Beyond the First Child: Unveiling the Reasons Behind Stopping Childbearing in Iran

IF 1.8 4区医学 Q2 PEDIATRICS Child Care Health and Development Pub Date : 2024-10-14 DOI:10.1111/cch.13335

Naeemeh Sadeghi-Dinani, Maryam Moeeni, Mostafa Amini-Rarani

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Abstract

Background

The determinants of the intention to stop childbearing tend to differ over time and contexts. This allows the issue of families' childbearing intentions to continually remain on the research agenda. As societal context and temporal variability will matter for second childbearing intentions, this study aimed at uncovering the reasons behind the intentions to stop childbearing from one-child mothers' perspective.

Method

A qualitative descriptive study in Isfahan City, Iran, was used to scrutinize reasons behind the unwillingness to have a second pregnancy. A purposeful sampling with maximum variation was used to select one-child mothers. Until reaching saturation, 48 semistructured interviews were conducted. A thematic analysis was used to analyse the qualitative data.

Results

Five themes and 19 subthemes emerged from the data analysis as structural attributes (economic, social and political conditions), parental attributes (parental (dis)agreements, childrearing troubles, having impatience and being at the inappropriate age for childbearing), husband attributes (having the intention to stop parenting, financially and emotionally nonsupportive and being busy by working), maternal attributes (health-related problems, adverse experience during former pregnancy, being employed, self-compassion, the fear of parity progression and being pessimistic) and child attributes (having a naughty child and having the physical or mental distress of the first child).

Conclusion

Overall, findings highlight the multifaceted nature of factors influencing second childbearing intentions. Structural reasons at macro level, intrafamily relationship, mothers' self-related factors and challenges of raising the first child all play distinct roles in discouraging mothers from a second child intention. Understanding these key reasons can help policymakers, researchers and individuals alike to comprehend the complexities involved in family planning and fertility decisions.

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超越第一胎：揭示伊朗停止生育的原因

背景停止生育意愿的决定因素往往因时间和环境而异。这使得家庭的生育意愿问题一直停留在研究议程上。由于社会环境和时间变化对第二次生育意愿有影响，本研究旨在从独生子女母亲的角度揭示停止生育意愿背后的原因。方法在伊朗伊斯法罕市开展了一项定性描述性研究，以仔细研究不愿再怀孕的原因。在选择独生子女母亲时，采用了最大差异的有目的抽样法。在达到饱和之前，共进行了 48 次半结构式访谈。对定性数据进行了主题分析。结果数据分析得出了 5 个主题和 19 个次主题，分别是结构属性（经济、社会和政治条件）、父母属性（父母（不）同意、育儿烦恼、缺乏耐心和处于不适当的生育年龄）、丈夫属性（有停止养育子女的意图、母亲属性（与健康有关的问题、前次怀孕期间的不良经历、有工作、自我同情、对均等进展的恐惧和悲观）和孩子属性（孩子淘气、头胎孩子的身体或精神状况不佳）。结论总体而言，研究结果凸显了影响二胎生育意愿因素的多面性。宏观层面的结构性原因、家庭内部关系、母亲的自我相关因素以及抚养第一个孩子所面临的挑战，都在阻碍母亲的二胎生育意愿方面发挥着不同的作用。了解这些关键原因有助于政策制定者、研究人员和个人理解计划生育和生育决定所涉及的复杂性。

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来源期刊

Child Care Health and Development 医学-小儿科

CiteScore

3.40

自引率

5.30%

发文量

136

审稿时长

4-8 weeks

期刊介绍： Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.