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Population Research and Policy Review

, Volume 38, Issue 4, pp 483–505 | Cite as

Births that are Later-than-Desired: Correlates and Consequences

  • Caroline Sten HartnettEmail author
  • Rachel Margolis
Original Research

Abstract

Prior literature examining women’s evaluations of pregnancy timing has focused on pregnancies that are mistimed (i.e. earlier-than-desired) and unwanted (i.e. not wanted at any time), and has not addressed pregnancies that arrive later-than-desired. However, fertility postponement is widespread, so pregnancies that arrive later-than-desired may be common in the U.S. Using data from the 1995–2015 National Survey of Family Growth (N = 15,065), we investigate the prevalence and characteristics of later-than-desired pregnancies that end in birth. We find that nearly 10% of births are categorized as later-than-desired and these babies are more likely to be low birth weight, compared to on-time births (controlling for sociodemographic characteristics). Further, having a later-than-desired birth positively predicts that the next birth will be mistimed, rather than being on-time. These findings underscore the heterogeneity of pathways that can lead to mistimed births. Future research should explore the pairing of later-than-desired-births followed by mistimed births to identify mechanisms and evaluate how these births may differ from other mistimed births. We conclude that later-than-desired births warrant further study considering the elevated risk of low birth weight and the current progression of fertility postponement in the U.S. Further, we argue that future research on evaluations of birth timing should be expanded beyond mistimed and unwanted births to include later-than-desired births, due to their conceptual commonalities and their ties to poorer health indicators.

Keywords

Fertility Fertility postponement Pregnancy intentions Mistimed pregnancies Infertility Subfecundity 

