Infant's sex, birth control policy and postpartum well-being: a prospective cohort study in Shanghai, China

Objectives: The Chinese government loosed its birth control policy and allowed the parents to have the second child if both of the parent were from one-child family from 2001. We explore the association between infant’s sex and mother’s postpartum well-being, which may be moderated by birth control policy status in China. Setting and Participants: We conducted a prospective cohort study in Shanghai City, one of the largest cities in China. A total number of 1730 childbearing women from 8 obstetric hospitals across Shanghai were included in the study at baseline, with 1503 women completing the survey 7 days postpartum in 2013. Measures: The General Well-Being Schedule (GWBS) was used to assess maternal well-being at baseline and follow-up investigation in the study. Women’s demographic, clinical characteristic, and well-being were measured at baseline. The maternal satisfaction and postpartum well-being were assessed in the follow-up survey. Results The results of multivariable linear regression analyses showed that women who gave birth to male infants were positively associated with the total score of maternal well-being, when the participated hospitals, maternal well-being at baseline, the socio-demographic characteristic, maternal and infant’s health outcome were added to the adjustments (β=1.462, P0.05). The results of multiple logistic regression model showed that having a male infant was a protective factor of ‘positive well-being’ (OR=0.622, P0.05). Conclusions: Our results emphasize the importance in conducting intervention to increase the general well-being, especially for those with a female infant in a son preference society such as China, and enhance the necessity of sustainability of newly relaxed two-child policy which allows more couples to have the second child in China