Contraceptive Use And Controlled Fertility

These four papers supplement the book Contraception and Reproduction: Health Consequences for Women and Children in the Developing World by bringing together data and analyses that would otherwise be difficult to obtain in a single source. The topics addressed are an analysis of the relationship between maternal mortality and changing reproductive patterns; the risks and benefits of contraception; the effects of changing reproductive patterns on infant health; and the psychosocial consequences to women of controlled fertility and contraceptive use.

This book examines how changes in reproductive patterns (such as the number and timing of births and spacing between births) have affected the health of women and children in the developing world. It reviews the relationships between contraceptive use, reproductive patterns, and health; the effects of differences and changes in reproductive patterns; as well as the role of family planning in women's fertility and health.

Fertility rates and population growth influence economic development. The marked declines in fertility seen in some developing nations have been accompanied by slowing population growth, which in turn provided a window of opportunity for rapid economic growth. For many sub-Saharan African nations, this window has not yet opened because fertility rates have not declined as rapidly there as elsewhere. Fertility rates in many sub-Saharan African countries are high: the total rate for the region is estimated to be 5.1 births per woman, and rates that had begun to decline in many countries in the region have stalled. High rates of fertility in these countries are likely to contribute to continued rapid population growth: the United Nations projects that the region's population will increase by 1.2 billion by 2050, the highest growth among the regions for which there are projections. In June 2015, the Committee on Population organized a workshop to explore fertility trends and the factors that have influenced them. The workshop committee was asked to explore history and trends related to fertility, proximate determinants and other influences, the status and impact of family planning programs, and prospects for further reducing fertility rates. This study will help donors, researchers, and policy makers better understand the factors that may explain the slow pace of fertility decline in this region, and develop methods to improve family planning in sub-Saharan Africa.

This data booklet highlights estimates of the prevalence of individual contraceptive methods based on the World Contraceptive Use 2019 (which draws from 1,247 surveys for 195 countries or areas of the world) and additional tabulations obtained from microdata sets and survey reports. The estimates are presented for female and male sterilisation, intrauterine device (IUD), implant, injectable, pill, male condom, withdrawal, rhythm and other methods combined.

Human Fertility Control: Theory and Practice reviews the theoretical and practical concepts of human fertility control and covers topics ranging from hormonal contraception and barrier methods to intra-uterine contraception, legal abortion, and sterilization. Family planning is also discussed, with emphasis on contraception in patients with medical disorders. Comprised of 21 chapters divided into seven sections, this book begins with an introduction to hormonal contraceptives, including the oral ones such as combined pills, sequential pills, and low-dose progestagen pills, along with injectable hormones and implants. The following chapters explore the clinical pharmacology of estrogens and progestagens; combined oral contraceptives; and the relative effectiveness and risks of hormonal contraception. Barrier methods such as condoms, spermicides, and coitus interruptus (male withdrawal) are also described. The remaining chapters examine intra-uterine devices and complications of intra-uterine contraception; issues surrounding legal abortion; and methods of operative sterilization. This monograph will be a valuable resource for obstetricians and gynecologists, medical and postgraduate students, nurses and midwives concerned with family planning, and specialists in training.

Experts estimate that nearly 60 percent of all U.S. pregnanciesâ€"and 81 percent of pregnancies among adolescentsâ€"are unintended. Yet the topic of preventing these unintended pregnancies has long been treated gingerly because of personal sensitivities and public controversies, especially the angry debate over abortion. Additionally, child welfare advocates long have overlooked the connection between pregnancy planning and the improved well-being of families and communities that results when children are wanted. Now, current issuesâ€"health care and welfare reform, and the new international focus on populationâ€"are drawing attention to the consequences of unintended pregnancy. In this climate The Best Intentions offers a timely exploration of family planning issues from a distinguished panel of experts. This committee sheds much-needed light on the questions and controversies surrounding unintended pregnancy. The book offers specific recommendations to put the United States on par with other developed nations in terms of contraceptive attitudes and policies, and it considers the effectiveness of over 20 pregnancy prevention programs. The Best Intentions explores problematic definitionsâ€""unintended" versus "unwanted" versus "mistimed"â€"and presents data on pregnancy rates and trends. The book also summarizes the health and social consequences of unintended pregnancies, for both men and women, and for the children they bear. Why does unintended pregnancy occur? In discussions of "reasons behind the rates," the book examines Americans' ambivalence about sexuality and the many other social, cultural, religious, and economic factors that affect our approach to contraception. The committee explores the complicated web of peer pressure, life aspirations, and notions of romance that shape an individual's decisions about sex, contraception, and pregnancy. And the book looks at such practical issues as the attitudes of doctors toward birth control and the place of contraception in both health insurance and "managed care." The Best Intentions offers frank discussion, synthesis of data, and policy recommendations on one of today's most sensitive social topics. This book will be important to policymakers, health and social service personnel, foundation executives, opinion leaders, researchers, and concerned individuals.