Survey: Women are rethinking having kids as they face pandemic challenges

Whether it's online-only consultations, closed pharmacies or having to wonder whether going into an office is safe, the coronavirus has upended access to health care. And it has presented particular challenges for women and reproductive health.

A new survey released Wednesday by the Guttmacher Institute, a research group that advocates for reproductive rights, finds 34 percent of women said the pandemic was causing them to delay getting pregnant, or to have fewer children. A slightly smaller proportion of the roughly 2,000 women who responded to the survey also said they were struggling to access birth control during the pandemic.

"What we heard from them very clearly was that due to the COVID-19 pandemic, far fewer women want to get pregnant. And at the same time, contraception is harder for them to get," said Laura Lindberg, the study's lead researcher, in an interview with NPR's All Things Considered. "Those two opposing forces mean that people are going to have a harder time delaying pregnancies during the crisis, even as more people say they don't want to get pregnant right now."

The problems highlighted by the survey were especially pronounced among women of color. While 29 percent of white women said they were struggling to access birth control, among Black women and Latinas, the figures were 38 percent and 45 percent, respectively.

"Black and Hispanic women were more likely to face delays or were unable to get contraception or other care than were white women," says Lindberg. "This is what health care inequities look like in action."

Here are excerpts from the interview.

The COVID-19 pandemic has highlighted these existing racial disparities. ... Is what we're seeing in terms of access to contraception, is it different, or worse, than before the pandemic?

I think it's certainly worse than before the pandemic. Couple of things are going on. So one is cost. If you've lost your job right now, you may have lost your health insurance, and that limits the kind of providers you can go to or access. Transportation, child care, physically leaving your home are all more difficult right now. That's for individuals.

For the health care providers side, we know the clinics and pharmacies and health care providers have been closed or haven't been providing as much care because of COVID-19. It's harder to get contraceptive care right now than ever before.

At the same time that many women were having more difficulty accessing contraception, they were also reporting a desire to use birth control more consistently and to delay childbearing in many cases. Why?

We found that about one-third of women said that they wanted to either delay childbearing or even have fewer children than they had prior to the pandemic. ... Women are making decisions in a time of uncertainty. The pandemic has really been a disruption in our lives. I mean, imagine, what is September going to look like if schools don't fully reopen? What's September going to look like for a working woman if infant child care no longer exists or is double the price?

What is the upshot of this? Fewer children in the next year?

Usually, I'm not willing to do a crystal ball prediction, but in this case, I think it's pretty clear we're going to have a baby bust, not a baby boom. Women are clearly expressing a desire to delay childbearing right now. And although we're only in the first few months of this pandemic, as more time passes, I think the fuller effects are still going to unfold. ... Overall, there'll be a decline in fertility, but we need to be concerned about individual women who can't get the contraception they need to achieve their own fertility goals.

Listen to the full interview at the audio link above.

Copyright 2020 NPR. To see more, visit https://www.npr.org.

• US flu season is underway, as cases surge in some areas and vaccinations lag
• Unwelcome holiday guests: RSV, flu and COVID-19 on the rise
• Saturday is the winter solstice. Make the most of the shortest day of the year
• Who can say it’s healthy? The FDA has a new definition for food labels