Trends of Selective Fetal Reduction and Selective Termination in Multiple Pregnancy, in England and Wales: a Cross-Sectional Study

Selective abortion was shown to be increasingly common in England and Wales over a 9-year period, occurring most frequently as twin to singleton reductions in the 1st trimester. We analysed the trends in selective abortion (SA) in multiple pregnancies in England and Wales between 2009 and 2018. This is a cross-sectional study looking at 1143 women with multiple pregnancies in England and Wales undergoing SA. There were a total of 1143 cases of SA between 2009 and 2018 in England and Wales, representing 0.07% of total abortions. There has been a steady increase in cases, from 90 in 2009 to 131 in 2018, with 82.3% justified under ground E of The Abortion Act 1967. The majority of SAs were carried out at 13–19 weeks gestation, and intracardiac injection of potassium chloride was the most prevalent method (75%). Twin to singleton reductions accounted for 59%, the most common form of SAs. Over half of all cases (59%) were performed in women aged 30–39 years, and 84% of all women were of White ethnicity. SA has been an option available for couples diagnosed with multiple pregnancy, especially when there are discordant anomalies. Although SA may decrease multiple pregnancy-related complications, preventative methods must be championed.

Birth Spacing and Fertility in the Presence of Son Preference and Sex-Selective Abortions: India's Experience Over Four Decades

Since the advent of prenatal sex-determination technologies in the mid-1980s, India has experienced an increasingly male-biased sex ratio at birth, presumably from sex-selective abortions. Abortions lengthen birth intervals, but we know little about how birth spacing has changed or the effects of these changes. I show that, although the overall length of birth intervals increased from 1970 to the mid-2010s, well-educated women with no sons had the most substantial lengthening, as well as the most male-biased sex ratios. Furthermore, most of these changes took place immediately after the introduction of prenatal sex-determination technologies. Consequently, some women without sons now have longer birth intervals than those with sons, reversing India's traditional spacing pattern. Women with low education continue short birth spacing when they have no sons, with only limited evidence of male-biased sex ratios. Because of the rapid lengthening of birth intervals, period fertility rates substantially overestimated how fast cohort fertility fell. Moreover, predicted cohort fertility is still 10%–20% above the period fertility rate. If the lengthening of birth intervals arises from repeated abortions, the associated short pregnancy spacing may counteract any positive effects of longer birth spacing. There is, however, no evidence of this effect on infant mortality. Judging from sex ratios, sex-selective abortion use is not declining.

Prenatal Testing – What Is It Good For? A Review and Critique

The goals of prenatal testing remain controversial and reflect competing interests of public health, patient rights, disability activists, scholars, feminist critics, commercial laboratories, judiciary/legislative trends, and medical science. This paper reviews and critiques the most common justifications of prenatal testing for fetal aneuploidy that have been put forth over the half century of its existence: reducing the medical and economic burden to society of genetic disease through selective abortion, allowing parents to avoid raising a child with disabilities, preventing the suffering associated with chromosomal and genetic disorders, emotional reassurance about the health of the baby, and medical and emotional preparation for the birth of a baby with a disability. Each of these goals has problematic aspects, as do some of the criticisms of these goals. The most striking shortcoming of the justifications for prenatal testing is a dearth of research about potential medical, psychological, or adaptational benefits of prenatal testing, especially for aneuploidy, for babies and families, beyond the option of pregnancy termination.

Sex ratios and ‘missing women’ among Asian minority and migrant populations in Aotearoa/New Zealand: A retrospective cohort analysis

