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Women's empowerment and its association with fertility preference are vital for central-level promotional health policy strategies. This study examines the association between women's empowerment and fertility decision-making in low and middle resource countries (LMRCs). This cross-sectional study uses the Demographic and Health Survey database. 53 LMRCs from six different regions for the period ranging from 2006 to 2018. The data of women-only aged 35 years and above is used as a unit of analysis. The final sample consists of 91 070 mar