High maternal mortality in Bangladesh due to teenage marriage

Too many teenage girls are getting married in Bangladesh today, say health specialists.
 
According to the UN Children’s Fund (UNICEF) State of the World’s Children 2009 report, more than 64 percent of girls marry before they are 18.
 
But with early marriage comes early pregnancy. One-third of teenage girls aged 15 to 19 are mothers or pregnant in Bangladesh today, with adolescent mothers more likely to suffer birth complications than adult women, the British Medical Journal reports.
 
Teenage mothers are twice as likely as older mothers to die from pregnancy- and childbirth-related complications, with mothers younger than 14 facing the greatest risks.
 
In fact, research shows that the risk of maternal mortality could be five times higher for mothers aged 10 to 14 than for those aged 20 to 24, while babies born to mothers younger than 14 were 50 percent more likely to die than babies born to mothers older than 20. Teenage mothers are more likely to suffer from obstructed delivery and other severe childbirth- and pregnancy-related complications, say health experts.
 
This results in higher morbidity and mortality for them and their children, according to the Bangladesh Demographic and Health Survey (BDHS) 2007, released in March 2009. Maternal mortality is five times higher for mothers aged 10 to 14 than mothers aged 20 to 24. A third of women are either pregnant or mothers by age 20, and this proportion is not declining, the report observed. The BDHS 2007 shows that the median age at marriage for women is 16.4 years, against 16.0 in the previous DHS (2004), but still 18 months below the legal minimum age, indicating that laws or policies alone do not guarantee implementation. The legal age is 21 for boys and 18 for girls. 
 
Parents encourage early marriage out of fear that the dowry price will increase as their daughter ages. Young girls are often regarded as an economic burden to their families; marrying them off at a very early age is seen as reducing that burden.  It is also a way to ensure that their daughters are “protected” from sexual abuse or illicit sexual contact, and making them financially more secure. But with early marriage, many girls drop out of school. Studies show that girls who marry as adolescents attain lower schooling levels, have lower social status in their husband’s families, report less reproductive control, and suffer higher rates of maternal mortality and domestic violence.
 
Moreover, early marriage extends a woman’s reproductive span, thereby contributing to larger family sizes, especially in the absence of contraception.
 
According to the International Centre for Diarrhoeal Diseases and Research, Bangladesh, these individual outcomes suggest larger social consequences, including higher population growth, higher rates of maternal mortality and a higher number of orphans.
 

Source: United Nations

Safe water and sanitation also human rights

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