To investigate the current status of fertility intentions among married women of childbearing age in Hebei Province under the background of the three-child policy, and to analyze the influencing factors of fertility support on married women of childbearing age’s fertility intention.

A random cluster sampling method was used to select married women of childbearing age in Hebei Province as the respondents in July 2023, and a self-designed questionnaire was used for the survey. Multinomial logistic regression was used to analyze the influencing factors of fertility intentions among married women of childbearing age.

A total of 1 200 questionnaires were distributed and 1104 valid questionnaires were collected, with a valid recovery rate of 92%. Among the survey subjects, 222 people (20.1%) had no intention of fertility/re-fertility, 263 people (23.8%) intended to have 1 child, 545 people (49.4%) intended to have 2 children, and 74 people (6.7%) intended to have 3 children or more. The results of multinomial logistic regression analysis showed that age, ethnicity, occupation, and residence area were influencing factors of fertility intentions. In terms of fertility support, time support, monthly childcare expenses, maternal care, and economic support were influencing factors of fertility intentions among married women of childbearing age.

The fertility intentions of married women of childbearing age are relatively low, and the intention of having three children is still at a low level. Actively providing fertility support and policies that encourage the fertility intentions of married women of childbearing age, and creating a good fertility environment, will help to enhance the fertility intentions of married women of childbearing age.