Why does total fertility rate drop to 2-3 when medicine becomes competent

Oh I’m with him - and you - on the not-unexpected thing. But Sam did say the pain probably would not be as great (I’m picturing dad busily chopping wood and saying to mom “Oh heckfire we lost one? Well at least we got us eight more!”) and I’m curious to know of any research that bears that out. I just don’t think it is true that knowing some of your many children will die means they are any less valued when alive or mourned when dead.

<snip>

In my family, we started on the tractor at age 7 or 8.

Wesley, you are not the first person to notice the correlation between education/affluence and fertility rates. If you haven’t already, read the short story “The Marching Morons” by C.M. Kornbluth (or whatever his real name was).

As many others have already stated, if you could reliably choose how many children you would have, it would appear that two or three is plenty. The availability of easy, effective birth control meant that you could space them conveniently and stop when you felt like it, and access to quality medical care would insure that your children survived to adulthood.

So why is 2 or 3 enough? Because in addition to the economic reasons already pointed out, raising children is a lot of work, 24/7/365 for twenty to twenty-five years. It is certainly worth it, but after the second or third child comes along, most couples tend to opt for quality of life over quantity of life. In times when large families were the norm, it was also the norm for the older children to help care for the younger ones because Mom and Dad were worn out from raising the older ones. Plus, it helped prepare the older children to be parents themselves.
Naturally, there are many individual exceptions to the above, but the fertility rates would suggest that it is true in the aggregate.

Uganda seems to have a very bad record when it comes to women’s rights:

http://www.hrw.org/press/2003/08/uganda081303.htm

http://ww4.aegis.org/news/ips/2003/IP030902.html

When women can’t refuse sex, or can’t insist on safe sex, then they’re likely to have more pregnancies, wanted and unwanted.

I couldn’t find a reference for a quote I remember from the Falklands war, so you have to go by my memory here. A British officer said that they had to change tactics in the war to mimimize the number of dead. He attributed that to families having only one son, so that you couldn’t have has many losses. While losing children is really hard, if you have eight vs. one, there has to be a difference.

I don’t think that parents of large families love each kid any less, but there is certainly a difference in impact if your only child dies vs one out of eight. They may both be as painful, but the aftermath is very different. In the latter case, you still have a family. In the former case, your family is gone. I think that’s a pretty big difference. I know some people who’s lives were nearly destroyed by the loss of their only child. Divorce in such situations is fairly common.

And with two children, a big difference is that if you lose one, the other sibling is suddenly alone. With eight kids, the siblings still have each other to lean on for comfort and support. The family remains intact.