Delayed Childbearing


Book Description













Birth Settings in America


Book Description

The delivery of high quality and equitable care for both mothers and newborns is complex and requires efforts across many sectors. The United States spends more on childbirth than any other country in the world, yet outcomes are worse than other high-resource countries, and even worse for Black and Native American women. There are a variety of factors that influence childbirth, including social determinants such as income, educational levels, access to care, financing, transportation, structural racism and geographic variability in birth settings. It is important to reevaluate the United States' approach to maternal and newborn care through the lens of these factors across multiple disciplines. Birth Settings in America: Outcomes, Quality, Access, and Choice reviews and evaluates maternal and newborn care in the United States, the epidemiology of social and clinical risks in pregnancy and childbirth, birth settings research, and access to and choice of birth settings.










What are the Determinants of Delayed Childbearing and Permanent Childlessness in the United States?


Book Description

This paper presents estimates of delayed childbearing and permanent childlessness in the United States and the determinants of those phenomena.The estimates are derived by fitting the Coale-McNeil marriage model to survey data on age at first birth and by letting the parameters of the model depend on covariates. Substantively, the results provide evidence that the low first birth fertility rates experienced in the 1970's were due to both delayed childbearing and to increasing levels of permanent childlessness. The results also indicate that (a) delayed childbearing is less prevalent among blackwomen than among non-black women, (b) education and labor force participation are important determinants of delayed childbearing, (c) the influence of education and labor force participation on delayed childbearing seems to beincreasing across cohorts, (d) education is positively associated with heterogeneity among women in their age at first birth, (d) the dispersion of age at first birth is increasing across cohorts, (f) race has an insignificant effecton childlessness, and (g) education is positively associated with childlessness, with the effect of education increasing and reaching strikingly highlevels for the most recent cohorts.