Women around the world are choosing to forego motherhood. Yet more often than not stigma remains the global response, despite a decades-long global trend of women making this decision.  

Varied social perceptions greet the choice to not bear children, depending on the culture and economic status of the country. Yet regardless of income level, globally recognized female stereotypes often place a high value on a woman’s fertility and her potential role as a mother, making it harder for women to exercise their agency to embrace other alternatives.

The COVID-19 pandemic has created universal impacts on mental health.  Anxiety, depression, and other conditions have worsened as financial instability, isolation, gender-based violence, and other factors generated by this crisis have contributed to poor mental health – especially for youth, LGBTQ+ populations, and pregnant/postpartum women. Yet despite the global attention focused on mental health, overall conditions have only worsened in vulnerable communities.

Care work makes all other work possible. It is also the fastest-growing sector of work in the world—projected to add 150 million jobs by 2030. The COVID-19 pandemic has amplified the importance of care work. It has also exposed how women perform most caregiving work, which is unpaid, underpaid, and/or undervalued. Globally, women and girls contribute more than 70 percent of total global caregiving hours (paid and unpaid) and perform more than 75 percent of unpaid care work. The inordinate amount of unpaid care work women and girls perform prevents them from earning a paid income, which contributes to greater gender inequities worldwide.

In recent years, Mexican women have experienced a significant downgrade in the quality and accessibility of public healthcare – and not due to the COVID-19 pandemic – said Irene Tello, Executive Director of Mexican impunity watchdog Impunidad Cero, at a recent event hosted by the Wilson Center’s Mexico Institute. The expert panel agreed that the greatest barriers for Mexican women seeking medical attention lie in the current government’s nearsighted health policies and mismanagement of the public health sector.

“When women can decide on the timing and spacing of their births, are treated with respect, and offered quality of care across the life course—they are not only able to survive, they, their families, and their communities are able to thrive and flourish. By directly and indirectly contributing to women’s empowerment, midwives are contributing to strengthen economic and productive and equitable societies,” said Dr. Julitta Onabanjo, Director of the Technical Division at the United Nations Population Fund (UNFPA), New York, at a recent event hosted by UNFPA as part of the 66^th Session of the Commission on the Status of Women. Midwives and midwifery experts convened to discuss the important role that midwives play in the improvement of gender equality, women’s economic empowerment, and climate justice.

“I want this war to be over. I want all of us to rebuild our societies. We are a force that can do that, and we will do that; we are doing it. But I think we also need to see the bigger picture, that women in the world, and now in our region, are not protected from violence – any form of violence,” said Marina Pisklakova-Parker, Director of Strategic Partnerships at the Every Woman Treaty, during a recent Wilson Center event on Ukrainian, Belarusian, and Russian women’s voices in the anti-war movement. 

When Kira Rudik, Ukrainian Member of Parliament and Leader of the Holos/Voice Party spoke with the Wilson Center’s Maternal Health Initiative and Middle East Program on the one month anniversary of Russia’s invasion of Ukraine, she emphasized the transformative nature of the conflict for every citizen.

“Putin thought he would be fighting our army,” says Rudik. “Instead, he’s fighting every single man and woman in Ukraine, and there’s a huge difference.”

The journey to parenthood for transgender people is particularly fraught with obstacles. In the United States, 19 percent of transgender adults are parents. While there has been an increase in the prevalence of transgender parents, they are often faced with unique, complex, and often unnecessary barriers. Part of the problem lies in a lack of understanding of the differences between sex and gender as well as the distinct healthcare needs of transgender people.