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P1-477 Relationship between pregnancy or childbirth satisfaction and willingness for subsequent pregnancy in Japan
  1. A Nagai1,
  2. T Tanaka1,
  3. K Matsuura2,
  4. Y Yamazaki3,
  5. T Ojima4,
  6. K Tamakoshi5,
  7. M Arakida6,
  8. K Ichikawa7
  1. 1University of Yamanashi, Chuo, Yamanashi, Japan
  2. 2Fukuoka Prefectural University, Tagawa, Fukuoka, Japan
  3. 3Aichi children's Health and Medical center, Obu, Aichi, Japan
  4. 4Hamamatsu University School of Medicine, Hamamatsu, Sizuoka, Japan
  5. 5Nagoya University, Nagoya, Aichi, Japan
  6. 6International University of Health and Welfare, Odawara, Kanagawa, Japan
  7. 7Japanese Midwives’ Association, Taito-ku, Tokyo, Japan


Introduction In Japan, a survey of children and their parents was conducted to assess national campaign “Sukoyaka Family 21” in 2009. Our aim was to clarify the relationship between pregnancy or childbirth satisfaction and willingness for subsequent pregnancy.

Methods Children aged 3–4 months, 18 months, or 3 years who underwent medical check-up in 138 cities and their mothers were surveyed. Data from 5500 children aged 3–4 months and their mothers was analysed; this data included responses regarding willingness for subsequent pregnancy and pregnancy or childbirth satisfaction. Factor analysis was performed to verify existing categories of 15 items associated with pregnancy or childbirth satisfaction. Multivariate logistic regression analyses were performed to determine factors associated with the willingness for subsequent pregnancy, stratified by mothers' age and parity.

Results Factor analysis indicated that 4 factors influence pregnancy or childbirth satisfaction: medical care, family support, birthing facility, and support in the workplace and society. Multivariate logistic regression analyses in mothers having one child revealed that those aged 25–29 years and satisfied with the birthing facility [OR: 2.26, 95% CI: 1.06 to 4.85] and those aged 30–34 [OR: 2.21, 95% CI 1.12 to 4.35] or >35 years [OR: 2.94, 95% CI 1.15 to 7.51] and satisfied with family support were significantly more willing for subsequent pregnancy. Among mothers having >2 children, no significant association was found.

Conclusion Factors that influence willingness for subsequent pregnancy vary with mother's age. Therefore, age should be considered when planning services and support for parturient women.

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