Notes

References

  1. Barber, J. S., Axinn, W. G., & Thornton, A. (1999). Unwanted childbearing, health, and mother-child relationships. Journal of Health and Social Behavior, 40(3), 231–257.CrossRefGoogle Scholar
  2. Bartz, D., Shew, M., Ofner, S., & Fortenberry, J. D. (2007). Pregnancy intentions and contraceptive behaviors among adolescent women: A coital event level analysis. Journal of Adolescent Health, 41(3), 271–276.  https://doi.org/10.1016/j.jadohealth.2007.04.014.CrossRefGoogle Scholar
  3. Basso, O., & Baird, D. D. (2003). Infertility and preterm delivery, birthweight, and Caesarean section: A study within the Danish National Birth Cohort. Human Reproduction, 18(11), 2478–2484.  https://doi.org/10.1093/humrep/deg444.CrossRefGoogle Scholar
  4. Benzies, K., Tough, S., Tofflemire, K., Frick, C., Faber, A., & Newburn-Cook, C. (2006). Factors influencing women’s decisions about timing of motherhood. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 35(5), 625–633.  https://doi.org/10.1111/j.1552-6909.2006.00079.x.CrossRefGoogle Scholar
  5. Bretherick, K. L., Fairbrother, N., Avila, L., Harbord, S. H. A., & Robinson, W. P. (2010). Fertility and aging: Do reproductive-aged Canadian women know what they need to know? Fertility and Sterility, 93(7), 2162–2168.  https://doi.org/10.1016/j.fertnstert.2009.01.064.CrossRefGoogle Scholar
  6. Daniels, K. (2015). Question about Weighting, Personal Communication.Google Scholar
  7. Downs, J. S. (2004). When “it only takes once” fails: Perceived infertility predicts condom use and STI acquisition. Pediatric and Adolescent Gynecology, 17(3), 224.CrossRefGoogle Scholar
  8. Dunson, D. B., Baird, D. D., & Colombo, B. (2004). Increased infertility with age in men and women. Obstetrics and Gynecology, 103(1), 51–56.  https://doi.org/10.1097/01.AOG.0000100153.24061.45.CrossRefGoogle Scholar
  9. Finer, L. B., & Philbin, J. M. (2014). Trends in ages at key reproductive transitions in the United States, 1951–2010. Women’s Health Issues, 24(3), e271–e279.  https://doi.org/10.1016/j.whi.2014.02.002.CrossRefGoogle Scholar
  10. Finer, L. B., & Zolna, M. R. (2016). Declines in unintended pregnancy in the United States, 2008–2011. New England Journal of Medicine, 374(9), 843–852.CrossRefGoogle Scholar
  11. Gatny, H. H., Kusunoki, Y., & Barber, J. S. (2014). Pregnancy scares and subsequent unintended pregnancy. Demographic Research, 31, 1229–1242.  https://doi.org/10.4054/DemRes.2014.31.40.CrossRefGoogle Scholar
  12. Gemmill, A. (2018). Perceived subfecundity and contraceptive use among young adult US women. Perspectives on Sexual and Reproductive Health, 50(3), 119–127.CrossRefGoogle Scholar
  13. Gipson, J. D., Koenig, M. A., & Hindin, M. J. (2008). The effects of unintended pregnancy on infant, child, and parental health: A review of the literature. Studies in Family Planning, 39(1), 18–38.CrossRefGoogle Scholar
  14. Goisis, A. (2015). How Are Children of Older Mothers Doing? Evidence from the United Kingdom. Biodemography and Social Biology, 61(3), 231–251.  https://doi.org/10.1080/19485565.2014.1001887.CrossRefGoogle Scholar
  15. Goisis, A. (2018). Medically assisted reproduction and birth outcomes: A within-family analysis using Finnish Population Registers. The Lancet.  https://doi.org/10.1016/S0140-6736(18)31863-4.Google Scholar
  16. Goldenberg, R. L., & Culhane, J. F. (2007). Low birth weight in the United States. The American Journal of Clinical Nutrition, 85(2), 584S–590S.CrossRefGoogle Scholar
  17. Greil, A. L., Slauson-Blevins, K., & McQuillan, J. (2010). The experience of infertility: A review of recent literature. Sociology of Health & Illness, 32(1), 140–162.  https://doi.org/10.1111/j.1467-9566.2009.01213.x.CrossRefGoogle Scholar
  18. Guzzo, K. B., & Hayford, S. (2011). Fertility following an unintended first birth. Demography, 48(4), 1493–1516.CrossRefGoogle Scholar
  19. Hartnett, C. S., Lindley, L. L., & Walsemann, K. M. (2017). Congruence across sexual orientation dimensions and risk for unintended pregnancy among adult U.S. women. Women’s Health Issues, 27(2), 145–151.  https://doi.org/10.1016/j.whi.2016.10.010.CrossRefGoogle Scholar
  20. International Conference on Population and Development (ICPD). (1994). In International Conference on Population and Development Programme of Action (Principle 8). Cairo, Egypt. http://www.un.org/popin/icpd/conference/offeng/poa.html.
