Natural fertility is the fertility that exists without birth control. The control is the number of children birthed to the parents and is modified as the number of children reaches the maximum. There is evidence that there is little birth control is used in non-European countries. Natural fertility tends to decrease as a society modernizes. Women in a pre-modernized society typically have given birth to a large number of children by the time they are 50 years old, while women in post-modernized society only bear a small number by the same age. However, during modernization natural fertility rises, before family planning is practiced.
Historical populations have traditionally honored the idea of natural fertility by displaying fertility symbols.
Natural fertility is a concept developed by the French historical demographer Louis Henry to refer to the level of fertility that would prevail in a population that makes no conscious effort to limit, regulate, or control fertility, so that fertility depends only on physiological factors affecting fecundity. In contrast, populations that practice birth control will have lower fertility levels as a result of delaying first births (a lengthened interval between menarche and first pregnancy), extended intervals between births, or stopping child-bearing at a certain age. Such control does not assume the use of artificial means of fertility regulation or modern contraceptive methods but can result from the use of traditional means of contraception or pregnancy prevention (e.g., coitus interruptus). Many social norms or practices effect fertility regulation including celibacy, the age at marriage and the timing and frequency of sexual intercourse, including periods of prescribed sexual abstinence. Breastfeeding has also been used to space births in areas without birth control. Ansley Coale and other demographers have developed several methods for measuring the extent of such fertility control, in which the idea of a natural level of fertility is an essential component.
When women have access to birth control, they can better plan their pregnancies. This leads to better health outcomes and enhances their lives and those of their families. Birth control has dramatically improved the ability of all women to participate actively and with dignity in economies across the world. Birth control allows many women to delay childbearing until they believe they are emotionally and financially ready to be a parent. Children who are born in an unplanned pregnancy tend to occur outside relationships. Birth Control has been the main tool to prevent unplanned births, and with greater access to birth control unplanned pregnancies have declined.
Proximate determinants describe variables that affect a female's fertility. There are seven proximate determinants of natural fertility, four of which affect the inter-birth interval:
- Age at menarche, which is the age at which a female starts her menstrual cycle
- Age at marriage, used to mark the period of time in which a female is sexually mature
- Interbirth interval, the amount of time between births.
- Waiting time to conception, or the time it takes for the woman to become pregnant, including the time for sperm to travel to the egg and form a zygote
- Time added by fetal loss, also called postpartum infecundability, which is the amount of time necessary after a fetal loss for the womb to recover and be able to become fertile again
- Length of gestation, the nine-month period of fetal development in the womb
- Duration of lactational infecundability, which refers to the interval of time in which a mother is breastfeeding and usually cannot become pregnant
- Age at menopause, which is the age at which a female no longer has her menstrual cycle
Practicing natural fertility
Populations in practice
- Hutterite communities in Russia, North and South Dakota, and Montana do not practice any form of birth control
- Old World Amish communities are prohibited from using any form of birth control by their religion and tend to have high fecundity rates
- !Kung San of Namibia, Botswana, and Angola do not practice any form of birth control. However, their total fertility rates are typically lower than other natural fertility populations due to low resources and therefore increased lactational infecundability. Infanticides may occur during these periods to compensate for overpopulation and to preserve resources.
Reasons for practice
Common reasons communities or individuals will practice natural fertility include concerns about developing medical conditions (including future infertility), pre-existing health conditions (including PCOS), cost of birth control, religious prohibition, lack of availability of birth control, and lack of information about birth control methods. Location also tends to be a factor in regards to the availability of both contraceptives and education on sexual practice. For example, less developed areas, including, but not limited to those extending throughout inland Africa lack access to the drugs necessary to control fertility or informative lessons describing their correct usage.
Influences on natural fertility rates
The number of children born to one woman can vary dependent on her window from menarche to menopause. The average window of fertility is from 13.53 to 49.24. Taking into consideration lactational amenorrhea and the period between conception and birth, the average woman is capable of experiencing around 20 births. However, if the duration of lactation is cut short due to use of a formula substitute or the woman has multiple births, the number of offspring could exceed 20.
Natural fertility is not only influenced by women and their conscious decisions, but also their male counterparts. Even if a woman is unexposed to contraceptives, lacks knowledge of family planning, or purposely refrains from practicing regulated fertility, she could still struggle to conceive. Over the past half century, there has been an increase in scientific data supporting the decline in male sperm count. The decrease is attributed to various environmental toxins that are accumulating as the planet continues to industrialize. If sperm count remains above 60 million per ejaculate, fertility remains normal. But sperm counts are continuing to drop. At such low levels, the sperm often are incapable of successfully fertilizing the egg. As a result, women tend to run into more difficulties when trying to conceive, even if they try to do so naturally.
Preconditions for fertility decline
Ansley J. Coale developed a theory to predict when a populations' fertility would begin to decline. His theory focused on three specific aspects. First, a couple must make conscious choice to control their fertility. This is closely related to secularization as some religions prohibit means of contraception. Second, there must be a benefit to controlling fertility that results in the desire for a smaller family. For example, as more regions move away from agriculture children are no longer needed to help with labor and fertility rates and family size tend to decrease. Third, the couple must be able to control fertility. This means that access to contraceptives or other means of limiting fertility must be available.
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