Assisted reproductive technologies are an integrated part of national strategies addressing demographic and reproductive challenges
Abstract
BACKGROUND: The decline in the total fertility rate in the latter half of the 20th century in many European countries is becoming increasingly important in determining the demographic composition of Europe and its individual member states. This review focuses on discussion surrounding how assisted reproductive technology (ART) can impact declining fertility rates. METHODS: This article summarizes key aspects of presentations given at the 'State of the ART 2007-ART and Society' meeting held in Lyon, France, in June 2007. For each topic, searches were conducted in MEDLINE and other databases and the results, alongside unpublished data and personal opinion, were presented to the Workshop Group. Individual subjects were discussed and any disagreements or omissions resolved. RESULTS: Although reduced fertility rates will have an impact on total population number, it is the change in the age structure of the population that is likely to be the most challenging factor faced by the European Union (EU). With evidence suggesting that an ageing population threatens future standards of living and social cohesion, managing demographic change through integrated policy response has become an important component of EU legislation. However, current measures fail to tackle the contribution that ART may play in alleviating falling fertility rates. Indeed, ART can have an important impact on economic and demographic factors, and should be incorporated into a population policy mix. Current barriers to ART include legislative restriction across different EU countries, limited availability to ART and current perception of ART in society. CONCLUSIONS: The inclusion of ART as part of a population policy mix in Europe is justified but must involve better communication among ART professionals, politicians and the general public.
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The concept of family building has, until recently, been largely ignored in family-planning paradigms.
“Despite this entirely changed paradigm of population growth, the concept of family building (the process by which individuals or couples create or expand their families) has, until recently, been largely ignored in family-planning paradigms (Ziebe and Devroey, 2008; Seifer et al., 2015; Bakkensen and Goldman, 2022).”
From Declining global fertility rates and the implications for family planning and family building: an IFFS consensus document based on a narrative review of the literature (2024) · cites this paper as Ziebe and Devroey, 2008
In “Changing demographics in Europe” (page unavailable), the paper says European Commission policy communications failed to address ART’s potential contribution to fertility rates. That supports a narrower claim about overlooking assisted reproduction in demographic policy, but not the broader claim that family building was largely ignored in family-planning paradigms. (LLM, conf=0.78)
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- Authors
- Ziebe, S., Devroey, P., & on behalf of the State of the ART 2007 Workshop Group
- Affiliations
- Copenhagen University Hospital (DK)
- Vrije Universiteit Brussel (BE)
- ORCID
- Ziebe, S.
- Venue
- Human Reproduction Update
- Publisher
- Oxford University Press (OUP)
- Published
- 2008-09-29
- Volume
- 14
- Issue
- 6
- Pages
- 583-592
- ISSN
- 1355-4786 (ISSN-L)
- 1460-2369
- OpenAlex
- W2100264709
- Cited by
- 77
- References
- 48
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 2 · 2023: 5 · 2022: 4 · 2021: 1 · 2020: 2 · 2019: 3 · 2018: 5 · 2017: 4 · 2016: 4 · 2015: 4 · 2014: 5 · 2013: 4 · 2012: 3
- FWCI
- 1.17
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Human Reproduction Update (publishedVersion)
- PubMed (publishedVersion)
- University of Southern Denmark Research Portal (University of Southern Denmark) (submittedVersion)
- VUBIR (Vrije Universiteit Brussel) (submittedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Reproductive Health and Technologies
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Assisted Reproductive Technology and Twin Pregnancy
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Keywords
- assisted reproduction, fertility decline, population aging, demographic change, population policy, European Union law, reproductive health policy, access to assisted reproduction, public perception of art, age structure
- MeSH terms
- Age Factors, Birth Rate, Congresses as Topic, Demography, Europe, Family Planning Services, Female, Humans, Infertility, Longevity, Male, Reproductive Techniques, Assisted
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