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AGE AND FERTILITY: CAN WOMEN WAIT UNTIL THEIR EARLY THIRTIES TO TRY FOR A FIRST BIRTH?

Published online by Cambridge University Press:  26 September 2011

JOHN W. McDONALD
Affiliation:
Centre for Longitudinal Studies, Institute of Education, London, UK
ALESSANDRO ROSINA
Affiliation:
Dipartimento di Scienze Statistiche, Universita Cattolica – Milano, Italy
ESTER RIZZI
Affiliation:
Research Centre on Population and Societies, Université Catholique de Louvain, Belgium
BERNARDO COLOMBO
Affiliation:
Dipartimento di Scienze Statistiche, Universita di Padova, Italy

Summary

Postponing the start of childbearing raises the question of fertility postponed versus fertility foregone. One of the limitations of previous studies of ‘How late can you wait?’ is that any observed decline in the probability of conception with age could be due to a decline in fecundability with age or due to a decline in coital frequency with age or due to both factors. Using data from a multinational longitudinal study conducted to determine the daily probability of conception among healthy subjects, a discrete-time event history model with long-term survivors (sterile population) is used to study the relationship between age and fecundability for childless women, while controlling for the pattern of intercourse within a menstrual cycle. The findings suggest that women can wait until their early thirties to try for a first birth, providing that they are not already sterile, as the magnitude of the decline in fecundability is very modest and of little practical importance.

Type
Research Article
Copyright
Copyright © Cambridge University Press 2011

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References

Colombo, B. & Masarotto, G. (2000) Daily fecundability: first results from a new data base. Demographic Research 3, Article 5. URL: http://www.demographic-research.org/Volumes/Vol3/5/CrossRefGoogle ScholarPubMed
Dunson, D. B., Colombo, B. & Baird, D. D. (2002) Changes with age in the level and duration of fertility in the menstrual cycle. Human Reproduction 17, 13991403.CrossRefGoogle ScholarPubMed
Dunson, D. B., Baird, D. D. & Colombo, B. (2004) Increased infertility with age in men and women. Obstetrics & Gynecology 103, 5156.Google Scholar
Durrleman, S. & Simon, R. (1989) Flexible regression models with cubic splines. Statistics in Medicine 8, 551561.CrossRefGoogle ScholarPubMed
Harrell, F. E. Jr (2001) Regression Modeling Strategies with Applications to Linear Models, Logistic Regression, and Survival Analysis. Springer, New York.CrossRefGoogle Scholar
Larsen, U. & Vaupel, J. W. (1993) Hutterite fecundability by age and parity: strategies for frailty modeling of event histories. Demography 30, 81102.CrossRefGoogle ScholarPubMed
McDonald, J. W. & Rosina, A. (2001) Mixture modelling of recurrent event times with long-term survivors: analysis of Hutterite birth intervals. Statistical Methods & Applications 10, 257272.CrossRefGoogle Scholar
Menken, J. (1985) Age and fertility: how late can you wait? Demography 22, 469483.CrossRefGoogle ScholarPubMed
Schwartz, D., MacDonald, P. D. M. & Heuchel, V. (1980) Fecundability, coital frequency and the viability of ova. Population Studies 34, 397400.CrossRefGoogle ScholarPubMed
Stone, C. J. (1986) Generalized additive models: comment. Statistical Science 1, 312314.CrossRefGoogle Scholar
Thomas, A., Spiegelhalter, D. J. & Gilks, W. R. (1992) BUGS: a program to perform Bayesian inference using Gibbs sampling. In Bernardo, J. M., Berger, J. O., Dawid, A. P. & Smith, A. F. M. (eds) Bayesian Statistics 4. Clarendon Press, Oxford, pp. 837842.CrossRefGoogle Scholar