The effect of pregnancy intention on child development

In this paper, we use data from the National Longitudinal Survey of Youth to investigate the empirical link between unintended pregnancy and child health and development. An important contribution of our study is the use of information on siblings to control for unmeasured factors that may confound estimates of the effect of pregnancy intentions on infant and child outcomes. Results from our study indicate that unwanted pregnancy is associated with prenatal and postpartum maternal behaviors that adversely affect infant and child health, but that unwanted pregnancy has little association with birth weight and child cognitive outcomes. Estimates of the association between unwanted pregnancy and maternal behaviors were greatly reduced after controls for unmeasured family background were included in the model. Our results also indicate that there are no significant differences in maternal behaviors or child outcomes between mistimed and wanted pregnancies.     

Marital Status and Social Well-Being: Are the Married Always Better Off?

This study uses pooled cross-section time-series data, over the years 1982, 1992 and 2000, to estimate the impact of various restrictive abortion laws on the demand for abortion. This study complements and extends prior research by explicitly including the price of obtaining an abortion in the estimation. The empirical results show that the real price of an abortion has a statistically and numerically significant negative impact on abortion demand. Over the period 1982–2000 approximately 20% of the decline in the incidence of abortion was due solely to the increase in the real price of obtaining an abortion. A state Medicaid funding restriction of abortion and a parental involvement law reduce the abortion demand, but a state waiting period and a mandatory counseling law have no statistically significant impact on the abortion demand. The empirical results also provide support for the hypothesis that increases in abortion costs not only reduce the number of abortions, but also reduce the number of pregnancies by altering women’s sexual/contraceptive practices.

Drug use as a risk factor for premarital teen pregnancy and abortion in a National Sample of Young White Women

The relationship between adolescent drug use and premarital teen pregnancy and abortion as a pregnancy outcome among sexually active women is investigated in a sample of white women from the National Longitudinal Survey of Youth. Event history analysis is used to explore whether prior drug use has a unique effect on premarital teen pregnancy, with controls for personality, lifestyle, and biological factors. Logistic regression is used to estimate whether drug use affects the decision to terminate a premarital teen pregnancy. The results show that the risk of premarital teen pregnancy is nearly four times as high for those who have used illicit drugs other than marijuana as for those with no history of any prior substance involvement. Furthermore, illicit drug use increases the likelihood of an abortion by a factor of 5. Policy implications of the findings are discussed.     

Pregnancy wantedness and the early initiation of prenatal care

The study examines the impact of the wantedness of a pregnancy on the demand for early prenatal care. Using a cohort of pregnant women in New York City, we estimate a prenatal care demand function in which we control for the probability of giving birth, given a woman is pregnant. We interpret this control as a measure of wantedness. The results indicate that if the black and Hispanic women who aborted had instead given birth, they would have delayed the initiation of prenatal care, on average, more than three-quarters of a month longer than the mean number of months of delay that were actually observed for the women who gave birth. By allowing women to terminate an unwanted pregnancy, induced abortion increases the average use of prenatal care among black and Hispanic women relative to what would have been observed if the women who aborted had instead given birth.     

Blacks and the family cap: pregnancy, abortion, and spillovers

While reducing out-of-wedlock childbearing is a central goal of welfare reform, most policymakers prefer achieving this objective via a reduction in nonmarital pregnancy rates rather than through an increase in the incidence of abortion. Using aggregate state-level data from 1984 to 1998, I estimate fixed effects models that allow for autocorrelated and heteroskedastic disturbances to examine the association between the family cap and nonmarital birth, pregnancy, and abortion rates. I find robust evidence that the family cap is associated with a reduction in nonmarital birth rates, particularly among black women. This reduction is driven by a reduction in nonmarital pregnancy rates rather than through an increase in abortion or marriage rates. These findings suggest that that the stigmatizing effect of the family cap may influence the nonmarital pregnancy decisions of black women.

Fertility effects of abortion and birth control pill access for minors

This article empirically assesses whether age-restricted access to abortion and the birth control pill influence minors’ fertility in the United States. There is not a strong consensus in previous literature regarding the relationship between laws restricting minors’ access to abortion and minors’ birthrates. This is the first study to recognize that state laws in place prior to the 1973 Roe v. Wade decision enabled minors to legally consent to surgical treatment—including abortion—in some states but not in others, and to construct abortion access variables reflecting this. In this article, age-specific policy variables measure either a minor’s legal ability to obtain an abortion or to obtain the birth control pill without parental involvement. I find fairly strong evidence that young women’s birthrates dropped as a result of abortion access as well as evidence that birth control pill access led to a drop in birthrates among whites.     

