Childfree Decisions Among Married Couples: A Systematic Literature Review
Abstract
This systematic literature review explores the motivations, experiences, and societal contexts influencing the decision of married couples to remain childfree. Drawing on eight empirical studies published between 2015 and 2023, the review identifies four central themes: personal and career-driven motivations, lived emotional and relational experiences, cultural and religious contexts, and coping mechanisms shaped by intersectionality. Findings reveal that childfree decisions are often grounded in rational considerations such as autonomy, financial constraints, health concerns, and fear of responsibility. Cultural and religious expectations, particularly in collectivist and pronatalist societies, continue to exert pressure on childfree individuals, leading to social stigma and emotional conflict. However, many report a sense of empowerment and well-being when supported by like-minded communities and partners. The review highlights the limited representation of perspectives from low- and middle-income countries and marginalized groups. It calls for more inclusive and intersectional research to deepen our understanding of reproductive autonomy in diverse global contexts.
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