This thesis contributes to the limited demographic literature on Central Asia – the region through which led the great Silk Road – an ancient route of trade and cultural exchange between East and West. We focus on Kyrgyzstan and countries in its immediate neighborhood: Tajikistan and Uzbekistan. We analyze the dynamic interplay between marriage, childbearing, and migration, and examine fertility intentions and intentions to migrate as predictors of demographic outcomes. The thesis consists of four co-authored and one single-authored paper connected through a common theme of ethno-cultural differences in demographic behavior. In the first three studies, we explore the link between migration and family formation. We demonstrate that increased fertility of recent migrants is attributable to marriage-related resettlements. In paper four, we provide an analysis of intentions to move abroad. Our results suggest that ethnicity plays a significant role, independent of other factors, in determining migration plans and preferences, and detect ethnic-specific effects of marriage, childbearing, and social capital on the inclination to migrate. In paper five, we compare the fertility and fertility intentions of ethnic majority and minority groups in three neighboring countries of the region. We explain fertility differentials between ethnic groups in terms of the combined effects of their status in society, country-level differences in institutional settings, and historical and cultural factors. / <p>At the time of the doctoral defense, the following paper was unpublished and had a status as follows: Paper 5: Manuscript.</p>

North American research on childbearing demonstrates that many first-time mothers rely on educational books for information and advice concerning pregnancy and childbirth. Popular literature on childbearing advises women on a variety of topics including choosing a caregiver, prenatal testing, safety and risk, natural vs. medicated labour, and place of birth. Such information may shape women’s expectations, choices, and belief systems regarding the body, obstetric technology, pregnancy and birth. These varied forces and belief systems coalesce to influence the ways in which women experience birth, thereby affecting post-natal mental, socioemotional, and physical health. Currently, however, research exploring the various messages disseminated by popular literature on pregnancy and birth is limited. In this study, the author examines four popular North American childbearing advice books for discourses related to biomedical and midwifery cultures, ways of knowing, power, and choice. Discourses are considered through a feminist intersectional framework, with particular attention paid to the ways in which childbearing ideologies are shaped by interactive biological, socio- cultural, economic, and political factors. The author explores how power matrices and the privileging of biomedical knowledge can shape conceptualizations of gender and sexuality, women’s bodies, maternity care, pregnancy, labour, and birth. In addition, peripheral discourses that provide possibilities for other, non-normative narratives of birth are highlighted. / Graduate

No description available.

Knowledge levels of issues related to fertility, reproduction, and assisted reproductive technology (ART) are low among the general population. There have also been increasing trends for women to delay childbearing and for many individuals to turn to various forms of ART to aid reproduction. Many commentators assume the provision of information targeting fertility related issues and ART will be influential in altering women’s intentions related to delay childbearing, but there is a lack of both empirical and theoretical evidence to support this assumption. Further, suggestions for how to provide education related to fertility and ART have not yet been examined. The present study examined the applicability of the theory of planned behavior (TPB) for predicting women’s intentions to delay childbearing and whether the provision of detailed, accurate, and accessible information regarding reproduction, factors influencing fertility, and the limitations of fertility treatments would alter individual attitudes and levels of perceived control surrounding delayed childbearing. Participants received one of two informational interventions (i.e., fertility-related or alcohol-related information) then completed a questionnaire measuring the constructs of the theory of planned behavior. It was predicted that the theory of planned behavior would provide an adequate framework for examining women’s intentions to delay childbearing in that attitudes, subjective norms, and perceived control would all emerge as significant predictors of these intentions (hypothesis 1). It was also predicted that the provision of detailed, accurate and accessible information regarding reproduction, factors influencing fertility, and the limitations of fertility treatment would alter young women’s intentions to delay childbearing (hypothesis 2). Multiple regression analyses provided support for Hypothesis 1 and substantiated that TPB provides an adequate framework for examining women’s intentions to delay childbearing. Hypothesis 2 was partially supported such that the intervention groups significantly differed with respect to their delayed childbearing intentions. However, most of the women in this sample did not evidence intentions to delay childbearing into critical fertile periods. Future research is warranted to examine the theory of planned behavior’s ability to predict delayed childbearing over time, across cohorts, and amongst men, as well as the impact of improved reproductive technologies and media reports of fertility on intentions to delay childbearing.

This thesis explores how Dual Income No Kids (DINK) couples within the United States approach family planning. The study is based on ethnographic work I carried out over the course of 2011, including a nationwide survey and in-depth interviews I conducted in Atlanta, Georgia, Fort Lauderdale, Florida, and Denver Colorado. Specifically, I was interested in investigating why these couples were “delaying” having children based on the national average. While current literature points to changes in education, healthcare, and societal values as being the catalyst for the DINK movement, I wanted to understand Americans’ childbearing decisions on a more personal level. Through this project I looked at how both the social goals (parent and peer role models) and personal pressures (prioritization of education, career and marital partnership) influence an individual’s decision about whether and when to have children. As such, I also explore themes of identity, life narrative, and choice in regards to family planning. Whereas the popular stereotype of DINK suggests that these couples are uninterested in family or “family values”, my research shows that many couples actually choose to be DINK for a time because they are actively pursuing and preparing for parenthood.