  21. Johnson, K. M., Greil, A. L., Shreffler, K. M., & McQuillan, J. (2018). Fertility and infertility: Toward an integrative research agenda. Population Research and Policy Review.  https://doi.org/10.1007/s11113-018-9476-2.Google Scholar
  22. Jones, R. K., & Kost, K. (2007). Underreporting of induced and spontaneous abortion in the United States: An analysis of the 2002 National Survey of Family Growth. Studies in Family Planning, 38(3), 187–197.CrossRefGoogle Scholar
  23. Kaye, K., Suellentrop, K., & Stroup, C. (2009). The Fog zone: How misperceptions. Magical thinking, and ambivalence put young adults at risk for unplanned pregnancy.Google Scholar
  24. Kirkham, C., Harris, S., & Grzybowski, S. (2005). Evidence-based prenatal care: Part I. General prenatal care and counseling issues. American Family Physician, 71(7), 1307–1316.Google Scholar
  25. Korenman, S., Kaestner, R., & Joyce, T. (2002). Consequences for infants of parental disagreement in pregnancy intention. Perspectives on Sexual and Reproductive Health, 34(4), 198–205.CrossRefGoogle Scholar
  26. Kost, K., Landry, D. J., & Darroch, J. E. (1998). Predicting maternal behaviors during pregnancy: Does intention status matter? Family Planning Perspectives, 30(2), 79–88.CrossRefGoogle Scholar
  27. Krueger, P. M., & Scholl, T. O. (2000). Adequacy of prenatal care and pregnancy outcome. Journal of the American Osteopathic Association, 100(8), 485–492.Google Scholar
  28. Lampi, E. (2011). What do friends and the media tell us? How different information channels affect women’s risk perceptions of age-related female infertility. Journal of Risk Research, 14(3), 365–380.  https://doi.org/10.1080/13669877.2010.541560.CrossRefGoogle Scholar
  29. Lepkowski, J. M., Mosher, W., Davis, K. E., Groves, R. M., van Hoewyk, J., & Willem, J. (2006). National Survey of Family Growth, Cycle 6: Sample Design, Weighting, Imputation, and Variance Estimation (Vital and Health Statistics, Series 2: Data Evaluation and Methods Research No. 2(142)). Hyattsville, MD: National Center for Health Statistics.Google Scholar
  30. Louis, J. F., Thoma, M. E., Sørensen, D. N., McLain, A. C., King, R. B., Sundaram, R., et al. (2013). The prevalence of couple infertility in the United States from a male perspective: Evidence from a nationally representative sample. Andrology, 1(5), 741–748.  https://doi.org/10.1111/j.2047-2927.2013.00110.x.CrossRefGoogle Scholar
  31. Lundsberg, L. S., Pal, L., Gariepy, A. M., Xu, X., Chu, M. C., & Illuzzi, J. L. (2014). Knowledge, attitudes, and practices regarding conception and fertility: A population-based survey among reproductive-age United States women. Fertility and Sterility, 101(3), 767–774.e2.  https://doi.org/10.1016/j.fertnstert.2013.12.006.CrossRefGoogle Scholar
  32. Maeda, E., Nakamura, F., Boivin, J., Kobayashi, Y., Sugimori, H., & Saito, H. (2016a). Fertility knowledge and the timing of first childbearing: A cross-sectional study in Japan. Human Fertility, 19(4), 1–7.  https://doi.org/10.1080/14647273.2016.1239033.CrossRefGoogle Scholar
  33. Maeda, E., Nakamura, F., Kobayashi, Y., Boivin, J., Sugimori, H., Murata, K., et al. (2016b). Effects of fertility education on knowledge, desires and anxiety among the reproductive-aged population: Findings from a randomized controlled trial. Human Reproduction.  https://doi.org/10.1093/humrep/dew133.Google Scholar
  34. Martin, J. A., Hamilton, B. E., Osterman, M., Driscoll, A. K., & Mathews, T. J. (2017). Births: Final data for 2015. Hyattsville, MD: National Center for Health Statistics, CDC. https://www.cdc.gov/nchs/data/nvsr/nvsr66/nvsr66_01.pdf.
  35. McQuillan, J., Greil, A. L., White, L., & Jacob, M. C. (2003). Frustrated fertility: Infertility and psychological distress among women. Journal of Marriage and Family, 65(4), 1007–1018.  https://doi.org/10.1111/j.1741-3737.2003.01007.x.CrossRefGoogle Scholar
  36. Mosher, W. D., Jones, J., & Abma, J. C. (2012). Intended and unintended births in the United States: 1982-2010 (No. National Health Statistics Reports, No. 55). Hyattsville, MD: US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics.Google Scholar
  37. Mulder, E. J. H., Robles de Medina, P. G., Huizink, A. C., Van den Bergh, B. R. H., Buitelaar, J. K., & Visser, G. H. A. (2002). Prenatal maternal stress: Effects on pregnancy and the (unborn) child. Early Human Development, 70(1), 3–14.  https://doi.org/10.1016/S0378-3782(02)00075-0.CrossRefGoogle Scholar
