ABSTRACT. Women’s reproductive decisions have profound impacts on the lives of women and society. While previous research has examined the outcomes and experiences of women’s reproduction, less clear is the scope, range and type of research exploring factors shaping women’s reproductive decisions. This scoping review of studies published between 2008 and 2018 examined evidence about the antecedents of women’s reproductive decision-making to provide greater understanding of the factors shaping women’s reproductive choices. Thematic analysis of 46 studies identified seven discrete, yet often inter-related, themes shaping women’s reproductive decision-making: the process of reproductive decision-making; social, cultural and gender norms; health conditions, services and professionals; intimate partner violence; economic considerations; social support and relationships; and the passage of time. Findings suggest women’s reproductive decisions are highly contextual, occur over time and are often revisited, and are shaped by gendered and pronatalist norms, discourses and inequities. These findings emphasise the need to challenge inequitable gender structures and norms, and develop gender equitable health and social policy, to support women’s reproductive decision making, and their health, wellbeing, and life ambitions in the context of their reproductive decisions. Further research is required to provide greater understanding of the factors that shape women’s reproductive decisions.

Keywords: reproduction; decision-making; women’s health; gender; reproductive decision-making; gender equity

How to cite: Rich, S., Lamaro Haintz, G., McKenzie, H., and Graham, M. (2021). “Factors that Shape Women’s Reproductive Decision-Making: A Scoping Review,” Journal of Research in Gender Studies 11(2): 9–31. doi: 10.22381/JRGS11220211.

Received 26 March 2021 • Received in revised form 10 July 2021
Accepted 26 July 2021 • Available online 3 August 2021