors contributed equally to this work.)

  • Philip Baker

    (Canada-China-New Zealand Joint Laboratory of Maternal and Fetal Medicine, Chongqing Medical University, Chongqing 400016, China
    College of Medicine, Biological Sciences and Psychology, University of Leicester, Leicester 3182, UK)

  • Chao Tong

    (The Department of Obstetrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
    Canada-China-New Zealand Joint Laboratory of Maternal and Fetal Medicine, Chongqing Medical University, Chongqing 400016, China)

  • Lei Zhang

    (Research Center for Public Health, School of Medicine, Tsinghua University, Beijing 100062, China
    Central Clinical School, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne 3182, Australia
    School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne 3053, Australia
    Melbourne Sexual Health Centre, Alfred Health, Melbourne 3053, Australia)

  • Hongbo Qi

    (The Department of Obstetrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
    Canada-China-New Zealand Joint Laboratory of Maternal and Fetal Medicine, Chongqing Medical University, Chongqing 400016, China)

  • Yong Zhao

    (School of Public Health and Management, Chongqing Medical University, Chongqing 400016, China
    Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing 400016, China
    The Innovation Center for Social Risk Governance in Health, Chongqing Medical University, Chongqing 400016, China)

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.

Suggested Citation

  • Lianlian Wang & Xianglong Xu & Philip Baker & Chao Tong & Lei Zhang & Hongbo Qi & Yong Zhao, 2016. "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," IJERPH, MDPI, vol. 13(7), pages 1-11, July.
    • Handle: RePEc:gam:jijerp:v:13:y:2016:i:7:p:686-:d:73492
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    Citations

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    Cited by:

    1. Jingjing Liang & Zheqing Zhang & Wenhan Yang & Meixia Dai & Lizi Lin & Yajun Chen & Jun Ma & Jin Jing, 2017. "Association between Cesarean Section and Weight Status in Chinese Children and Adolescents: A National Survey," IJERPH, MDPI, vol. 14(12), pages 1-12, December.
    2. Xianglong Xu & Ying Liu & Dengyuan Liu & Xiaoming Li & Yunshuang Rao & Manoj Sharma & Yong Zhao, 2017. "Prevalence and Determinants of Gestational Diabetes Mellitus: A Cross-Sectional Study in China," IJERPH, MDPI, vol. 14(12), pages 1-13, December.
    3. Yanrong Zhao & Junfen Lin & Xiaopeng Shang & Qing Yang & Wei Wang & Yinwei Qiu, 2019. "Impact of the Universal Two-Child Policy on the Workload of Community-Based Basic Public Health Services in Zhejiang Province, China," IJERPH, MDPI, vol. 16(16), pages 1-10, August.
    4. Xianglong Xu & Dengyuan Liu & Yunshuang Rao & Huan Zeng & Fan Zhang & Lu Wang & Yaojie Xie & Manoj Sharma & Yong Zhao, 2018. "Prolonged Screen Viewing Times and Sociodemographic Factors among Pregnant Women: A Cross-Sectional Survey in China," IJERPH, MDPI, vol. 15(3), pages 1-16, February.

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