The potential impact of changes in fertility on infant, child, and maternal mortality

This paper explores the relation between changes in the timing and quantity of fertility, such as those that might result from an effective family planning program in developing countries, and changes in child and maternal mortality. It uses the results from recent multivariate studies to estimate the changes in mortality that might result from altering maternal age, birth order, and birth spacing distributions of livebirths. The results indicate that if childbearing were confined to the prime reproductive ages of 20 to 34, then infant and child mortality rates would fall by about 5 percent. Limiting childbearing to ages 20-39 may also reduce the maternal mortality ratio by about 4 percent. Universal adoption of an ideal spacing pattern in which all births subsequent to the first are spaced at least two years apart may reduce infant mortality by about 10 percent and child mortality by about 21 percent.