1. Chapter 10 Should We or Shouldn’t We: Choosing Whether to Have Children

2. Chapter Outline Fertility Patterns in the United States Maybe We Shouldn’t”: Forgoing Parenthood Waiting a While: Parenthood Deferred Choosing When: Is There an Ideal Age at which to Have a Child? Being Pregnant

3. Chapter Outline Contested Viewpoints on Childbirth Pregnancy Loss Giving Birth Choosing How: Adoptive Families Becoming a Parent

4. True or False? Abortions have declined over the past decade.

5. True Since 1990, trends in birth, abortion, and fetal loss have all declined: live births by 9%, abortions by about 25%, and fetal losses by 4%.

6. True or False? The rate of infant mortality in the United States is about what it is throughout the industrialized world.

7. False The rate of infant mortality in the United States remains far higher than the rates in most of the developed world. In 1999, the United States ranked 28th of 37 countries with populations of at least 1 million for which complete counts of live births and deaths were compiled.

8. True or False? Men and women both can suffer from “postpartum blues.”

9. True Men, as well as women, seem to get a form of postpartum blues. –When infants arrive,many fathers do not feel prepared for their new responsibilities. –Some men are overwhelmed by the changes in their marital relationship. –Fatherhood is a major transition, but most people turn their attention to the new mother.

10. Fertility Patterns in the United States There were more than 4.1 million births in the United States in 2004, up only 1% from 2003. The crude birthrate, a statistic reflecting the number of births per every 1,000 people in the population, was 14 in 2004. In recent decades, the United States has experienced a decrease in the fertility rate, from 118 in 1960 to 66.3 in 2004.

11. Fertility Rates by Race and Ethnicity: 2002

12. Unmarried Parenthood In 2004, a record number of unmarried women gave birth. Nearly 1.5 million nonmarital births occurred, an increase of 4% from the preceding year. These births represented almost 36% of all births, with increases occurring for women of all ages and races.

13. % of Births to Unmarried Mothers by Ethnic Origin, 2004 Ethnic Origin of Mother 20042003 All Ethnic Groups 35.734.6 Non-Hispanic whites 24.523.6 Non-Hispanic blacks 69.268.5 American Indian 62.361.3 Asian or Pacific Islander 15.515 Hispanic 46.445.0

14. Strategies to Reduce the Stigma of Not Wanting Children Passing –Pretending to intend someday to become parents. Identity substitution –Feigning an involuntary childless status, as well as letting other statuses dominate a social identity.

15. Strategies to Reduce the Stigma of Not Wanting Children Condemning the condemners –Suggesting that some people have children for the wrong, or for selfish, reasons or that they do so without thinking fully about the responsibility. Asserting their “right” to self-fulfillment

16. Strategies to Reduce the Stigma of Not Wanting Children Claiming a biological “deficiency.” – The individual lacks the nurturing “instinct.” Redefining the situation –Showing how the lifestyle allows nurturing qualities to be used in other ways or allows the individual to be productive.

17. Comparison: Planned and Unplanned Pregancies Unplanned pregnancies present greater risks for problems associated with lack of readiness for parenting. Babies born from unintended pregnancies are more likely to suffer physical and social disadvantages. Mothers who give birth to “unintended” babies are more likely to report experiencing problems such as postpartum depression.

18. Planned and Unplanned Pregancies Comparing planned and unplanned pregnancies reveals the following: Unplanned pregnancies present greater risks for problems associated with lack of readiness for parenting on the part of pregnant women or expectant couples. Babies born from unintended pregnancies are more likely to suffer physical and social disadvantages. Mothers who give birth to “unintended” babies are more likely to report experiencing psychological problems such as postpartum depression.

19. Attachment Both expectant parents may feel that the fetus is already a member of the family. They begin the attachment process well before birth.

20. % of Mothers Beginning Prenatal Care in First Trimester, and % with Late or No Prenatal Care First TrimesterLate or No Care All women83.23.9 White (non-Hispanic)88.53.2 African American74.3 6.7 Hispanic74.46.3

21. Spontaneous abortion (miscarriage) Most occur during the first trimester, with 3% occurring after 16 weeks of pregnancy. The rate of miscarriage is lowest among women 20–24 years old and increases to a high among women 35–39 years old. At least 60% of miscarriages are caused by fetal chromosomal abnormalities. Most miscarriages occur between the sixth and eighth weeks of pregnancy.

22. Infant Mortality and Health Care Of the thousands of U.S. babies less than 1 year old who die each year, most are victims of poverty. Up to 1/3 of these deaths could be prevented if mothers were given adequate health care. In France, Sweden, and Japan, pregnant women are entitled to free prenatal care. 1 in 6 children born in the U.S. is born to mothers who received no prenatal care through the first trimester. Almost 1 in 8 children have no health insurance.

23. Sudden Infant Death Syndrome (SIDS) A phenomenon wherein an apparently healthy infant dies suddenly while sleeping. Data from the CDC and the National Center for Health Statistics for 2001 attribute 2,234 infant deaths to SIDS.

24. Sudden Infant Death Syndrome (SIDS) A study from Australia identified four factors that appear to increase the chances of SIDS –a soft, fluffy mattress –the baby being wrapped in a blanket –the baby having a cold or other minor illness –allowing the baby to become too warm

25. Households by Type of Children and Number of Adopted Children Households by type of childrenPercent Adopted children only1.8 Stepchildren only3.3 Biological children only89.4 Adopted and biological children1.8

26. Households by Type of Children and Number of Adopted Children Households by type of childrenPercent Adopted children and stepchildren0.1 Biological children and stepchildren3.6 Biological children, adopted children and stepchildren 0.1

27. Adoption Adoptive families face unique problems and stresses. Issues faced by adoptive families: –Choosing open or closed adoption. –Dealing with feelings about the biological parents. –Dealing with insensitivity and prejudice from society.

28. Depression in Young Mothers There are 6 themes: 1.Suddenly realizing motherhood. 2.Torn between two realities of motherhood and adolescence. 3.Constantly questioning and trying to explain the unexplainable.

29. Depression in Young Mothers 4.Feeling alone, betrayed, and abandoned by those that you need to love you. 5.Everything is falling down on you and around you. 6.You are changing and regrouping, seeing a different future.

30. Entering Parenthood: Features Irreversibility –Once we enter parenthood we cannot easily leave without incurring significant social or legal repercussions. Lack of preparation –There is almost nowhere and no way to practice parenting.

31. Entering Parenthood: Features Idealization and romanticization –The expectations we have about parenthood are often overly idealized. Suddenness –We go from nonparent to parent in the moment of childbirth. Role conflict –The parental role affects all of other roles.

32. Five Domains of Change for Parents Identity and inner-life changes: –They don’t think of themselves the way they did before their children were born. Shifts in marital roles and relationship: –Parenthood alters how couples divide tasks or allocate responsibilities.

33. Five Domains of Change for Parents Shifts in intergenerational relationships: –Becoming parents alters the relationship between new parents and their parents. Changes in roles and relationships outside the family. New parenting roles and relationships.