  38. Myrskylä, M., Barclay, K., & Goisis, A. (2017). Advantages of later motherhood. Der Gynäkologe, 50(10), 767–772.  https://doi.org/10.1007/s00129-017-4124-1.CrossRefGoogle Scholar
  39. Najman, J. M., Morrison, J., Williams, G., Andersen, M., & Keeping, J. D. (1991). The mental health of women 6 months after they give birth to an unwanted baby: A longitudinal study. Social Science and Medicine, 32(3), 241–247.CrossRefGoogle Scholar
  40. National Center for Health Statistics. (2011). User’s guide. Public use data file documentation 2006-2010 National Survey of Family Growth. Hyattsville, MD: Centers for Disease Control and Prevention, National Center for Health Statistics. http://www.cdc.gov/nchs/data/nsfg/NSFG_2006-2010_UserGuide_MainText.pdf.
  41. National Center for Health Statistics. (2014a). User’s guide. Public use data file documentation 20112013 National Survey of Family Growth. Hyattsville, MD: Centers for Disease Control and Prevention, National Center for Health Statistics. http://www.cdc.gov/nchs/data/nsfg/NSFG_2011-2013_UserGuide_MainText.pdf.
  42. National Center for Health Statistics. (2014b). User’s guide appendix 3b. 2011-2013 National survey of family growth female pregnancy file recode specifications. Hyattsville, MD: Centers for Disease Control and Prevention, National Center for Health Statistics. https://www.cdc.gov/nchs/data/nsfg/nsfg_2011-2013_app3b_fempregrecodespecs.pdf.
  43. National Center for Health Statistics. (2016). User’s guide. Public use data file documentation 20132015 national survey of family growth. Hyattsville, MD: Centers for Disease Control and Prevention, National Center for Health Statistics. http://www.cdc.gov/nchs/data/nsfg/nsfg_2013_2015_userguide_maintext.pdf.
  44. Novak, N. L., Geronimus, A. T., & Martinez-Cardoso, A. M. (2017). Change in birth outcomes among infants born to Latina mothers after a major immigration raid. International Journal of Epidemiology, 46, 839–849.Google Scholar
  45. Oppenheimer, V. K. (1988). A theory of marriage timing. American Journal of Sociology, 94(3), 563–591.CrossRefGoogle Scholar
  46. Polis, C. B., & Zabin, L. S. (2012). Missed conceptions or misconceptions: Perceived infertility among unmarried young adults in the United States. Perspectives on Sexual and Reproductive Health, 44(1), 30–38.  https://doi.org/10.1363/4403012.CrossRefGoogle Scholar
  47. Potter, J., Moore, A., & Byrd, T. (2003). Cross-border procurement of contraception estimates from a postpartum survey in El Paso. Texas. Contraception, 68(4), 281–287.  https://doi.org/10.1016/S0010-7824(03)00177-X.CrossRefGoogle Scholar
  48. Proudfoot, S., Wellings, K., & Glasier, A. (2009). Analysis why nulliparous women over age 33 wish to use contraception. Contraception, 79(2), 98–104.  https://doi.org/10.1016/j.contraception.2008.09.005.CrossRefGoogle Scholar
  49. Quilliam, S. (2015). Support for childlessness: Has anything changed between 2008 and 2015? Journal of Family Planning and Reproductive Health Care, 41(4), 306–308.CrossRefGoogle Scholar
  50. Sangster, S. L., & Lawson, K. L. (2015). Is any press good press? The Impact of media portrayals of infertility on young adults’ perceptions of infertility. Journal of Obstetrics and Gynaecology Canada, 37(12), 1072–1078.  https://doi.org/10.1016/S1701-2163(16)30072-X.CrossRefGoogle Scholar
  51. Santelli, J. S., Lindberg, L. D., Orr, M. G., Finer, L. B., & Speizer, I. (2009). Toward a multidimensional measure of pregnancy intentions: Evidence from the United States. Studies in Family Planning, 40(2), 87–100.CrossRefGoogle Scholar
  52. Vohr, B. R., Wright, L. L., Dusick, A. M., Mele, L., Verter, J., Steichen, J. J., et al. (2000). Neurodevelopmental and functional outcomes of extremely low birth weight infants in the national institute of child health and human development neonatal research network, 1993–1994. Pediatrics, 105(6), 1216–1226.  https://doi.org/10.1542/peds.105.6.1216.CrossRefGoogle Scholar
  53. Zinaman, M. J., Clegg, E. D., Brown, C. C., O’Connor, J., & Selevan, S. G. (1996). Estimates of human fertility and pregnancy loss. Fertility and Sterility, 65(3), 503–509.  https://doi.org/10.1016/S0015-0282(16)58144-8.CrossRefGoogle Scholar

Copyright information

© Springer Nature B.V. 2019

Authors and Affiliations

  1. 1.Department of SociologyUniversity of South CarolinaColumbiaUSA
  2. 2.Department of SociologyUniversity of Western OntarioLondonCanada

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