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Double-edged limit of total fertility rates.

In this paper we present the accurate estimation of total fertility rates, prove the theorem of upper and lower bounds of double-edged limit and provide the formulas of upper and lower bounds of total fertility rates. Based on these estimations and statistical data, we calculate the upper and lower bounds of the double-edged limit for 46 countries including China. Furthermore, we describe the positive growth rate, negative growth rate and zero growth rate of population development. These results are of great importance for us to control population not only in theory but also in practice.

Fertility

Fertility decline in Taiwan: a study using parity progression ratios.

Taiwan's decline in fertility is studied by using period parity progression ratios. Levels of marriage and motherhood are found to have been high and essentially constant though the late 1980s, suggesting that the decline has been due almost entirely to declines in second and higher order-births. Families with three or more children play an important role in maintaining the current level of fertility. The level of fertility would be even lower without these families. They contributed more than one-half child per woman to the total fertility rate during most of the 1980s. Total fertility rates computed from the period parity progression ratios indicate a substantially higher level of fertility than the conventional total fertility rate; they remained above or at replacement level through 1988. A formal demographic analysis suggests that the conventional total fertility rate has been depressed by shifts in age at childbearing.

Adult

Sampling variability of own-children fertility estimates.

This paper develops methodology for estimating standard errors and confidence intervals for own-children estimates of age-specific birth rates and total fertility rates. The methodology applies to systematic samples of households, which are treated as simple random samples of women. The assumption of simple random selection, together with the treatment of sample subgroup size and reverse-survival ratios as constants instead of random variables, imply that sampling variability is slightly underestimated. The methodology is applied illustratively to fertility estimates based on the 1970 census of the Philippines.

Birth Rate

Fertility and family planning in southern and central Africa.

Southern Africa comprises a zone where the total fertility rate is below 6 births per woman. To the north is a ring of countries with higher fertility and relatively low contraceptive prevalence rates. The experience of South Africa, Botswana, and Zimbabwe, which have successful family planning programs, is compared with that of neighboring countries.

Adult

The appearance of one-pronuclear human oocytes is associated with a better ovulation-induction response and successful pregnancy outcome.

OBJECTIVE: To study the relationship between the presence of one-pronuclear oocytes in in vitro fertilization (IVF) patients and ovulation-induction response, oocyte and embryo development, and clinical outcome. DESIGN: Retrospective analysis of 535 consecutive IVF retrievals. Retrievals in which one or more oocytes exhibited one pronucleus were compared with retrievals in which no one-pronuclear oocytes (control) were observed. The following one-pronuclear versus control subgroups were also examined: leuprolide acetate/human menopausal gonadotropin (LA/hMG) ovulation inductions, high estradiol (E2) response cases, and retrievals in which a large number of oocytes (greater than or equal to 15) were recovered. SETTING: Brigham and Women's Hospital, a tertiary care, university-affiliated hospital. PATIENTS: Three hundred forty-six IVF patients were treated between January 1989 and May 1991. MAIN OUTCOME MEASURES: Parameters examined included E2 concentration and number of follicles with maximum diameter greater than or equal to 12 mm on day of human chorionic gonadotropin administration; number of total and mature oocytes retrieved; total fertilization rates; number of embryos; and percent per retrieval of embryo transfers (ETs), clinical pregnancies, and ongoing-livebirths. RESULTS: The one-pronuclear patients had higher E2 levels and larger number of follicles, yielded significantly more total and mature oocytes, had a higher overall fertilization rate, produced more embryos, and had higher ET, clinical pregnancy and ongoing-livebirth rates per retrieval than did the control patients. Analysis of the subgroup populations revealed no significant differences in the majority of the main outcome measures studied; however, the one-pronuclear patients yielded significantly more total and mature oocytes per retrieval. CONCLUSIONS: Although there was an increase in the clinical and ongoing-livebirth pregnancy rates (PRs) in one-pronuclear patients, this was probably associated with an improved ovulation-induction response in the one-pronuclear patients. They achieved significantly higher E2 levels, recruited a larger number of follicles, and yielded more oocytes and embryos per retrieval than the control patients. When only the LA/hMG, E2 greater than or equal to 1,500 pg/mL, or the greater than or equal to 15 oocytes/case retrievals were analyzed, the PRs were no longer different; however, the one-pronuclear patients still yielded significantly more total and mature oocytes per retrieval than the controls. Therefore, the appearance of one-pronuclear oocytes is probably associated with the maturation stage of the oocytes obtained and is indicative of an ovulation induction in which a large number of preovulatory, metaphase II oocytes have been recruited.

