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The Rise and Fall and Rise of Pronatalism: A Disingenuous Policy that Harms the Health of People and Society

Published online by Cambridge University Press:  15 July 2025

Rasadokht Forati  and
Deborah Bartz Open the ORCID record for Deborah Bartz [Opens in a new window]
Rasadokht Forati
Affiliation:
Obstetrics and Gynecology, Yale School of Medicine, United States
Deborah Bartz*
Affiliation:
Obstetrics and Gynecology, Brigham and Women’s Hospital , United States Harvard Medical School, United States
*
Corresponding author: Deborah Bartz; Email: dbartz@bwh.harvard.edu
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Abstract

Pronatalist policies are on the rise in many countries. These have stemmed from several motivators, including economic concerns, nationalism, and promotion of traditional family values. As global fertility rates have fallen, many countries have instilled pronatalist policies to encourage people to have more children. In other countries, including the United States, religious traditionalism and nationalist forces have fueled pronatalist policies as a counter to improved female empowerment and global immigration. No matter the stated motivation, government-sanctioned pronatalism overtly leads to reproductive coercion or covertly results in limited reproductive autonomy as collateral damage. Herein, we review global examples of prior and current pronatalist policies, outlining the motivators for their promotion within each case. We demonstrate how these policies are not only ineffective, but are dangerous to the health and well-being of women and other populations and are in direct conflict with modern reproductive goals, reproductive justice, and decades of efforts towards achieving gender parity.

Keywords

pronatalismreproductive justicegender parityabortionfertility rates

Information

Type
Independent Articles
Information
Journal of Law, Medicine & Ethics , Volume 53 , Issue 3: Public Health, Markets, and Law , Fall 2025 , pp. 435 - 443
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of American Society of Law, Medicine & Ethics

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