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In countries like Zambia only 1 in 10 births is even documented.
The cumulative costs of approximately four million annual births is well over $50 billion.
But now economists say the phenomenon of fewer births is turning into a negative.
Reducing premature births is laudable, but is giving pregnant women progesterone safe?
Orangutan populations do not recover quickly: the average interval between births is about eight years.
The reason for the dip in early births is not certain.
And another inquiry, into 26 potentially avoidable caesarean section births, is also under way.
A common surgical procedure long believed to help prevent premature births is ineffective, a new study has concluded.
"The extent of excess births is shocking and the black hole in family planning is unfathomably deep," the reporters wrote.
The decline in the rate of teenage births is largely attributable to an increase in contraceptive use.
But the notion that curbing births is an effective way to control emissions is not an easy sell.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com