Beyond pregnancy--the neglected burden of mortality in young women of reproductive age in Bangladesh: a prospective cohort study

BJOG. 2013 Aug;120(9):1085-9. doi: 10.1111/1471-0528.12245. Epub 2013 May 7.

Abstract

Objective: To describe proportionate mortality and causes of death unrelated to pregnancy.

Design: Prospective cohort study.

Setting: Rural northwest Bangladesh.

Population: A cohort of 133,617 married women of reproductive age.

Methods: Verbal autopsies were conducted for women who died whilst under surveillance in the cohort trial. Physician-assigned causes of death based on verbal autopsies were used to categorise deaths.

Main outcome measures: The proportion of deaths due to non-communicable diseases, infectious diseases, injury or pregnancy.

Results: Of the 1107 deaths occurring among women between 2001 and 2007, 48% were attributed to non-communicable diseases, 22% to pregnancy, 17% to infections, 9% to injury and 4% to other causes.

Conclusions: Although focus on pregnancy-related mortality remains important, more attention is warranted on non-communicable diseases among women of reproductive age.

Keywords: Bangladesh; South Asia; low-income settings; non-communicable disease; reproductive age; verbal autopsy.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Autopsy
  • Bangladesh / epidemiology
  • Cardiovascular Diseases / mortality*
  • Cause of Death
  • Cohort Studies
  • Communicable Diseases / mortality*
  • Deficiency Diseases / mortality*
  • Female
  • Health Care Surveys
  • Homicide / statistics & numerical data
  • Humans
  • International Classification of Diseases
  • Neoplasms / mortality*
  • Pregnancy
  • Pregnancy Complications / mortality*
  • Prospective Studies
  • Rural Population
  • Suicide / statistics & numerical data
  • Wounds and Injuries / mortality*