{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,6]],"date-time":"2025-12-06T07:07:43Z","timestamp":1765004863744},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,12,18]],"date-time":"2013-12-18T00:00:00Z","timestamp":1387324800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2014,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate which factors related to the first birth influence subsequent reproduction within 5\u00a0years after the birth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Prospective cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>University hospital, Stockholm, Sweden.<\/jats:p><\/jats:sec><jats:sec><jats:title>Sample<\/jats:title><jats:p>Cohort of 547 first\u2010time singleton mothers with a normal pregnancy recruited prospectively of whom 451 women consented to follow\u2010up 5\u00a0years later.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data were collected by several questionnaires on sexual, reproductive and childbirth\u2010related factors as well as on personality, postnatal depression, fear of childbirth and contact between mother\/child. Medical records were also used. Associations between these factors and having a second child were analyzed using logistic regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Women's subsequent reproduction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Planning a second child at 9\u00a0months postpartum was most important in determining to have a second child. Women who had restored their sex life 9\u00a0months after birth and women who had a high score in the personality monotony avoidance scale, were less likely to give birth to a second child. No differences were observed regarding mode of delivery, factors related to birth and having a second child, nor was there an association between postnatal depression, fear of childbirth, a negative birth experience and self\u2010estimated contact with the child and subsequent reproduction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Circumstances in relation to the first birth, such as mode of delivery and a negative birth experience, did not affect subsequent reproduction. Planning another child by 9\u00a0months after birth was the strongest factor correlated with having a second child.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.12306","type":"journal-article","created":{"date-parts":[[2013,11,24]],"date-time":"2013-11-24T15:59:02Z","timestamp":1385308742000},"page":"182-188","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Impact of clinical factors and personality on the decision to have a second child. Longitudinal cohort\u2010study of first\u2010time mothers"],"prefix":"10.1111","volume":"93","author":[{"given":"Anna\u2010Karin","family":"Klint Carlander","sequence":"first","affiliation":[{"name":"Department of Clinical Sciences Division of Obstetrics and Gynecology Danderyd University Hospital Karolinska Institute Stockholm"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ellika","family":"Andolf","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences Division of Obstetrics and Gynecology Danderyd University Hospital Karolinska Institute Stockholm"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gunnar","family":"Edman","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Tiohundra AB Norrt\u00e4lje Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ingela","family":"Wiklund","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences Division of Obstetrics and Gynecology Danderyd University Hospital Karolinska Institute Stockholm"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,12,18]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"Statistics Sweden [Internet].Stockholm. 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