Book contents
- Frontmatter
- Contents
- Participants
- Declarations of personal interest
- Preface
- SECTION 1 BACKGROUND TO AGEING AND DEMOGRAPHICS
- SECTION 2 BASIC SCIENCE OF REPRODUCTIVE AGEING
- SECTION 3 PREGNANCY: THE AGEING MOTHER AND MEDICAL NEEDS
- SECTION 4 THE OUTCOMES: CHILDREN AND MOTHERS
- SECTION 5 FUTURE FERTILITY INSURANCE: SCREENING, CRYOPRESERVATION OR EGG DONORS?
- SECTION 6 SEX BEYOND AND AFTER FERTILITY
- SECTION 7 REPRODUCTIVE AGEING AND THE RCOG: AN INTERNATIONAL COLLEGE
- SECTION 8 FERTILITY TREATMENT: SCIENCE AND REALITY – THE NHS AND THE MARKET
- SECTION 9 THE FUTURE: DREAMS AND WAKING UP
- 31 In our wildest dreams: making gametes
- 32 The future: dreams
- 33 Managing expectations and achieving realism: the individual journey from hope to closure
- 34 Managing expectations and achieving realism: the ‘realpolitik’ of reproductive ageing and its consequences
- 35 The future: waking up
- SECTION 10 CONSENSUS VIEWS
- Index
34 - Managing expectations and achieving realism: the ‘realpolitik’ of reproductive ageing and its consequences
from SECTION 9 - THE FUTURE: DREAMS AND WAKING UP
Published online by Cambridge University Press: 05 February 2014
- Frontmatter
- Contents
- Participants
- Declarations of personal interest
- Preface
- SECTION 1 BACKGROUND TO AGEING AND DEMOGRAPHICS
- SECTION 2 BASIC SCIENCE OF REPRODUCTIVE AGEING
- SECTION 3 PREGNANCY: THE AGEING MOTHER AND MEDICAL NEEDS
- SECTION 4 THE OUTCOMES: CHILDREN AND MOTHERS
- SECTION 5 FUTURE FERTILITY INSURANCE: SCREENING, CRYOPRESERVATION OR EGG DONORS?
- SECTION 6 SEX BEYOND AND AFTER FERTILITY
- SECTION 7 REPRODUCTIVE AGEING AND THE RCOG: AN INTERNATIONAL COLLEGE
- SECTION 8 FERTILITY TREATMENT: SCIENCE AND REALITY – THE NHS AND THE MARKET
- SECTION 9 THE FUTURE: DREAMS AND WAKING UP
- 31 In our wildest dreams: making gametes
- 32 The future: dreams
- 33 Managing expectations and achieving realism: the individual journey from hope to closure
- 34 Managing expectations and achieving realism: the ‘realpolitik’ of reproductive ageing and its consequences
- 35 The future: waking up
- SECTION 10 CONSENSUS VIEWS
- Index
Summary
In 2006, the Institute of Public Policy Research (IPPR) produced a document, written by Mike Dixon and Julia Margo, detailing the consequences of the way we choose, en masse, to reproduce. Their striking finding was that the timing, as much as the methods, of starting families has a number of impacts. First, late maternity drives fertility down and sparks a pension and overall welfare crisis if there are fewer citizens of working age than there are either side of it. Second, while childlessness is of course a personal issue, if women are finding themselves involuntarily childless at the age of 45 years through a lack of public health information, this raises questions about governmental duty and dereliction thereof. Third, if middle-class women are having children progressively later while women in lower social brackets are having children much earlier, the social divide that predates the maternity ossifies into alarmingly iniquitous outlooks for those children. The link between early motherhood and poverty is pronounced and any government with a stated interest in reducing child poverty would have to start here.
So, a number of questions remain. What are the predictions for population and how much should we trust them? Is there a European or another developed world model that we could usefully follow and which examples should we be avoiding? If population is being driven downwards, what are the driving factors?
Keywords
- Type
- Chapter
- Information
- Reproductive Ageing , pp. 339 - 346Publisher: Cambridge University PressPrint publication year: 2009