ArticleBMC pregnancy and childbirth2018
A qualitative study about the gendered experiences of motherhood and perinatal mortality in mountain villages of Nepal: implications for improving perinatal survival.
Article in BMC pregnancy and childbirth, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Determinants of low birth weight in newborns at a referral hospital in the western Nepal: an unmatched case-control study.BMC pediatrics · 2025Article
- A cross-country analysis of the effects of spousal migration on health care access for families left behind.Health affairs scholar · 2025Article
- Lived experiences and perspectives of women who had undergone perinatal loss in Nairobi county, Kenya: a qualitative study.BMJ public health · 2024Article
- Pregnancy intentions and outcomes among young married women in Nepal.AJOG global reports · 2024Article
- Article
- An examination of the factors associated with male partner attendance in antenatal care in India.BMC pregnancy and childbirth · 2023Article
- "Can't live willingly": A thematic synthesis of qualitative evidence exploring how early marriage and early pregnancy affect experiences of pregnancy in South Asia.PLOS global public health · 2023Article
- Article
- Perceived Conflicting Desires to Delay the First Birth: A Household-Level Exploration in Nepal.International perspectives on sexual and reproductive health · 2020Article
- Factors associated with child health service delivery by female community health volunteers in Nepal: findings from a national survey.BMC health services research · 2020Article
- A critical account of the policy context shaping perinatal survival in Nepal: policy tension of socio-cultural versus a medical approach.BMC health services research · 2019Article
- Health system barriers influencing perinatal survival in mountain villages of Nepal: implications for future policies and practices.Journal of health, population, and nutrition · 2018Article
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4 authors.
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Abstract
backgroundWe aim to examine the gendered contexts of poor perinatal survival in the remote mountain villages of Nepal. The study setting comprised two remote mountain villages from a mid-western mountain district of Nepal that ranks lowest on the Human Development Index (0.304), and is reported as having the lowest child survival rates in the country.
methodsThe findings are taken from a larger study of perinatal survival in remote mountain villages of Nepal, conducted through a qualitative methodological approach within a framework of social constructionist and critical theoretical perspectives. Data were collected through in-depth interviews with 42 women and their families, plus a range of healthcare providers (nurses/auxiliary nurses, female health volunteers, support staff, Auxiliary Health Worker and a traditional healer) and other stakeholders from February to June, 2015. Data were analysed with a comprehensive coding process utilising the thematic analysis technique.
resultsThe social construction of gender is one of the key factors influencing poor perinatal survival in the villages in this study. The key emerging themes from the qualitative data are: (1) Gendered social construct and vulnerability for poor perinatal survival: child marriages, son preference and repeated child bearing; (2) Pregnancy and childbirth in intra-familial dynamics of relationships and power; and (3) Perception of birth as a polluted event: birth in Gotha (cowshed) and giving birth alone.
conclusionsMotherhood among women of a low social position is central to women and their babies experiencing vulnerabilities related to perinatal survival in the mountain villages. Gendered constructions along the continuum from pre-pregnancy to postnatal (girl settlement, a daughter-in-law, ritual pollution about mother and child) create challenges to ensuring perinatal survival in these villages. It is imperative that policies and programmes consider such a context to develop effective working strategies for sustained reduction of future perinatal deaths.
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