The impact of state-level restrictions on abortion

This research examines 23 different laws passed by state governments in an effort to restrict the number of abortions. It assesses both laws passed and laws actually enforced after the Supreme Court permitted states to restrict access to abortion in 1989. None of the policy actions by state governments has had a significant impact on the incidence of abortion from 1982 to 1992. Abortion rates continue to reflect past abortion rates, the number of abortion providers, whether the state funds abortions for Medicaid-eligible women, urbanism, and racial composition of the population. Recent restrictive policies have not affected these trends.     

The impact of induced abortion on black and white birth outcomes in the United States

This paper examines the impact of induced abortion on birth outcomes by treating abortion as an endogenous input into the production of infant health. To gauge the direct and indirect effects of abortion, three measures of infant health are considered simultaneously: the neonatal mortality rate, the percentage of low-weight births, and the percentage of preterm births. All three are race specific and all pertain to large counties in the United States in 1977. The results suggest that by preventing unwanted births, abortion enhances the survivability of newborns of a given birth weight and improves the distribution of births among high-risk groups.     

A reply to W. H. James

The objection of W. H. James to my computation on p. 330, for the sample of Créteil, is valid. For reasons that are developed elsewhere in my paper, the current pregnancy of any woman was omitted in the elaboration of Table 6. Therefore, in order to derive continuation rates, we must re-include this pregnancy in each individual pregnancy history. Since women whose previous pregnancies ended in induced abortions had been excluded, we must do the same for women whose current pregnancy was interrupted by an induced abortion.     

Facts and artifacts in the study of intra-uterine mortality: A reconsideration from pregnancy histories

Summary The analysis of intra-uterine mortality is made difficult by the interaction of many factors, some of them being pure artifacts resulting from the way in which the data are collected, or from the under-reporting of induced abortions. This paper deals with some 'real factors' of variation in the risk of spontaneous abortion (mother's age, pregnancy order, number of previous abortions), and with some of these 'artifacts' (inclusion of induced abortion, memory effect, differential continuation rates). Special attention is paid to the effect of heterogeneity of the risk of abortion. After a discussion of problems of observation, data from two different samples are analysed, first in a classic way: variation with age and pregnancy order, comparison between the rates of abortion for current and previous abortion. Next, detailed data on successive pregnancies are used to derive estimates of the distribution of risk between women. It is concluded that this distribution could and should be taken into account, and that its effects are different from those of age. The possibility of differential continuation rates by outcome of pregnancy is discussed briefly, in connection with previous points.     

Abortion: the continuing controversy

While most countries of the world practice abortion, government policy, medical opinion, private opinion and actual practice vary widely. Although mortality from legal abortions is quite low, complications rise sharply after 12 gestational weeks. No conclusive proof shows adverse postabortion psychological effects. Romania, Japan and the Soviet Union experienced declining birth rates when abortion was made available and New York City saw a decline in illegitimacy of approximately 12% from 1970 to 1971. Throughout the world abortion laws vary from restrictive to moderate to permissive. Where laws are restrictive, as in France and Latin America, illegal abortions are estimated in the millions. The controversy over abortion centers around the arguments of what constitutes a human life, and the rights of the fetus versus the right of a woman to control her reproductive life. A review of state abortion laws as of August 1972 shows pressure on state legislatures to change existing laws. The future of abortion depends upon technological advances in fertility control, development of substitutes like menstral extraction, prostaglandins and reversible sterilization. Development of these techniques will take time. At present only through education and improved delivery of contraceptives can dependence on abortion as a method of fertility control be eased. Citizen education in the United States, both sex education and education for responsbile parenthood, is in a poor state according to the Commission on Population Growth and the American Future. If recourse to abortion is to be moderated, it is the next generation of parents who will have to be educated.     

Estimates of the abortion demand of young and older teenagers

This study estimates the demand for abortion by younger (ages 15–17) and older (ages 18–19) teenagers. The empirical results show, for both age groups, abortion demand is price inelastic and a normal good with respect to income. Teenage abortion demand is also found to be positively related to labor force participation and state Medicaid funding and negatively related to religiosity and unemployment. State family planning programs, AFDC benefits, and parental involvement laws are found not to be significant determinants of teenage abortion demand.     

