A Generation of Childless Women: Lessons from the United States

Craig, Benjamin M.; Donovan, Kristine A.; Fraenkel, Liana; Watson, Verity; Hawley, Sarah T.; Quinn, Gwendolyn P.

doi:10.1016/j.whi.2013.09.005

Cited by 30 publications

(20 citation statements)

References 46 publications

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“…Even their own health and other burdens seem to matter less. These findings are similar to the trends observed all over the world (Hammarberg and Clarke, 2005;Craig et al, 2014;Schytt et al, 2014;Birch Petersen et al, 2015;Kearney and White, 2016;Daniluk and Koert, 2017). We are the first survey from Asia where 60% of global population resided and this may reflect the gender inequality in reproduction in this region (Mehrotra and Kapoor, 2009).…”

Section: Discussionsupporting

confidence: 89%

What Took You So Long? A Public Health Approach to Mitigate the Delayed Childbearing

Vichinsartvichai

Limvorapitux

Traipak

2019

FandR

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Background: The delayed childbearing has doubled in prevalence during the last decade. It affects reproductive health, population distribution and economy. We use the public health approach to survey among women aged at least 35 years seeking fertility treatment. Methods: A self-administered questionnaire-based survey was conducted in women aged at least 35 years attending an infertility clinic in a university hospital. The questionnaire consisted of background information and three domains: (1) reasons for delayed childbearing, (2) required social policy incentives, and (3) acceptability toward infertility treatment. Each domain was scored from ‘5 — most important’ to ‘1 — least important’. Results: A total of 590 women (median age 38.0 years) were recruited; 86.4% of them held at least a bachelor degree and 93.2% had higher income than Thailand’s GDP per capita. They thought that the most appropriate age to have the first child was 28.7 years. The top three reasons for delayed childbearing were “I need more financial security”, “no spouse”, and “I need progress on my career”. The participants thought that “paid paternity leave”, “increase paid maternity leave”, and “good quality childcare” were essential for them to make an earlier fertility decision. The most acceptable infertility treatments were IUI, IVF/ICSI, and social oocyte banking. Conclusions: Women who delayed childbearing focus on financial and career security or finding the proper partner before fertility decision making. However, they have greater concerns over family welfare than money when it comes to domestic issues. The social policy and the related fertility treatment should adapt to serve the needs of the people and promote national fertility rate.

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Section: Discussionsupporting

confidence: 89%

What Took You So Long? A Public Health Approach to Mitigate the Delayed Childbearing

Vichinsartvichai

Limvorapitux

Traipak

2019

FandR

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“…The number of women over 40 years of age seeking infertility treatment has been steadily increasing in the past decade due to postponing childbearing in career women as well as the desire of pregnancy in couples starting a second family [ 14 ]. The decision to delay childbearing has biologic consequences.…”

Section: Discussionmentioning

confidence: 99%

Autologous oocyte cryopreservation in women aged 40 and older using minimal stimulation IVF

Zhang

Choo

Yang

2015

Reprod Biol Endocrinol

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BackgroundThe value of oocyte cryopreservation in older women remains controversial. The aim of this study was to report the oocyte freezing experience in women aged 40 and older at a single fertility center.FindingsOne hundred fifty eight women (mean age 43.9 ± 0.2) who underwent minimal ovarian stimulation IVF were enrolled. IVF protocol included the use of clomiphene citrate (50 mg/day) or letrozole (2.5 mg/day) with or without low dose gonadotropins (started at 75 IU/day and increased as needed to 150 IU/day). 584 retrieved oocytes (2.1 ± 0.15 per patient) yielded 532 mature MII oocytes that were frozen. After thawing and fertilization by ICSI, a total of 344 embryos (1.9 ± 0.1 per patient) were formed. A total of 57 relatively good embryos were transferred and yielded three live births (5.3 % per embryo transfer), three spontaneous abortions, and one chemical pregnancy.ConclusionsThese data are important in counseling older women who desire autologous oocyte freezing.

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“…Aux É tats-Unis, en 2006, une femme sur cinq n'avait pas eu d'enfant à 45 ans. Dans l'é tude de Craig et al, 73 % des femmes sans enfant à 39 ans dé siraient en avoir un ; mais seulement 7 % d'entre elles auront un enfant [19].…”

Section: Discussionunclassified

Faut-il mieux informer les femmes jeunes sur leur fertilité ? Étude des connaissances sur une population d’étudiantes

Chelli

Riquet²,

Perrin³

et al. 2015

Gynécologie Obstétrique & Fertilité

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A Generation of Childless Women: Lessons from the United States

Cited by 30 publications

References 46 publications

What Took You So Long? A Public Health Approach to Mitigate the Delayed Childbearing

What Took You So Long? A Public Health Approach to Mitigate the Delayed Childbearing

Autologous oocyte cryopreservation in women aged 40 and older using minimal stimulation IVF

Faut-il mieux informer les femmes jeunes sur leur fertilité ? Étude des connaissances sur une population d’étudiantes

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