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Chapter IV. Fecundity

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Family Growth in Metropolitan America
This chapter is in the book Family Growth in Metropolitan America
Chapter IV. Fecundity DEFINITION OF FECUNDITY The couple who want another child as rapidly as possible cannot be certain either that conception will be immediate or that pregnancy will eventuate in a live birth. After stopping contraception, they have to wait, sometimes many months, for conception. Because of post­partum sterility, the wait tends to be longer if they have just had a birth and are seeking another pregnancy without an interlude of contraception. Then also, given pregnancy, the couple faces a risk of pregnancy wastage, which defers the next birth until after another wait for conception and approximately nine months of pregnancy. Thus, any couple is subject to involuntary factors of fertility regulation expressed in the twin possibilities of conception delay and pregnancy wastage. A couple is absolutely sterile either if their monthly probability of conception is zero, or if their chances are zero that pregnancy will lead to a live birth. In one case, there is an indefinite wait for pregnancy; in the other, there is habitual abortion. If both these probabilities are greater than zero, then the couple is fecund. But fecundity is a matter of degree, varying over a wide range, and to give it precision it is necessary to consider both the couple's monthly chance of conception and their risk of pregnancy wastage. RISK OF PREGNANCY WASTAGE1 It is commonly supposed that most women are subject to a uniform, low risk of pregnancy wastage which acts as though determined by a host of small factors, with little correlation obtaining between presence and absence of wastage in consecutive birth intervals.2 For a 1 At issue here is recognized pregnancy wastage, because, as Rock and Hertig stress, many early abortions go undetected. From their operations on 150 multipara, the authors estimate that as high as 30 to 40 per cent of all menstrual cycles may be associated with defective ova or early abortions. See A. T. Hertig and J. Rock, "A Series of Potentially Abortive Ova Recovered from Fertile Women Prior to Their First Missed Menstrual Period," American Journal of Obstetrics and Gynecology, 58 (1949), 968-993. Hertig comments further on this pioneering research project in E. T. Engle, ed., Pregnancy Wastage, Charles C. Thomas, Springfield, 111., 1953, p. 18. This finding of Hertig and Rock does not so much invalidate existing statistics on pregnancy wastage as it redefines them. These statistics measure merely that part of pregnancy wastage which is recognized as such by informants. 8 One attempt to demonstrate this generalization directly is F. J. Schoeneck's analysis of pregnancy wastage among 776 women having 5 or more pregnancies, "Pregnancy Patterns and Fetal Salvage," Obstetrics and Gynecology, 1 (1953), 610-614.
© 2016 Princeton University Press, Princeton

Chapter IV. Fecundity DEFINITION OF FECUNDITY The couple who want another child as rapidly as possible cannot be certain either that conception will be immediate or that pregnancy will eventuate in a live birth. After stopping contraception, they have to wait, sometimes many months, for conception. Because of post­partum sterility, the wait tends to be longer if they have just had a birth and are seeking another pregnancy without an interlude of contraception. Then also, given pregnancy, the couple faces a risk of pregnancy wastage, which defers the next birth until after another wait for conception and approximately nine months of pregnancy. Thus, any couple is subject to involuntary factors of fertility regulation expressed in the twin possibilities of conception delay and pregnancy wastage. A couple is absolutely sterile either if their monthly probability of conception is zero, or if their chances are zero that pregnancy will lead to a live birth. In one case, there is an indefinite wait for pregnancy; in the other, there is habitual abortion. If both these probabilities are greater than zero, then the couple is fecund. But fecundity is a matter of degree, varying over a wide range, and to give it precision it is necessary to consider both the couple's monthly chance of conception and their risk of pregnancy wastage. RISK OF PREGNANCY WASTAGE1 It is commonly supposed that most women are subject to a uniform, low risk of pregnancy wastage which acts as though determined by a host of small factors, with little correlation obtaining between presence and absence of wastage in consecutive birth intervals.2 For a 1 At issue here is recognized pregnancy wastage, because, as Rock and Hertig stress, many early abortions go undetected. From their operations on 150 multipara, the authors estimate that as high as 30 to 40 per cent of all menstrual cycles may be associated with defective ova or early abortions. See A. T. Hertig and J. Rock, "A Series of Potentially Abortive Ova Recovered from Fertile Women Prior to Their First Missed Menstrual Period," American Journal of Obstetrics and Gynecology, 58 (1949), 968-993. Hertig comments further on this pioneering research project in E. T. Engle, ed., Pregnancy Wastage, Charles C. Thomas, Springfield, 111., 1953, p. 18. This finding of Hertig and Rock does not so much invalidate existing statistics on pregnancy wastage as it redefines them. These statistics measure merely that part of pregnancy wastage which is recognized as such by informants. 8 One attempt to demonstrate this generalization directly is F. J. Schoeneck's analysis of pregnancy wastage among 776 women having 5 or more pregnancies, "Pregnancy Patterns and Fetal Salvage," Obstetrics and Gynecology, 1 (1953), 610-614.
© 2016 Princeton University Press, Princeton
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