“I’d like an abortion please”: rethinking unplanned pregnancy narratives in contemporary American cinema

Released in 2014 and 2015, respectively, the American indie films Obvious Child and Grandma each feature a central protagonist who is dealing with an unplanned pregnancy and is pursuing an abortion. These pro-choice narratives not only challenge Hollywood cinema’s repetitive depiction of unplanned pregnancies that result in motherhood, but they critique the dominant political and societal discourses surrounding abortion and women who choose to terminate pregnancies. Tracing the history of cinematic portrayals of unplanned pregnancy, and reflecting upon how post-feminist culture has positioned the notion of choice, this paper notes the significance of Obvious Child and Grandma as films that not only feature abortion as a central theme, but utilize comedy in their navigation of a controversial subject. Furthermore, this paper argues that in their frank and positive engagement with termination as a potential resolution to an unplanned pregnancy, these films offer important attempts to destigmatize the subject of abortion.     

A reply to W. H. James

Abstract The objection of W. H. James to my computation on p. 330, for the sample of Créteil, is valid. For reasons that are developed elsewhere in my paper, the current pregnancy of any woman was omitted in the elaboration of Table 6. Therefore, in order to derive continuation rates, we must re-include this pregnancy in each individual pregnancy history. Since women whose previous pregnancies ended in induced abortions had been excluded, we must do the same for women whose current pregnancy was interrupted by an induced abortion.     

An economic model of teenage pregnancy decision-making

In this paper, we model unmarried teenagers' decisions about their pregnancy outcome by considering that the teenager contrasts her expected utility (1) as a married mother, (2) as an unmarried mother, or (3) after abortion. We use cross-sectional data on 297 California teenagers aged 13-19 who were pregnant for the first time between 1972 and 1974. Both Anglo and Mexican-American girls are included. We find that pregnant girls who are eligible for or are receiving public assistance are more likely to give birth and remain unmarried. Teenagers with greater time values are more likely to choose abortion, and Mexican-American girls are more likely to carry their pregnancies to term.     

A glance into the hidden burden of maternal morbidity and patterns of management in a Palestinian governmental referral hospital

BackgroundLittle is known about the burden and patterns of maternal morbidity during childbirth, particularly in the Middle East Region. Investigating the patterns of maternal morbidity can be useful in guiding improvement in the quality of maternal services, and informing policy debates on women's health.ObjectiveTo examine the incidence, types and patterns of management of severe and non-severe maternal morbidities of Palestinian women during pregnancy, labour, delivery and up to seven days postpartum in one Palestinian hospital.MethodsA prospective hospital-based study was conducted for a 3-month period in 2011–2012, reviewing hospital records for all pregnant women (1.583) admitted to the governmental hospital in Ramallah, Palestine.FindingsOf all pregnant women included in this analysis (1.558), 419 (26.9%) women experienced one or more maternal morbidities and 15 (0.96%) women survived a life-threatening complication (near miss). Of all women who suffered morbidities, 69 (16.5%) had vaginal deliveries, 61 (14.6%) had cesarean sections, 179 (42.7%) had abortions/miscarriage, and 110 (26.3%) experienced complications during pregnancy or the post-partum. Hemorrhage during pregnancy, birth or postpartum was the most common morbidity. Of those who gave birth, women who gave birth by cesarean sections were three times more likely to suffer from morbidities than those who had vaginal delivery.ConclusionsThe burden of maternal morbidity for Palestinian women between the ages of 16 and 48 is high. In Palestine, maternal morbidity can be prevented by promoting a rational use of cesarean section, avoiding unnecessary medicalization, reducing unwanted pregnancies and updating practices of providers related to abortion/miscarriage care.     

The Effect of Anti-Abortion Legislation on Nineteenth Century Fertility

Using nineteenth century legal information combined with census information, I examine the effect of state laws that restricted American women’s access to abortion on the ratio of children to women. I estimate an increase in the birthrate of 4 % to 12 % when abortion is restricted. In the absence of anti-abortion laws, fertility would have been 5 % to 12 % lower in the early twentieth century.     

Post-coital use of IUD

The post-coital insertion of IUDs is a proposed test to be undertaken at the Marie Stopes Clinic in London. The assumption is that within five days of unprotected intercourse the IUD acts as a means of preventing implantation of an egg in the event of fertilization. Researchers feel that by this method it would be possible to eliminate the trauma of abortion in unwanted pregnancies and to alleviate the anxiety of rape victims.