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

Wang, Lianlian, Xu, Xianglong, Baker, Philip, Tong, Chao, Zhang, Lei, Qi, Hongbo and Zhao, Yong (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. International Journal of Environmental Research and Public Health, 13 (7). ISSN 1661-7827

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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.

Item Type: Article
Additional Information: Publisher Copyright: © 2016 by the authors; licensee MDPI, Basel, Switzerland.
Uncontrolled Keywords: caesarean delivery intention,china,expectant mothers,two-child policy,pollution,public health, environmental and occupational health,health, toxicology and mutagenesis,sdg 3 - good health and well-being ,/dk/atira/pure/subjectarea/asjc/2300/2310
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
UEA Research Groups: Faculty of Medicine and Health Sciences > Research Centres > Metabolic Health
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Depositing User: LivePure Connector
Date Deposited: 02 Mar 2026 11:30
Last Modified: 02 Mar 2026 11:30
URI: https://ueaeprints.uea.ac.uk/id/eprint/102120
DOI: 10.3390/ijerph13070686

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