Cell Nucleus

Annual fertility rates from Census data on own children: comparisons with vital statistics data for the United States.

This paper begins by describing the procedure and data requirements for calculating annual fertility rates from census data on own children. Then, using data from the United States Censuses of 1960 and 1970, fully adjusted estimates are presented and compared with recorded vital statistics rates. Total fertility estimates derived from own children data for whites average less than two percent lower than the recorded rates- a difference that can be attributed partially to the fact that the estimates are adjusted for net census undercount but the recorded rates are not. Even without adjustments for mortality, children not living with their mothers, and net census undercount, the own children data estimates accurately replicate recorded trends (even though the levels are misspecified). The utility of own children data for the study of differential fertility is discussed.

Adolescent

Components of stably high fertility in three areas of west Africa.

The constancy of fertility levels in Ghana, Senegal and southwest Nigeria since 1970 is separated into its nuptiality and marital fertility elements. The age-specific changes in the two components are examined and these show that the apparent stability in observed total fertility rates is essentially the outcome of the offsetting impact of increased marital fertility below age 25 and above age 40, over the effect of the increasing proportion of women remaining single up to 25 yr of age. Continuity in traditional fertility behaviour and stable nuptiality has remained operative over the broad middle segment of the reproductive lifespan of women in the three areas. The paper thus concludes that West Africa is likely to continue to display stably high fertility for many years into the next century. The social and cultural conditions behind this trend are discussed with special reference to the continued high demand for children and the low and only slowly rising contraceptive prevalence level.

Adolescent

Changes in contraceptive use and fertility: El Salvador, 1978-88.

In El Salvador from 1978 to 1988, contraceptive use among married women 15-44 years of age increased from 34% to 47%, and the total fertility rate declined from 6.3 to 4.6 children per woman. Most of this change took place from 1978 to 1985. Sterilization is the most prevalent method used, but nearly one-half of the women who are sterilized did not use any contraception before their operation. Few young couples use reversible methods of contraception to space births or delay the start of childbearing. On average, women wait 8 years after marriage and have nearly three children before they use contraception.

Adolescent

[The decline of fertility in western europe: I. -- the appraisal (author's transl)].

The sharp decline in the number of births these last ten years is a general phenomenon in Western industrialised countries. As far as methodology is concerned, a clear distinction must be made between two concepts measuring fertility: completed fertility of successive generations, total fertility rate of successive years. The evolution of these two indicators of procreative behaviour is amazingly comparablefrom country to country, in spite of their various difference in termes of economic situation, of legislation (family allowances, contraception, abortion, divorce), predominant religion, etc...

Adolescent

Estimates of fertility levels in a rural community of Saudi Arabia.

There is a dearth of information on fertility levels in Saudi Arabia. In the absence of a reliable vital registration system, fertility level can be estimated from sample surveys. The Gompertz relational fertility model has been fitted to parity data on 923 women from a survey in the Al-Baha region. The estimated total fertility rate was 8.4. Education and age at marriage have strong association with the level of fertility. Those who married at early ages had higher parities, whereas women who had more than primary education reported lower parities.

Adolescent

[Obstetric-gynecologic problems in the developing countries].

The integrated health programmes in the developing countries give priority to the improvement of women's living conditions and of maternal and child health medical attention. The Authors, as specialists in Obstetrics and Gynecology active in an African country, present the most frequent pathological situations which, in their experience, can lead to the death of the pregnant woman. The social reality of the underdeveloped world and the high Total Fertility rates, due partly to the absence of a contraceptive culture, too often see the woman of reproductive age threatened by the complication deriving from abortion, ectopic pregnancy and labour. The obstetrician needs to know how to solve these emergencies and how to train the local personnel in order to guarantee as much as he can the essential obstetrical functions.

Child Health Services

Religion and fertility in the United States: new patterns.

