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Women's reproductive span: a systematic scoping review.

A F Nabhan1, G Mburu2, F Elshafeey3

  • 1Department of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

Human Reproduction Open
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Summary

This review highlights the wide variation in definitions, trends, and determinants of women's reproductive span, encompassing biological, social, and effective aspects. Further research is needed to standardize definitions and explore implications for fertility care.

Keywords:
assisted reproductiondemographyfemalehumansinfertilitymenarchemenopausereproductive span

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Area of Science:

  • Reproductive Health
  • Demography
  • Sociology

Background:

  • A woman's reproductive span, her childbearing years, significantly influences reproductive decisions.
  • Existing literature shows considerable variation in how this span is defined, measured, and understood.

Purpose of the Study:

  • To conduct a scoping review of the literature on women's reproductive span.
  • To identify and summarize definitions, trends, and determinants of women's reproductive span.
  • To explore implications for population demographics and assisted reproduction.

Main Methods:

  • A systematic scoping review was conducted, searching multiple databases (MEDLINE, PubMed, JSTOR, CINAHL, Web of Science, Scopus) and unpublished sources.
  • Sixty-seven reports published between 1980 and 2020 were included.
  • Data were extracted and conceptually synthesized, grouping studies by biological, effective, and social aspects of reproductive span.

Main Results:

  • The review identified a broad range of definitions for women's reproductive span, categorized as biological, effective, and social.
  • Significant variations in temporal trends and determinants were observed across these categories.
  • Few studies explored the implications of reproductive span on population demographics or assisted reproduction.

Conclusions:

  • There is a lack of consensus on the definition, trends, and determinants of women's reproductive span.
  • Further research and stakeholder collaboration are necessary to establish core definitions and understand implications for fertility care and policy.
  • Future research should explore linkages between reproductive spans, their determinants, and the need for assisted reproduction.