REPRODUCTION AND PARENTING
CHAPTER OUTLINE
Fertility, the actual number of live births in a population, is both a biological and a social phenomenon.
Demographers use the term fertility rate to refer to the number of births per 1000 women in their childbearing years (15-44). The total fertility rate (number of children each woman has) was very high in early America. By 1900, the total fertility rate had declined to half that of a century earlier. Explanations include: the transformation of the country from rural-agricultural to urban-industrial, rapid advances in science and technology, and the changing role of women. Between 1946 and 1965, a period called the "baby boom," 74 million babies were born in the United States. Two factors seem to have played a key role: the expanding postwar economy and certain government policies. In 1957, the total fertility rate began to decline and produced the "baby bust."
Although the total fertility rate is slightly under the population replacement level of 2.1, the rate is not uniform across all race and ethnic groups. Latinos have the highest total fertility rates. The United States birth rate has been declining over the past two centuries. Although most people continue to want children, they also want smaller families than in the past.
All too often, the exposure most of us have to child rearing involves its romantic side. Parenthood, like any other social activity, involves costs and benefits.
Children today are primarily consumers. According to a 1996 survey by the U.S. Department of Agriculture, average new parents will spend nearly $150,000 to raise their newborns to the age of 17.
Most parents believe the benefits of parenthood outweigh the costs.
It is in society's interest to promote a pronatalist attitude, one that encourages childbearing. Societies vary in their strategies for accomplishing this goal.
Having children was always assumed to be the normal course of development for married couples. Today, however, more couples question whether to have children, and approximately 7 percent of all married couples consciously choose to be child-free.
Throughout history, groups have attempted to control the timing and number of births to ensure an adequate supply of food and other resources for the entire community. In contrast to the early methods, efficient and safe methods of contraception are readily available today. Most of us take for granted the availability of contraceptives, but their distribution and use in the United States was outlawed in the latter half of the nineteenth century. Margaret Sanger battled to legalize contraceptives. She coined the term birth control as a positive description of family limitation. The distribution of contraceptives in the United States was outlawed in the latter half of the nineteenth century and remained illegal in some states until 1965; in 1977, this right was extended to minors.
Some young people believe they can't get pregnant the first time they have intercourse. Jerry Burger and Linda Burns call this the "illusion of unique invulnerability."
Refers to the termination of a pregnancy before the fetus can survive on its own. This can occur spontaneously (miscarriage) or be induced through a variety of external methods. In 1996 there were approximately 1.2 million abortions, slightly higher than the previous year, but still considerably lower than the 1.4 million in 1990.
Until the nineteenth century, American laws concerning abortion reflected the tradition in English common law that abortion was permissible until "quickening." By the middle of the nineteenth century, there was one induced abortion for every four live births. Connecticut was the first state to regulate abortion in order to protect women. Criminalizing abortion drove abortions underground. They became expensive, difficult to get, and dangerous. Two events in the 1960s became a catalyst for new debate on the abortion issue. One involved the drug thalidomide, and the other an outbreak of rubella. In 1973, the Supreme Court, in Roe v. Wade, struck down all antiabortion laws as violations of a woman's right to privacy.
Abortion has become increasingly less accessible, especially for the poor, women of color and young women. In 1976, Congress passed the Hyde Amendment, which prohibited using federal Medicaid funds for abortions except where the woman's life was endangered. The approach to abortion varies from country to country. Restrictive abortion laws that prevent access to safe abortion services often lead to increased death and health problems.
Attitudes toward abortion are influenced by many factors: new information, economic and political developments, the media, and personal experiences. Although support for legalized abortion in cases where the mother's health is endangered has remained stable for over 25 years, public opinion has shifted in the direction of making abortions more difficult to get.
The medical profession defines infertility as the inability to conceive after 12 months of unprotected intercourse or the inability to carry a pregnancy to live birth. At any given time, approximately 15 to 20 percent of all married couples experience some form of infertility.
