ArticleBMC pregnancy and childbirth2020
Maternal autonomy and high-risk pregnancy in Bangladesh: the mediating influences of childbearing practices and antenatal care.
Article in BMC pregnancy and childbirth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.
- Short birth interval in the Asia-Pacific region: A systematic review and meta-analysis.Journal of global health · 2024Pooled it
- Women decision-making autonomy on maternal health service and associated factors in low- and middle-income countries: Systematic review and meta-analysis.Women's health (London, England)Pooled it
- Bridging Knowledge Gaps: Prenatal Education Acquisition and Its Determinants Among Expectant Mothers in Northwestern China.International journal of women's health · 2026Article
- Consanguineous marriages and low birth weight mediating role of antenatal care visits.Scientific reports · 2025Article
- Stress and healthy lifestyle behaviors in high-risk pregnancies: a correlational study.BMC pregnancy and childbirth · 2025Article
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- Cross-cultural adaptation of the empowerment scale of pregnant women in China context: An integrative method of translation and linguistic validation.Nursing open · 2024Article
- High-risk pregnancy in India: Prevalence and contributing risk factors - a national survey-based analysis.Journal of global health · 2023Article
- Article
- Disparities, distribution, and determinants in appropriate timely initiation, number, and quality of antenatal care in Bangladesh: Evidence from Demographic and Health Survey 2017-18.PLOS global public health · 2023Article
- Health-promoting behaviors and intermediary social determinants of health in low and high-risk pregnant women: an unmatched case-control study.BMC pregnancy and childbirth · 2022Article
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2 authors at 2 institutions in 2 countries.
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Abstract
backgroundMaternal, infant and neonatal mortality rates are high in Bangladesh. Certain childbearing practices and poor utilisation of antenatal care services make Bangladeshi women more vulnerable to experience poor health during pregnancy and adverse pregnancy outcomes. Also, women in Bangladesh remain considerably subordinate to men in almost all aspects of their lives, from education and work opportunities to healthcare utilisation. This study investigates the severity of health complications during pregnancy in relation to women's autonomy, and how childbearing practices and utilisation of antenatal care mediate this relationship.
methodsData from the most recent Bangladesh Demographic and Health Survey (BDHS) is used in this study. Multinomial regression models (MLRM) are employed to examine the relationship between the outcome variable - high risk pregnancy, and explanatory variables - women's autonomy, childbearing practices and use of antenatal care.
resultsIn Bangladesh, about 41.5% of women experienced high-risk pregnancies involving multiple health complications. Findings showed that women's autonomy in decision-making, freedom of movement and economic autonomy were significantly associated with high-risk pregnancies. However, women's autonomy in physical mobility in particular did so only through the mediating factors of maternal childbearing practices and antenatal care. Specifically, both early and delayed childbearing and shorter birth interval increased the likelihood of high-risk (multiple complications) pregnancies by about 30% and 31% respectively, high parity increased the risk by 23% and use of antenatal care decreased it by 46%.
conclusionsThe Women's decision-making autonomy, freedom of movement and economic autonomy had significant effects on high-risk pregnancies. However, the effects were mediated by both maternal childbearing practices and use of antenatal care in a limited way. Policies and programmes aimed at improving pregnancy outcomes need to focus on all three sets of factors: women's autonomy, childbearing practices and use of antenatal care.
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