Postponed childbearing: a cross-sectional study of differences between subjective and objective factors.

BACKGROUND

To investigate the factors influencing postponed childbearing in women, focusing on the differences between subjective and objective factors.

METHODS

This study included 1,128 women who were recruited from three hospitals between January and December 2023. Participants with a prior history of mental health disorders or those who chose not to participate were excluded from the study. Data were collected through early pregnancy prenatal checkups and questionnaires. Binary logistic regression was used to analyze the impact of both subjective factors and objective factors on postponed childbearing.

RESULTS

Of the 1128 participants, 507 were in the normal childbearing group and 621 were in the postponed childbearing group. The study found that higher pre-pregnancy body mass index, higher educational level, full-time employment, and reproductive health issues were independently associated with an increased likelihood of postponed childbearing. From a subjective perspective, the primary factors influencing the decision to delay childbirth were career prioritization and financial stability. Women who placed greater importance on their professional aspirations were 72% more likely to postpone having children, while those who expressed concerns regarding financial security had a 128% increased probability of doing so.

CONCLUSION

Postponed childbearing is influenced by a combination of subjective perceptions and objective factors. Socio-economic status, career goals, and psychological influences, all contribute significantly to the choice of postponing childbearing. These findings highlight the importance of addressing both the health and socio-economic challenges faced by women, emphasizing the need for policies that support women in balancing career, family, and reproductive health.