Often seen as a women's problem, men are as likely to experience infertility problems as are women. A large percentage of female reproductive problems are connected with ovulation problems and blockage of the fallopian tubes. In men, sperm production may be too low, activity too low, or there may be a blockage.
Reactions to infertility vary by gender. Wives experience a deep sense of personal failure and often become preoccupied with the task of solving their infertility problems. Husbands are more likely to view infertility as an unfortunate circumstance. In coping with infertility, some couples view adoption as a solution. However, because of birth control, abortion, and the tendency for unwed mothers to keep their babies, there is a shortage of adoptable infants, especially white infants.
As contraceptive technology improved, fewer unwanted children were available for the infertile to adopt. Pressure to find ways to overcome infertility grew, however, the new reproductive technologies have generated considerable controversy.
Involves injection of sperm into a woman's vagina during her fertile period. The legal, ethical, and family issues surrounding AI stem from the fact that different sources of sperm are utilized in the procedure. The donor may be the husband (AIH) or an anonymous donor (AID).
Sometimes called "test-tube fertilization" because it takes place outside the woman's body, usually in a laboratory. The first publicly acknowledged human success of IVF occurred in England in July 1978 with the birth of Louise Brown. Three years later, the first IVF baby was born in the United States. Gamete Intrafallopian Transfer and Zygote Intrafallopian Transfer, developed around 1985, are two of the newest techniques for helping infertile couples. In 1996, over 20,000 babies were born as a result of these procedures.
This procedure is used when a woman is unable to produce viable ova. A variety of fertilization techniques may be used.
The term refers to a woman who becomes pregnant and gives birth to a child for another woman who is infertile or incapable of carrying a child. This is the most controversial of all techniques, because it involves a third party. There are many legal issues surrounding surrogate motherhood. What if the surrogate changes her mind and decides to keep the child?
Whatever their feelings concerning pregnancy and childbirth, a majority of Americans have at least one child.
Pregnancy and eventual childbirth begin with conception, the process by which a male sperm cell penetrates the female ovum creating a fertilized egg, or zygote. Ovulation makes conception possible. If the egg is not fertilized within 18 to 24 hours after ovulation, it disintegrates and menstruation begins. Under most conditions, females cannot conceive before they have begun to menstruate and ovulate. Males are capable of participating in conception when they begin to produce sperm.
Multiple conception, in which two or more children are conceived at one time, is relatively rare. The most common form of multiple conception and birth is twins. In 1996, approximately 6000 babies were born in triplets, quadruplets, and even larger sets of multiple births, the largest number ever. These numbers are believed to be related primarily to the use of fertility drugs. Considerable debate has ensued concerning the ethics and morality associated with multiple births.
With increasing advances in reproductive technology a couple no longer have to leave the determination of their unborn child's sex completely up to chance. Sex selection is a sensitive and controversial issue.
Pregnancy initiates many changes both physically and emotionally for a woman, her partner, and the fetus.
The attitudes and behaviors of a mother during pregnancy greatly influence the health and well-being of the fetus and later of the human infant.
Most estimates concerning birth defects in the United States fall between 3 and 5 percent, but a few are as high as 7 percent. All defects present at birth are referred to as congenital.
Historically, pregnancy has been viewed primarily as women's work. Today, however, a growing number of fathers are participating in the pregnancy and childbirth experience.
Shapiro referred to the fact that men are encouraged to participate in the pregnancy and birth of their children, but they are treated as outsiders by everyone concerned. The father's presence is desired but his feelings are not. When men experience couvade (sympathetic pregnancy pains) they are often ridiculed.
Parenthood is one of the most demanding roles that individuals and couples face in their lifetime. Research shows that children increase stress in a relationship and lower relationship satisfaction. The ways in which people parent are significantly tied to how parenting roles and gender roles are culturally defined. After the birth of a child, parents must develop a mother or father identity. For some women, stresses manifest themselves in postnatal depression. Couples often have to adjust their private and intimate time together to the schedule of a child.
