Department of Population Science, University of Rajshahi, Rajshahi, Bangladesh.
School of Social Sciences, Monash University, Melbourne, Australia.
Matern Child Health J. 2022 Nov;26(11):2339-2345. doi: 10.1007/s10995-022-03477-4. Epub 2022 Sep 25.
The level of perinatal mortality in Bangladesh is one of the highest in the world. Certain childbearing practices and low use of antenatal care make Bangladeshi women vulnerable to adverse birth outcomes. Women in Bangladesh also remain considerably subordinate to men in almost all aspects of their lives, from education and paid work to healthcare utilisation. Lack of these opportunities contributes to the low status of women within family and society, and to generally poor health outcomes for women and their children.
This study investigates the risk factors of perinatal deaths in light of the low level of women's autonomy, and the relative role of childbearing practices and antenatal care in influencing the relationship between autonomy and perinatal deaths.
The relevant data was extracted from the 2014 Bangladesh Demographic and Health Survey. Causal mediation analysis was undertaken to investigate the effects of mediators on the associations between women's autonomy and perinatal deaths.
The risk of perinatal deaths was greater by about 44% and 39% respectively for high-risk maternal age and birth interval. Those who had received sufficient antenatal care had a much lower risk of perinatal deaths compared to those who had not received sufficient care. No significant direct relationship between women's autonomy and perinatal deaths was evident. However, the influence of women's autonomy was mediated through maternal age, birth interval and antenatal care, and the average amount of mediation was approximately 9.7%, 25.6% and 9.9% respectively.
In Bangladesh, although women's autonomy did not exert any significant direct influence on perinatal deaths, the influence was transmitted through the pathways of childbearing practices and use of antenatal care.
孟加拉国的围产儿死亡率是世界上最高的国家之一。某些分娩行为和低水平的产前护理使孟加拉国妇女容易受到不良分娩结局的影响。孟加拉国妇女在生活的几乎所有方面，从教育和有薪工作到医疗保健的利用，都明显处于从属地位。缺乏这些机会导致妇女在家庭和社会中的地位低下，并导致妇女及其子女的总体健康状况不佳。
本研究调查了在妇女自主权水平较低的情况下，围产儿死亡的风险因素，以及生育行为和产前护理在多大程度上影响自主权与围产儿死亡之间关系的相对作用。
从 2014 年孟加拉国人口与健康调查中提取了相关数据。采用因果中介分析来调查中介对妇女自主权与围产儿死亡之间关联的影响。
高危产妇年龄和分娩间隔分别使围产儿死亡的风险增加了约 44%和 39%。与未接受足够产前护理的妇女相比，接受足够产前护理的妇女围产儿死亡的风险要低得多。妇女自主权与围产儿死亡之间没有明显的直接关系。然而，妇女自主权的影响通过产妇年龄、分娩间隔和产前护理来传递，平均中介量分别约为 9.7%、25.6%和 9.9%。
在孟加拉国，尽管妇女自主权对围产儿死亡没有直接显著的影响，但这种影响是通过生育行为和产前护理的途径传递的。
