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Increases in contraceptive use account for about 75% of fertility decline in developing countries in the past six decades and have substantially reduced the proportion of pregnancies in women of high parity, which pose a greater-than-average risk to maternal survival In 2008, contraceptive use averted over 250,000 maternal deaths worldwide by reducing unintended pregnancies, which is equivalent to 40% of the 355,000 maternal deaths that occurred that year If all women in developing countries who want to avoid pregnancy use an effective contraceptive method, the number of maternal deaths would fall by a further 30% Because of its effect on births to women of high parity and on the need to resort to unsafe abortion, contraception also reduces the risk of maternal death per pregnancy; each 1% increase in contraceptive use reduces the maternal mortality ratio by 4·8 deaths per 100 000 live births In rich and poor countries the risks of prematurity and low birth weight are substantially raised by short intervals, and in developing countries, risk of death in infancy (ages Members of parliament meeting at the fifth International Parliamentarians Conference on Population and Development (ICPD) - held in Istanbul - agreed the economic crunch is no reason for governments to relax their commitment to women's reproductive rights and health, made 18 years ago.

Babatunde Osotimehin, executive director of the United Nations Population Fund (UNFPA) said 250 million women around the world do not have access to much-needed family planning services.

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We have 18 families and no one has more than three children.

The health of the children and mothers has improved, and so has the spacing of babies.

The world's population is expected to grow by 39% over the next 45 years and births in the 50 poorest nations are estimated to rise by 228%.

Education and improved health for women and access to contraception are vital.

More research and a public better educated about sexuality and reproduction could engender a global social movement that would make possible a world of intended pregnancies and births.

Before, we didn't know how to control pregnancy, we didn't have the education, and people in the area were having nine or ten children.For various reasons they are not using contraception.If all births resulted from women actively intending to conceive, fertility would immediately fall slightly below the replacement level; world population would peak within a few decades and subsequently decline.Empowering women and girls in the economic, political, and social arenas; b. Integrating family planning with related efforts to improve maternal and child health; and d. Increasing contraceptive use in developing countries over the past 20 years has, by reducing the number of unintended pregnancies, cut the number of maternal deaths by 40%.Preventing high-risk pregnancies where women have many births, and those that would have ended in unsafe abortion, contraceptive use has reduced the maternal mortality ratio by about 26% in just over a decade.Greater-than-average risk to maternal, perinatal, and child survival is associated with pregnancies at very young (34 years) maternal ages, at high parities, and with short interpregnancy intervals, and with pregnancies that would have ended in unsafe abortion.

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