Fertility intentions among couples in Shanghai under COVID-19: A cross-sectional study

Zhu C.,
Wu J.,
Liang Y.,
Yan L.,
He C.,
Chen L.,
Zhang J.
Document Type
Source Title
International Journal of Gynecology and Obstetrics
John Wiley and Sons Ltd


Objective: To evaluate fertility intensions among couples in Shanghai under the novel coronavirus infection (COVID-19) pandemic against the backdrop of persistently low fertility. Methods: A cross-sectional study was carried out using data from studies conducted before the COVID-19 pandemic. Data were collected regarding sociodemographic characteristics, history of reproduction and gynecology, fertility intention before and after the COVID-19 pandemic, female psychological state, and the impact of the COVID-19 pandemic on daily life. Results: Under the influence of COVID-19, 296/447 (66.2%) participants did not change their original fertility intention to have children, while 151/447 (33.8%) of participants were affected by the outbreak. Participants who believed in government and hospital control policies were less likely to change their intention to become pregnant (P < 10–3, P < 10–3). In contrast, concerns about the impact of COVID-19 on female and fetal health led participants to cancel their original pregnancy plans (P < 10−3). Conclusion: Three in ten couples of childbearing age, who originally expressed their intention of becoming pregnant, canceled their pregnancy plans after the COVID-19 outbreak. The COVID-19 outbreak has brought new challenges to people’s physical and mental health. Effective policies and measures can help to improve people’s fertility intentions with respect to having children. © 2020 International Federation of Gynecology and Obstetrics

Migration angle
Region/Country (by coverage)
Index Keywords

adult; behavior; China; cross-sectional study; family planning; female; fertility; human; male; pandemic; psychology; sexuality; young adult; Adult; China; COVID-19; Cross-Sectional Studies; Family Planning Services; Female; Fertility; Humans; Intention; Male; Pandemics; SARS-CoV-2; Sexual Partners; Young Adult