This book provides a key to understanding why there was an increase in extra-marital fertility in Japan from the 1990s to the 2010s, particularly between 1995 and 2015, and the factors which contribute to the multistratification of unmarried mothers, the number of which has increased ensuingly. It also allows for international comparison by providing data on outcomes of extra-marital childbirth. Previously, it was believed that the idea of a ‘second demographic transition’ did not apply to Japan, which had a relatively low rate of extra-marital fertility. However, more recently, though still at a low level, a subtle but gradual rise is seen in the number of women who become unmarried mothers as a result of births outside marriage. This trend suggests that the social environment surrounding pregnancy, childbirth, and marriage is changing. In this book, various data such as national statistics, nationwide surveys, and media discourse are analysed with a view to revealing the factors affecting unmarried women’s decisions when they discover they are pregnant. Various matters are discussed, such as changes in sexual activity and contraceptive use, advance in reproductive technology, the law and government policies pertaining to adoption, social consciousness towards unwed mothers, the change in perception of abortion from the religious perspective, and difference of socioeconomic status depending on the women’s occupation. Facts from vital statistics are first laid out, showing that, while abortion has consistently been on the decrease from the 1990s onward, shotgun marriages have peaked out. Adoption is rare and remains very small in proportion, while extra-marital fertility is on the rise. The author then points to the possibility that greater lenience found in the social consciousness towards unwed mothers in recent years is a pull factor for the increase in extra-marital fertility. Further, by analysing vital statistics, it is revealed that the probability of becoming a mother without marrying changed with the woman’s occupation, explicable by the stability of employment and level of income, and that between 1995 and 2015, the effects of the job factor are changing. If we assume that, unlike the first demographic transition model, the ‘second demographic transition’ may show a similar direction but be on a different scale according to the country, it is possible to say that Japan too is experiencing the ‘second demographic transition’.

This book provides a key to understanding why there was an increase in extra-marital fertility in Japan from the 1990s to the 2010s, particularly between 1995 and 2015, and the factors which contribute to the multistratification of unmarried mothers, the number of which has increased ensuingly. It also allows for international comparison by providing data on outcomes of extra-marital childbirth. Previously, it was believed that the idea of a 'second demographic transition' did not apply to Japan, which had a relatively low rate of extra-marital fertility. However, more recently, though still at a low level, a subtle but gradual rise is seen in the number of women who become unmarried mothers as a result of births outside marriage. This trend suggests that the social environment surrounding pregnancy, childbirth, and marriage is changing. In this book, various data such as national statistics, nationwide surveys, and media discourse are analysed with a view to revealing the factors affecting unmarried women's decisions when they discover they are pregnant. Various matters are discussed, such as changes in sexual activity and contraceptive use, advance in reproductive technology, the law and government policies pertaining to adoption, social consciousness towards unwed mothers, the change in perception of abortion from the religious perspective, and difference of socioeconomic status depending on the women's occupation. Facts from vital statistics are first laid out, showing that, while abortion has consistently been on the decrease from the 1990s onward, shotgun marriages have peaked out. Adoption is rare and remains very small in proportion, while extra-marital fertility is on the rise. The author then points to the possibility that greater lenience found in the social consciousness towards unwed mothers in recent years is a pull factor for the increase in extra-marital fertility. Further, by analysing vital statistics, it is revealed that the probability of becoming a mother without marrying changed with the woman's occupation, explicable by the stability of employment and level of income, and that between 1995 and 2015, the effects of the job factor are changing. If we assume that, unlike the first demographic transition model, the 'second demographic transition' may show a similar direction but be on a different scale according to the country, it is possible to say that Japan too is experiencing the 'second demographic transition'.

The Third Edition of Medical Management of Thyroid Disease provides the most up-to-date practical guidance for the diagnosis and management of common and uncommon thyroid diseases. It reflects the advancement in guidelines and research for thyroid cancer, nodules and hypothyroidism; all presented in an accessible format with more illustrations and algorithms for management. The contributions of internationally renowned endocrinologists present the clinical aspects from the world’s perspective. Key Features • Completely revised and updated • Reorganized with more algorithms for quick reference and enhanced usability • Edited by internationally renowned physicians in the field • Authoritative, comprehensive and yet easily digestible

This e-book is an overview of recent advances in the realm of kidney transplantation. The volume discusses developments in surgical procedures while presenting a perspective on possibilities for kidney transplant research in the future. The e-book is a c

This periodical publishes birth, death, marriage, and divorce provisional statistics for the United States.

High Risk Pregnancy examines the full range of challenges in general obstetrics, medical complications of pregnancy, prenatal diagnosis, fetal disease, and management of labor and delivery. Drs. David James, Philip J. Steer, Carl P. Weiner, Bernard Gonik, Caroline Crowther, and Stephen Robson present an evidence-based approach to the available management options, equipping you with the most appropriate strategy for each patient. This comprehensive reference features the fully searchable text online at www.expertconsult.com, as well as more than 100 videos of imaging and monitoring. giving you easy access to the resources you need to manage high risk pregnancies. Prepare for clinical challenges and save time in addressing them thanks to expert advice on treatment options from international contributors. Find and apply the information you need quickly and easily through a consistent organization and at-a-glance summary boxes that discuss evidence-based management options. Access the fully searchable text online at www.expertconsult.com, along with links to Medline. View over 140 videos of detailed fetal imaging and monitoring that aid in diagnoses. Tap into recent developments in treatment and management in four new chapters—Global Maternal & Perinatal Health Issues; Recurrent Pregnancy Loss; Surveillance of the Fetus and its Indications; and Training for Obstetric Emergencies. Apply new evidence-based management options to treat genetic and constitutional factors leading to a high-risk pregnancy (such as diabetes, obesity, hypertension, and cardiac disease) through new and expanded coverage of these increasingly common presentations. Reference pregnancy-relevant laboratory values with an updated and comprehensive appendix on "Normal Values in Pregnancy." Effectively manage patients newly diagnosed with hematologic and immunologic malignancies, and explore the available drug options. Confirm your diagnoses with greater confidence thanks to full-color images throughout the text.