In the United States, the baby boom-era pattern of high Catholic and low Protestant fertility has ended. Among non-Hispanic whites in the 1980s, Catholic total fertility rates (TFRs) were about one-quarter of a child lower than Protestant rates (1.64 vs. 1.91). Most of the Protestant-Catholic difference is related to later and less frequent marriage among Catholics. Future research on the demography of religious groups should focus on explaining the delayed marriage pattern of Catholics, the high fertility of Mormons and frequently attending Protestants, and the very low fertility of those with no religious affiliation.

Birth Rate

Fertility and family planning in Vietnam.

This report provides the first reliable statistical data on fertility patterns and the family planning program in the Socialist Republic of Vietnam. Findings are from the 1988 Demographic and Health Survey of Vietnam and the 1989 census survey. The data show that the total fertility rate has declined from over 6 children per woman in the early 1970s to under 4 in the later 1980s. Contraceptive prevalence for modern methods is estimated at 37 percent among married women of reproductive age in 1988. The average duration of breastfeeding is over 14 months; marriage is relatively late. The IUD is the most common contraceptive method and abortion is widespread. The major factors likely to influence fertility and family planning in the future are the government's population policy, improved access to modern methods of contraception, and the institution of new economic policies that are currently under way in Vietnam.

Adolescent

Quantitative aspects of marriage, fertility and family limitation in nineteenth century America: another application of the Coale specifications.

This paper deals with three aspects of the decline in the fertility of white women in the United States from 1800 to 1920. The first concerns the portion of the secular decline in the total fertility rate which was due to changes in marriage rates and the portion due to decreases in marital fertility rates. The second concerns the fraction of couples in the nineteenth century who acted effectively to reduce their fertility and the third deals with the importance of abortion as a family-limiting practice among white couples in the nineteenth century.

Abortion, Induced

[The decline of fertility in Western Europe. III. Some considerations on future evolution and on policy measures aiming at supporting fertility (author's transl)].

The analysis of recent fertility trends in France lead to hold as plausible that women born after 1950 will not reach replacement level. On the other hand, the period total fertility rate, which has not fallen as low as those observed in some neighbouring countries, might well continue to decline and thus disturb the alimentation of age-pyramid, despite its slower decrease in the course of 1976. Considering present fertility situation in France, an action of the State appears to be desirable. The factors which condition fertility fall largely out of the range of well-established knowledge. Though, it seems that they are deeply rooted in collective consciousness and that the possibilities they leave to voluntary action on fertility trends is relatively modest. Moreover, to be efficient, the means used must be important. The lines of possible action seem, in our view, to relate to two main fields: research of a better conciliation of professional activity and motherhood, increase of family benefits for second but specially for third and following children.

Birth Rate

The predictive validity of reproductive intentions.

On the basis of data collected in the 1975 National Fertility Study (NFS) in which continuously married white women interviewed in the 1970 NFS were reinterviewed five years later, the aggregate and individual validity of reported fertility intentions is evaluated. The main finding about aggregate prediction is that 1970 intentions overestimated 1971-1975 fertility to the same extent as the conventional 1970 total fertility rate. The conclusion is that intentions suffer all of the same vulnerabilities as other period measures. At the individual level, the validity of intentions is considerable in comparison with most other indicators.

Adult

Demographic findings relevant for health care planning and evaluation collected through a malaria control project in the Kivu Mountains, Zaire.

Population studies were conducted in the margin of a community based malaria control programme in the Katana Health zone, in the Eastern part of Zaire. The reported findings are based on prospective registration of vital events from March 1986 through February 1987. At mid term 28.083 people were covered. The age and sex structure of the population was typical for tropical Africa, apart from an excess of males to females after the age of 64. The mean age at marriage was 21.2 years for women and 25.6 years for men. 89% of women did not complete a single year of formal education. The crude fertility rate was 250/1000 and total fertility 8.3 children. The infant mortality rate and the child mortality quotients attained 130/1000 and 183/1000 respectively. The crude death rate was 23 per 1000 and the natural population growth rate 31/1000. Due to a net out-migration of 28/1000 the zone's population remained, however, virtually stable. The latter observation questions the purported role of demographic pressure as a key determinant of the region's slow socio-economic development. The other findings provide valuable baseline and background information for planning and evaluating health-related activities.

Adolescent