Concerns about One’s Own Future or Securing Child’s Future: Paradox of Childbearing Decision Making

Background and Purpose: Researchers’ incomplete perception of the concerns about childbearing decision making process is revealed in discussions about policies and programs that are designed to influence fertility. Perceiving the concerns of women is essential to explain process of decision making for childbearing. This study aimed to understand women’s main concerns about childbearing decision making. Methods: This qualitative study was performed by conventional content analysis approach. The participants included 22 married women in Tehran who were pregnant for the first time or were using contraceptive methods. Purposeful sampling began and continued up to data saturation. To collect data, the unstructured in-depth interviews were used. Data were analyzed using qualitative content analysis by Lundman and Graneheim method. Findings: Four categories were obtained from data including “fear”, “uncertainty”, “hope” and “financial security”. The main category or theme was “concerns about one’s own future or securing child’s future” that was extracted as the main concern of women about childbearing decision making process. Conclusion: The findings of this study suggest that concerns about one’s own future or securing child’s future are the main concerns of women about childbearing decision making. Deep understanding of women’s concerns about childbearing will help midwives and other service providers to provide services, strategies and more sensitive and appropriate interventions.