abstract: 'This paper provides a narrative review of the literature that addresses the connection between women''s reproductive health and women''s economic activity. Women''s reproductive health, gender equality and decent work, are all part of the Sustainable Development Goals and this review highlights how these Goals are interconnected. The review focuses on the relationship between fertility and women''s work and provides a detailed discussion of the academic literature that identifies the causal effect of fertility on changes in female labor force participation. Fertility is captured by timing, spacing and number of chil-dren, and career advancement, job quality, and hours worked are addressed on the work side. The review contrasts the fertility-work nexus for low-, middle-and high-income countries separately, recognizing national income per capita as a moderator of the effect of fertility on female labor force participation. In low-income countries, where labor force participation is for the most part in the informal sector, women must adopt their own strategies for balancing child rearing and labor force participation, such as selection of job type, relying on other women in the household for childcare, and birth spacing to limit infants in their care. In middle-income countries, women juggle child rearing and labor force participation with the overarching issue of income inequality, and early childbearing and lone motherhood perpetuate poverty. For women in high-income countries, social protection policies can assist women in managing the balance of childrearing and work, but these policies do not address underlying issues of gender inequality. Despite these policies, career advancement is interrupted by childbearing. As the relationship between fertility and women''s work varies by income per capita across countries, polices that support women in achieving balance in their desired family size and accessing decent work varies across countries. (c) 2020 Elsevier Ltd. All rights reserved.' affiliation: 'Finlay, JE (Corresponding Author), Harvard TH Chan Sch Publ Hlth, Dept Global Hlth \& Populat, 665 Huntington Ave, Boston, MA 02115 USA. Finlay, Jocelyn E., Harvard TH Chan Sch Publ Hlth, Dept Global Hlth \& Populat, 665 Huntington Ave, Boston, MA 02115 USA.' article-number: '105313' author: Finlay, Jocelyn E. author-email: jfinlay@hsph.harvard.edu author_list: - family: Finlay given: Jocelyn E. da: '2023-09-28' doi: 10.1016/j.worlddev.2020.105313 earlyaccessdate: JAN 2021 eissn: 1873-5991 files: [] issn: 0305-750X journal: WORLD DEVELOPMENT keywords: 'Reproductive health; Fertility; Women?s labor force participation; Women?s economic empowerment; Sustainable Development Goals; Policy' keywords-plus: 'LABOR-FORCE PARTICIPATION; FAMILY-PLANNING PROGRAMS; FEMALE EMPLOYMENT; LIFE-CYCLE; CHILD-CARE; SOCIOECONOMIC CONSEQUENCES; POPULATION POLICIES; DESIRED FERTILITY; OUTCOMES EVIDENCE; OECD COUNTRIES' language: English month: MAR number-of-cited-references: '137' orcid-numbers: Finlay, Jocelyn/0000-0002-3077-5515 papis_id: 3cea56a9955555d788a1e6ec6004eb27 ref: Finlay2021womensreproductive researcherid-numbers: Finlay, Jocelyn/AAS-9588-2021 tags: - relevant - review times-cited: '9' title: 'Women''s reproductive health and economic activity: A narrative review' type: Review unique-id: WOS:000643731600002 usage-count-last-180-days: '6' usage-count-since-2013: '40' volume: '139' web-of-science-categories: Development Studies; Economics year: '2021'