Research has shown that for many people the transition to parenthood means taking on more traditional sex roles.
Regardless of the division of labor before the birth of a child, after a child is born, mothers are typically more involved in child-care activities than fathers are. Because of the greater responsibility for child care and housework, mothers tend to experience much greater stress than fathers do.
Parents today are better informed about child development and behavior than ever before. Kohn discussed parenting styles in terms of self direction (found in middle-class parents) versus conformity (found among lower- and working-class parents) parental-value orientations. Other researchers have incorporated Kohn's findings into a model that divides parenting styles into three general categories: authoritarian (demands absolute obedience and often involves physical punishment), permissive (gives children autonomy and freedom to express themselves and downplays conformity), and authoritative (also encourages autonomous and self-reliant behavior).
Little is known about lesbian and gay parenting styles; however, available research indicates that lesbians tend to form extended networks of support that operate like any other family. The households tend to be less structured around a gender-specific division of labor. Gay fathers tend to be more strict disciplinarians than are heterosexual fathers.
The number of single-parent families has increased dramatically over the past two decades. Almost one-third of all births in the United States now involve single mothers. According to some experts, half of the children born today will live in a single-parent family before they reach adulthood. The greatest increases in the rate of single childbearing occurred among college-educated, employed white women.
Contrary to popular belief, teenagers account for less than one-third of all unmarried mothers. African American teenagers account for less than 12 percent of all unmarried mothers. Early motherhood places tremendous demands on teenage mothers, who, like their adult counterparts, are generally raising their children without much support from the fathers. Some critics of teenage pregnancy and childbearing have attributed its rising incidence to the availability of welfare.
LEARNING OBJECTIVES
After reading Chapter Nine, students should be able to:
KEY TERMS
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fertility fertility rate total fertility rate pronatalist attitude antinatalist forces contraception abortion infertility artificial insemination in vitro fertilization embryo transplants surrogacy conception |
zygote ovulation amniocentesis ultrasound sonogram congenital morbidity mortality fetal alcohol syndrome embryopathy couvade postnatal depression motherhood mystique |
TEACHING SUGGESTIONS/DISCUSSION QUESTIONS/CLASS EXERCISES
FILMS AND VIDEOS
RUTH MACKLIN: Mortal Choices and Public Policy, 1992, 53 min. (Films for the Humanities and Sciences). This presentation deals with the dynamics of pregnancy: contraceptives, abortion, and various other philosophical issues surrounding parenting are examined.To Parent Or Not To Parent? (Portrait of a Family series), 1988, 30 min. (RMI Media Productions, Inc.). This program focuses on how parenthood changes people's lives in major and irreversible ways. Among the issues approached in this presentation are the declining U.S. fertility rate, societal views of parenthood, the personal impact of parenthood and regulating conception.
Delayed Parenthood: Pros and Cons, 1982, 22 min. (CBS; CARSL). Discusses career desires, self-awareness needs, and economic demands, as well as medical advances which have influenced couples' decisions to delay parenthood. Pregnant women, children of older parents, doctors, therapists, and employers are interviewed in this film.
Baby Clock, 1982, 48 min. (Centre Productions; Barr). This program looks at five career women who must face the issue of whether or not to have children as their biological baby clocks continue to tick. Discusses the presence of peer group pressures to have children, the image of "supermom," the role of fathers in parenting, and other consequences of parenthood.
Motherhood On Hold: Pregnancy After 35, 1995, 23 min. (Films for the Humanities and Sciences). For an entire generation of young women, the changing social environment of the 1960s and 1970s created what appeared to be predictable control over their life choices. As discussed in different parts of Lauer and Lauer's text, many of these women pursued careers and "put motherhood on hold." Later on, however, they concluded "It's now or never." This program evaluates the issues and problems surrounding women who have waited until the third (and fourth) decades of life to conceive.
Welcome to Parenthood, 1979, 16 min. (Vanderlinden; Filmakers Ltd.) . Presents the reactions of new parents to the realities and responsibilities of parenthood. Reveals their feelings of frustration, anger, disappointment, and inadequacy, but balances these negative feelings by showing positive interactions with their children.