ABSTRACTBackgroundRecent research from the UK, USA, Australia, and Canada point to male-favouring Sex Ratios at Birth (SRB) among their Asian minority populations, attributed to son preference and sex-selective abortion within these cultural groups. The present study conducts a similar investigation of SRBs among New Zealand’s Asian minority and migrant populations, who comprise 15% of the population.MethodsThe New Zealand historical census series between 1976-2013 was used to examine SRBs between ages 0-5 by ethnicity. A retrospective birth cohort in New Zealand was created using the Stats NZ Integrated Data Infrastructure from 2003-2018. A logistic regression was conducted and adjusted for selected variables of interest including visa group, parity, maternal age and deprivation. Finally, associations between family size, ethnicity and family gender composition were examined in a subset of this cohort (families with 2 or 3 children).ResultsThere was no evidence of ‘missing women’ or gender bias as indicated by a deviation from the biological norm in New Zealand’s Asian population. However, Indian and Chinese families were significantly more likely to have a third child if their first two children were females compared to two male children.ConclusionThe analyses did not reveal male-favouring SRBs or any conclusive evidence of sex-selective abortion among Indian and Chinese populations. Based on this data, we conclude that in comparison to other western countries, New Zealand’s Asian migrant populations presents as an anomaly. The larger family sizes for Indian and Chinese populations where the first two children were girls suggested potentially ‘soft’ practices of son preference.WHAT IS ALREADY KNOWN ON THIS SUBJECT-There are discrepancies in Sex Ratios at Birth (SRB) among the Asian minority migrant populations – particularly Indian and Chinese populations –in countries like Canada, UK, USA. SRBs show a pronounced number of males over female children, suggesting a widespread practice of sex-selective abortions in these communities since the 1970s.-These trends implicitly reflect social norms of gender bias through son preference, and daughter devaluation.WHAT IS BEING ADDED-The present study did not find evidence of skewed SRBs that favour boys over girls among Asian ethnicities. The analyses however did find a tendency for Indian and Chinese families to have larger families especially when the first two children were girls.-Overall, the findings suggest the absence of widespread practices of sex-selective abortion making New Zealand an anomaly relative to other migrant-receiving countries. However, there are still vestiges of son preference that are seen through decisions around family size and gender composition.

Son preference and the fertility squeeze in India

India's sex ratio at birth (SRB) has become increasingly masculine, coinciding with a declining total fertility rate. Couples often resort to sex-selective abortion or even infanticide to ensure the birth of a son. We use household-level data from all four waves of India's National Family Health Survey (NFHS) to investigate the effect of India's demographic transition on the SRB. Mixed-effects logit regression analysis demonstrates that since the early 1990s, the probability of a third-order birth being male is decreasing in the number of sons previously born, while for second-order births, this effect does not become apparent until the 2000s. Accounting for geographic heterogeneity in the fertility transition, we find additional heterogeneity in son preference and sex selection at the village/neighborhood level. This heterogeneity has strengthened over time at both second- and third-order births and in more and less gender skewed regions of the country, suggesting potential convergence in sex ratios across India. By incorporating the most recent 2015–16 round of the NFHS, we demonstrate that previously documented trends in sex selection continue, and additionally that sex selection is increasingly occurring at lower parities as the desire for a smaller family combines with the traditional preference for sons.

No Effect of Selective Maturation on Fruit Traits for a Bird-Dispersed Species, Sambucus racemosa

Selective abortion, also called selective maturation, is a phenomenon wherein maternal plants selectively mature ovules that have the potential to grow into higher-quality fruits, such as those that contain more seeds. We hypothesized that the effects of selective maturation on fruit traits could be influenced by the dispersal mechanism. However, to date, limited studies have been conducted on selective maturation in bird-dispersed fruits. Unlike self- or wind-dispersed species, bird-dispersed species would not selectively mature fruits that contain more seeds because they are not preferred by birds. Here, we investigated the effect of selective abortion on the fruit traits of a bird-dispersed species, elderberry (Sambucus racemosa L. subsp. kamtschatica). We performed a flower-removal experiment. Half of the inflorescences on each individual tree were removed for the treatment group, whereas the control group was not manipulated. We found that the flower-removed trees showed higher fruit sets, suggesting the existence of resource limitation. The number of seeds per fruit did not increase by the experimental treatment. Additionally, the control individuals did not produce larger fruits. The lack of effects on fruit traits supported our hypothesis that the effect of selective maturation on fruit traits may differ among species with different dispersal mechanisms.