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Related Experiment Video

Updated: Aug 27, 2025

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
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Risk Deciphering Pathways from Women's Autonomy to Perinatal Deaths in Bangladesh.

Sumaiya Abedin1, Dharma Arunachalam2

  • 1Department of Population Science, University of Rajshahi, Rajshahi, Bangladesh. sumaiya.abedin@ru.ac.bd.

Maternal and Child Health Journal
|September 25, 2022
PubMed
Summary
This summary is machine-generated.

Women's autonomy indirectly impacts perinatal deaths in Bangladesh, mediated by maternal age, birth interval, and antenatal care utilization. Improving these factors can reduce adverse birth outcomes.

Keywords:
And perinatal death.AutonomyCausal mediationChildbearing practiceIndirect pathway

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Area of Science:

  • Maternal and Child Health
  • Public Health
  • Sociology

Background:

  • Bangladesh faces high perinatal mortality rates, exacerbated by suboptimal childbearing practices and low antenatal care utilization among women.
  • Women in Bangladesh experience significant social and economic subordination, impacting their healthcare access and overall health outcomes for themselves and their children.

Purpose of the Study:

  • To investigate the risk factors associated with perinatal deaths in Bangladesh.
  • To examine the mediating roles of childbearing practices and antenatal care in the relationship between women's autonomy and perinatal mortality.

Main Methods:

  • Utilized data from the 2014 Bangladesh Demographic and Health Survey.
  • Employed causal mediation analysis to assess the indirect effects of women's autonomy on perinatal deaths through various mediators.

Main Results:

  • High-risk maternal age and short birth intervals significantly increased perinatal death risk (44% and 39% respectively).
  • Sufficient antenatal care was associated with a substantially lower risk of perinatal deaths.
  • Women's autonomy showed no direct link to perinatal deaths but was indirectly influential, mediating 9.7% through maternal age, 25.6% through birth interval, and 9.9% through antenatal care.

Conclusions:

  • While women's autonomy does not directly influence perinatal deaths in Bangladesh, its impact is channeled through childbearing practices and antenatal care utilization.
  • Interventions aimed at improving childbearing practices and increasing antenatal care access are crucial for mitigating perinatal mortality, particularly in contexts of low women's autonomy.