Family Affair: Educating Today's Parents, 1995, 24 min. (Films for the Humanities and Sciences). This program explores the techniques that can lead to "good" parenting, examining several different families and the styles of parenting in each. The presentation shows what works and what doesn't when it comes to parent-child interaction.
Things Your Mother Never Told You, 1988, 58 min. (Filmakers Library) . In this presentation, forty women explore their feelings about motherhood, including the ironies and contradictions in their lives.
Psychology of Parenting, 1992, 19 min. (Films for the Humanities and Sciences). This presentation takes a predominantly psychological approach to parenting, exploring how parents can communicate more effectively with their children.
Trying Times: Crisis in Fertility, 1988, 33 min. (Fanlight Productions, 47 Halifax St., Boston, MA 02130). This program discusses the impact of infertility on people's lives.
High Tech Babies, 1987, 58 min. (Coronet Film and Video). This presentation describes many of the new birth technologies discussed in the text and the legal and moral issues involved. In the program, one couple is followed through the process of in vitro fertilization and another is portrayed searching for a surrogate mother.
The Influence of the Family, 1991, 60 min. (Insight Media). This program explores the effects of complex family interactions on child development and shows how different family structures (dual-income, single-parent, and blended) affect children. The circumplex model of parenting is discussed and parental discipline is considered.
Family Influences, 1992, 30 min. (Insight Media). This presentation illustrates how family background influences the way people view themselves and others. Different styles of parenthood are discussed, including those mentioned in the text: authoritative, permissive, authoritarian, and uninvolved, and the characteristics of children raised within each of these styles are evaluated. The video also considers nontraditional families and discusses recent findings on child development research.
One Plus One Equals Three (Portrait of a Family series), 1988, 30 min. (RMI Media Productions, Inc.). This program highlights different styles of parenting: pal, police officer, teacher, coach, etc. and also portrays the permissive, autocratic, and authoritative styles.
Grounded for Life: Teenage Pregnancy, 1996, 30 min. (Films for the Humanities and Sciences). This program examines the rising national trend of unplanned pregnancies in the teen population. The program utilizes actual case studies and interviews with teenage mothers.
Kids Raising Kids: The Education of a Teen Mother, 1995, 24 min. (Films for the Humanities and Sciences). This program follows two teenage mothers who are able to complete their high school degrees because of a high school daycare program. The presentation also demonstrates the advantages of accepting teen mothers and fathers into the high school education system.
Are You Talking To Me?, 1988, 29 min. (Tom Van Dyke; Film Ideas, Inc.). This presentation deals predominantly with the effects of substance abuse on teenagers' lives, but there are important implications for teenage pregnancy. There are realistic scenes in this video featuring more than 300 inner-city and suburban students show real-life situations involving experimentation with drugs and sexual behavior.
Being a Single Parent, 1990, 19 min. (Films for the Humanities and Sciences). This program focuses on three very different kinds of single parents: a divorced woman, a woman who chose to be a single parent, and a man who reared his two sons alone.
Fathers, 1988, 52 min. (Filmakers Library). Compares and contrasts different styles of fathering, including heavy career orientation, authoritarian, and shared child-care responsibilities with mother. This film stresses the effort involved in cultivating strong family relationships.
Florence and Robin: Lesbian Parenthood, 1993, 52 min. (Films for the Humanities and Sciences). This frank program follows a lesbian couple's journey toward parenthood; from a sperm bank run by lesbians for lesbians in San Francisco to the state of Virginia, where a lesbian mother recently lost custody of her son. The program also includes interviews with the children of lesbian and gay couples.
Abortion: The Moral Dilemma, 1991, 28 min. (Films for the Humanities and Sciences). This presentation evaluates the abortion controversy, including points of view aired by a Catholic bio-ethicist, a clinical geneticist, and a female Asian-American politician.
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