Faculty of Health Sciences School of Patholgy 8601804k erine.gregersen@nhls.ac.za / The oral anticoagulant, warfarin, when administered in pregnancy, can cause warfarin embryopathy, fetal central nervous system abnormalities, spontaneous abortion and fetal intrauterine death. Women with prosthetic heart valves usually require warfarin in pregnancy because of their high risk for thromboembolic complications. Anticoagulation regimens in pregnancy in these women aim to balance the fetal effects of warfarin with maternal risks of thromboembolism. This study was conducted by structured interview of 124 black urban South African women of childbearing age, who had at least one warfarin-exposed pregnancy. The study aimed to determine the pregnancy outcomes in this cohort, their awareness of the effects of warfarin in pregnancy, and what management practices, as reported by them, had occurred with regard to their anticoagulation in pregnancy and what genetic counselling they had received. There was a significant difference in outcome between warfarin-exposed and non-exposed pregnancies; 55.2% (123/223) of warfarin-exposed pregnancies ended in the birth of an abnormal baby, spontaneous abortion or intrauterine death. The warfarin embryopathy rate was estimated at 4.5 – 5.4%. Most women reported having been given information about warfarin in pregnancy, though their awareness about the personal and fetal effects of warfarin was often inaccurate. Of warfarin-exposed pregnancies, 95% were reportedly exposed during critical weeks six to ten of pregnancy, and >50% after 36 weeks. Only 5/124 (4%) interviewees had genetic counselling. Poor pregnancy outcomes, lack of awareness about the effects of warfarin in pregnancy, and management practices at odds with international regimens are all areas highlighted by this study that require urgent attention in this high-risk group of women.

Broad societal and cultural changes since the 1970s have provided incentives for young people to postpone parenthood. The greater access to and longer pursuit of higher education, the greater involvement of women in the labour market, and changes in family behaviour have contributed to a long-term increase in age at parenthood. The spread of effective contraception and wider access to abortion have also played a part, helping women and couples better plan the timing of births. Using data from the Human Fertility Database, we document a rise in fertility rates among women aged 40 and older in low-fertility countries of Europe, East Asia, North America, and Australia.

Despite the number of teen pregnancy studies in the past, there is a dearth of empirical data relevant to the issue of psychosocial and/or developmental changes in adolescent mothers. Most previous studies have addressed the negative and devastating impact of teen pregnancy on adolescent development. The premise of these early studies was that adolescents have pathological reasons for becoming pregnant. Contrary to these studies, an underlying assumption of this study was that teen pregnancy as a life crisis could entail the same facilitating and inhibiting factors that emerge with other adolescent life crises. Based on Erikson's theoretical framework, this study investigated the impacts of adolescent pregnancy and childbearing experiences on adolescent identity formation and on psychosocial stage development. Data were collected from 64 (34 childbearing, 30 nonpregnant) high school adolescent girls before and after childbirth. The EOM-EIS (Extended Objective Measure of Ego Identity Status) and EPSI (Erikson Psychosocial Stage Inventory) were used in this study. Analyses of pretest data showed that there were no differences between pregnant and nonpregnant adolescents. Results indicated that there were no differences on psychosocial variables between pregnant adolescents and nonpregnant adolescents with similar demographic backgrounds. The childbearing adolescents demonstrated decreases in foreclosure scores on identity status and increases in trust, industry, and intimacy scores on psychosocial stages. The results indicate that childbearing experiences may have enhanced the adolescents' ability to resolve their earlier developmental stage crises and conflicts.

This thesis explores the impact of hepatitis C on women’s childbearing decisions and experiences of motherhood. A partial grounded theory approach was used, in which 34 women living with hepatitis C participated in semi-structured interviews to determine the direct and indirect effects of hepatitis C on their own personal decisions regarding childbearing and to describe their lived experiences of motherhood. The qualitative interview data were analysed thematically, in which common themes were identified and explored.¶ Three key areas are explored: women’s social experience of hepatitis C; hepatitis C and childbearing decisions; and the meaning of motherhood for women with hepatitis C.¶ The interviews revealed that living with hepatitis C had direct effects on the childbearing decisions of women. The direct effects of the virus which impacted on women’s childbearing decisions included poor physical and emotional hepatitis C related health, the perceived risk of vertical transmission of hepatitis C, concerns their future hepatitis C related health might impact upon their mothering abilities, and childbearing can conflict with treatment for hepatitis C. However, of greater importance to these women, appeared to be the indirect effects of living with a virus which is so highly stigmatised within our society. In particular, hepatitis C is closely associated with injecting drug use, which means these women are often assumed to possess the stereotypical characteristics associated with injecting drug users. As a result, they experience widespread medical discrimination and social rejection. Hepatitis C also impacts indirectly upon a wide range of factors that most women in contemporary society take into consideration in their childbearing decisions, for example, available social support, financial security and age.¶ The experiences reported by these women are discussed in terms of their concordance or discord with prevailing theories of deviance, stigma and the social construction of motherhood. The interview data, considered in light of such theories reveal that possibly the greatest impact that hepatitis C can have upon women is to prevent them from achieving a legitimate adult female status through childbearing and becoming a ‘good mother’.¶ The implications of these findings are discussed in terms of public health and social policy.

<p>In this study I analyze the Swedish parental benefit system focusing on a certain component, the basic level, and its effects on childbearing. The basic level consists of a fixed monetary amount given to parents. The compensation level was raised three times between 2002 and 2004, which would, according to economic theories, imply increased incentives for having children. I use longitudinal data of women in fertile age between 1993 and 2005. Applying a difference-in-differences model on comparison groups based on region of birth I conclude that the policy changes probably did not cause increased probabilities of having children.</p>