Women who suffer severe complications during their first pregnancy or delivery are less inclined to have more babies, a study published in JAMA by researchers at Karolinska Institutet reports.
Karolinska InstitutetNov 25 2024 Given the recent steady decline in birth rate in Sweden, the researchers propose monitoring in antenatal care to address the problem.
Eleni Tsamantioti, study's first author, doctoral student at the Department of Medicine in Solna, Karolinska Institutet "We found that the likelihood of having more children was much lower in women who had experienced severe complications during their first pregnancy, delivery or postnatal period," says the study's last author Neda Razaz, associate professor at the same department. "Such events can often have a physical and mental impact on women for a long time to come."
Women who needed respiratory care or who suffered a cerebrovascular accident like stroke or intracranial hemorrhage were 40 per cent less likely to have a second baby. Acute kidney failure, severe preeclampsia and blood clotting were also associated with a lower probability of a second pregnancy. The researchers also compared the women with any sisters they had to control for familial factors.
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