Chance, choice, and the future of reproduction

The evolution of reproduction has been characterized by the development of complex biological and behavioral mechanisms that serve to regulate chance events. Human reproduction has been characterized by the increasing importance of individual choice. Some contemporary manifestations of this broad trend are the high incidence of contraceptive and "proceptive" behavior among couples in Western, industrialized nations. The former behavior willingly attempts to prevent conception while the latter actively attempts to induce conception (such as concentrating intercourse around the time of ovulation). Both patterns of behavior indicate that a choice is being made. A 3-year study of 1000 women revealed proceptive behavior as the most important factor predicting occurance of conception among married couples in the United States. The general strategeis people follow while making childbearing decisions: termination, sequencing, and pre-planning form a continuum following the historical trend toward greater reproductive control. In the terminating strategy, a couple makes no decision about child bearing until the number of children they have become enough or too much. In the sequencing strategy, decisions to have children are made 1 child at a time until a satisfactory limit is reached. In the pre-planning strategy, a plan is worked out ahead of time and is subsequently carried out. As new reproductive technology is introduced and as progressive change is made in society's reproductive related values and beliefs, choice will continue to dominate chance as the highly likely trend for the future of reproduction. Surrogate maternity is just 1 example of this trend. However, these new options, which culminate in the theory and practice of "progensis," (still in its infancy), as well as offering a rich opportunity, can also incur psychological burdens on a couple. Thus, as with any kind of freedom, these developments will require care, caution and responsibility.