Rethinking early childbearing in Indonesia: is it preceded by a premarital first birth?

Purpose This study aimed to present the level and patterns of premarital first births in Indonesia, and its association with early childbearing. Methods This study used three rounds of the Indonesia Demographic and Health Survey, including a total of 29,483 women in 2002; 32,895 in 2007 and 45,607 in 2012. Those women who had their first child before reaching 19 years of age were defined as early child bearers, otherwise, the women were known as later child bearers. All conceptions that occurred 9 months after the first marriage were defined as timely births within marriage, thus, premarital first birth is a first birth that occurred less than 7 months after the first marriage. Findings About 7-11% of Indonesian women conceived their first child before marriage. Both early and later child bearers experienced their first birth less than 7 months after their first marriage, however, women who experienced conception before marriage were twice as likely to become early child bearers compared to women who had their first birth occurred timely. Conclusion The results of the present analysis show that some Indonesian women had their first child before marriage. Although the unavailability of marriage and birth registrations is the most plausible explanation for the decline in premarital first births among the youngest cohort, regional differences suggest there is also an influence of socio-cultural diversity in the premarital sexual practices of Indonesian women.