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Results for “Voluntary Childlessness”

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PubMed1987

Infertile or childless by choice? A multipractice survey of women aged 35 and 50.

Eleven general practitioners examined the medical records of all women on their lists born in 1950 (617 patients) and 1935 (533 patients) to determine the prevalence of childlessness and specialist consultations about infertility. Eighty eight (14.3%) of the women born in 1950 and 41 (7.7%) of those born in 1935 were childless. Sixty eight women born in 1950 (11.0%) and 17 born in 1935 (3.2%) were considered childless by choice. Involuntary childlessness was found in 20 (3.3%) of the women born in 1950 and 24 (4.5%) born in 1935. Forty two (6.8%) of the women born in 1950 had consulted a specialist about infertility as compared with 19 (3.6%) born in 1935. This study found a significant increase in voluntary childlessness among the younger women; there was no evidence of a change in the prevalence of involuntary childlessness despite the increasing demand for specialist referral, which appeared to be made by women who were parous or destined to become so.

Adult↗
PubMed1986

Voluntary and nonvoluntary childlessness: personality vs. structural implications.

"A 'deviant behavior' interpretation of childlessness has led many researchers to view this phenomenon as psychosocial in nature. Married persons who decide to remain childless are seen as having a unique set of personality and behavioral characteristics that go beyond the simple decision not to have children. An alternative explanation for these differences could center around the structural factor of childlessness per se, in that a family with one or more children may be a totally different social system than the dyadic-type relationships which comprise the childless couple. This paper reports research findings from an empirical test of the extent to which a national sample of [U.S.] respondents who are members of voluntary or nonvoluntary childless couples differ in terms of 12 psychosocial characteristics selected either on the basis of past research findings, or predicted on the basis of these findings....Findings showed that the two groups of respondents did strongly differ, but in ways opposite to those predicted on the basis of past research. An argument is presented that these strong, but contrary findings might be better explained by structural, as opposed to psychosocial, factors."

Americas↗
PubMed2006

Soon, later, or ever? The impact of anomie and social capital on fertility intentions in Bulgaria (2002) and Hungary (2001).

We use survey data from Bulgaria and Hungary to investigate the determinants of whether women intend to have a first or a second child and, if so, whether they intend to have the child within the ensuing 2 years or later. These determinants differ significantly by the order and timing of the intended birth. The variables used include measures of anomie and social capital and these appear to be among the factors that determine both whether to have a child and when. There is some evidence that these measures and economic factors are relatively more important in Bulgaria than in Hungary, and that ideational factors are more important in Hungary, particularly in the case of voluntary childlessness.

Adult↗
PubMed2006

Male infertility.

With infertile couples, one third of cases can be due to a male factor. It is important to have a comprehensive yet efficient approach to identifying potential causes for appropriate counseling and treatment. We combined the experience of a urologist and a gynecologist, both fertility subspecialists, and reviewed current literature on the investigation of male infertility. A history and physical examination supplemented by relevant investigations will help unravel any significant diseases that can be associated with male subfertility or any conditions that may be transmitted to future offspring. Semen analysis is a common, convenient measure of assessing the male. It should precede any invasive tests of the female. While reference values are important in standardization, the current trend in using sperm morphology alone in predicting male fertility remains problematic. Overreliance on this reference can lead to misdiagnosis and unnecessary invasive treatment with intracytoplasmic sperm injection (ICSI). In those who have no identifiable or correctable causes, ICSI provides new hope for couples with male infertility who, in the past, could only choose among therapeutic donor insemination, adoption or voluntary childlessness. With increasing application of these assisted reproductive technologies, it is important to rule out genetic causes, such as cystic fibrosis, and to provide appropriate genetic counseling before embarking on these invasive and costly procedures.

Adult↗
PubMed1982

Parity-specific fertility intentions and uncertainty: the United States, 1970 to 1976.

A theoretical and analytic model of fertility intentions is proposed which treats "don't know" responses and other uncertain responses as distinct from more firm intentions. Methodologically, these analyses show that "don't know" responses need not be treated as missing data, but instead are both valid and meaningful responses. Furthermore, eliminating these uncertain respondents would have the negative effects of distorting across survey comparisons in intentions due to shifts in aggregate uncertainty, reducing the likelihood of accurately detecting shifts in fertility intentions, and lessening the representatives of the sample analyzed. Substantively, in conjunction with Morgan (1981), these results show that the sharp 1965-76 decline in the likelihood of intending more births at parities 2 through 5 occurred as women halted childbearing at minimal acceptable levels and postponed further childbearing. With time (or age), this delayed fertility became fertility about which the respondent was uncertain and, finally, fertility foregone. Since 1970, similar shifts are observed at parities 0 and 1, perhaps foreshadowing an increase in voluntary childlessness and one-child families.

Adolescent↗
PubMed1992

Predicting childlessness for recent cohorts of American women.

Over 50% of the American women now in the midst of the childbearing years have never borne a child. These levels of childlessness for women in their 20s are the highest ones in a time series that spans most of the twentieth century. Will postponed parenthood be translated into very high levels of permanent childlessness? Or will these cohorts "catch-up" with a late fertility flurry in their 30s and 40s? The authors examine 3 projection strategies: one using women's stated fertility expectations, a second relying on the patterns of previous cohorts, and a third which posits that current rates will persist into the future. The predictive validity of these different projection strategies are tested with data for the 1980-87 period. They show that the projection based on current period rates performs well. Further, the authors argue that it better captures the first birth process than other models. They forecast levels of 20% childless for cohorts of white women born in the early 1960s. Recent trends for nonwhites are very different from those for whites: levels of 4% are forecast for nonwhite women.

Age Distribution↗
PubMed1977

Psychiatric aspects of voluntary sterilization in young, childless women.

An increasing number of young, childless women currently seek tubal ligation for fertility control. They state that they have no maternal aspirations and that available contraceptive methods are not safe enough. This aspect of voluntary sterilization has received little attention by psychiatrists in the past. This paper presents a psychological picture of seven women with a particular focus on some psychodynamic considerations underlying their wish to remain childless and the role of the psychiatrist in the decision-making process for this procedure.

Adult↗