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Fertility

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Preconception Health and Care: A Life Course Approach

Abstract

The topic of planning or preparing for pregnancy is complex. Words such as ‘planning’ and ‘pregnancy intention’ have different meanings for different communities. The ability to ‘plan’ a pregnancy assumes that women have access to resourcespower over decisions about their reproductive health and the ability to control their own future and raise their children in a safe environment (Ross 2017). Planning for a pregnancy may be a Western middle-class concept that doesn’t fit different cultures or religious perspectives. This chapter recognizes these complexities and aims to describe people’s general motivations to have children and the extent to which people understand human reproduction and lifts up critical issues around fertility that can impact a couple’s ability to achieve pregnancy. The chapter highlights age as one of the most important determinants of female fertility and a leading contributor to the higher need of assisted reproduction within the population. Female and male conditions requiring medical assistance to conceive are also described. Assisted reproductive techniques have their limitations but are currently efficient and still evolving rapidly with some very evolutionary procedures to come. Understanding fertility is important for all young adults. Health-care providers have a responsibility for educating people about their fertility and providing unbiased information and reproductive care

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Acknowledgements

The authors wish to thank professor Petra De Sutter (Ghent University, Belgium) for her advice on the medical topics.

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Authors and Affiliations

  1. Vives University of Applied Sciences, Kortrijk, Belgium

    Ilse Delbaere

  2. Sophiahemmet University, Stockholm, Sweden

    Jenny Stern

  3. Uppsala University, Uppsala, Sweden

    Jenny Stern

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  1. Ilse Delbaere
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  2. Jenny Stern
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Correspondence to Ilse Delbaere .

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Editors and Affiliations

  1. Faculty of Health, University of Plymouth, Plymouth, Devon, UK

    Jill Shawe

  2. Department of Obstetrics and Gynaecology, Erasmus University Medical Center, Erasmus MC, Rotterdam, The Netherlands

    Eric A.P. Steegers

  3. Center for Maternal and Infant Health, Jordan Institute for Families, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA

    Sarah Verbiest

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Delbaere, I., Stern, J. (2020). Fertility. In: Shawe, J., Steegers, E., Verbiest, S. (eds) Preconception Health and Care: A Life Course Approach. Springer, Cham. https://doi.org/10.1007/978-3-030-31753-9_5

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