Abstract
This article reports on the results of a study conducted in rural Bangladesh on the influence of maternal weight on the components of birth intervals, including gestation and intrauterine mortality, the duration of postpartum amenorrhea, and the duration of waiting time to conception (the menstrual interval). When biological factors (in-cluding maternal age, parity, and supplementation practices) and behavioral variables, including religion, education, and occupation, were controlled, maternal weight was found to be related to the risk of intrauterine mortality and to the probability of resuming menses in the postpartum period. The implications of these findings for policies and programs in developing countries are discussed.
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References
Becker, S. (
1981
). Seasonality of deaths in Matlab, Bangladesh
. International Journal of Epidemiology
, 10
, 271
–278
. 10.1093/ije/10.3.271Bongaarts, J., & Delgado, H. (
1979
). Effects of nutritional status on fertility in rural Guatemala
. In Leridon, H., & Menken, J. (Eds.), Natural Fertility
(pp. 107
–134
). Liege, Belgium
: Ordina
.Bongaarts, J., & Potter, R. G. (
1983
). Fertility, Biology and Behavior
. New York
: Academic Press
.Brown, K. H., Robertson, A. D., Aktar, N. A., & Ahmed, M. G. (
1986
). Lactational capacity of marginally nourished mothers: Relationships between maternal nutritional status and quantity and proximate composition of milk
. Pediatrics
, 78
, 909
–919
.Chen, L., Ahmed, S., Gesche, M., & Mosley, W. H. (
1974
). A prospective study of birth interval dynamics in rural Bangladesh
. Population Studies
, 28
, 277
–297
. 10.2307/2173959Chowdhury, A. K. M. A. 1986. Maternal Malnutrition in Bangladesh. Unpublished manuscript, Johns Hopkins University, Institute for International Programs.
Cox, D. R. (
1972
). Regression models and life tables
. Journal of the Royal Statistical Society
, 34
, 187
–220
.Delgado, H., Brineman, E., Lechtig, A., Bongaarts, J., Martorell, R., & Klein, R. E. (
1979
). Effect of maternal nutritional status and infant supplementation during lactation on postpartum amenorrhea
. American Journal of Obstetrics and Gynecology
, 42
, 303
–307
.Delgado, H., Lechtig, A., Brineman, E., Martorell, R., Yarbrough, C., & Klein, R. E. (
1978
). Nutrition and birth interval components: The Guatemalan experience
. In Mosley, W. H. (Ed.), Nutrition and Human Reproduction
(pp. 385
–400
). New York
: Plenum
.Delgado, H., Martorell, R., & Klein, R. E. (
1982
). Nutritional lactation and birth interval components in rural Guatemala
. American Journal of Clinical Nutrition
, 35
, 1468
–1476
.Elias, M. F., Teas, J., Johnston, J., & Bora, C. (
1986
). Effects of maternal care on lactation amenorrhea
. Journal of Biosocial Science
, 18
, 1
–10
. 10.1017/S0021932000006441Frisch, R. E. (
1985
). Maternal nutrition and lactational amenorrhea: Perceiving the metabolic costs
. In Dobbing, J. (Ed.), Maternal Nutrition and Lactational Amenorrhea, Nestle Nutrition Workshop
(pp. 65
–92
). New York
: Raven Press
.Glasier, A., McNeilly, A. S., & Howie, P. W. (
1984
). The prolactin response to suckling
. Clinical Endocrinology
, 21
, 109
–116
. 10.1111/j.1365-2265.1984.tb03449.xGray, R. (
1983
). The impact of health and nutrition on natural fertility
. In Bulatao, R., & Lee, R. (Eds.), Determinants of Fertility in Developing Countries
(pp. 139
–162
). New York
: Academic Press
.Henry, L. (
1953
). Fondements théoriques des mesures de la fécondité naturelle. Review de L’Institut International de Statistique
, 21
, 135
–252
. 10.2307/1401425Hobcraft, J., and D. Guz. 1985. Lactation and Fertility: A Comparative Analysis. Paper presented at the Annual Meeting of the Population Association of America, Boston.
Howie, P. W., & McNeilly, A. S. (
1982
). Effect of breast-feeding patterns on human birth intervals
. Journal of Reproduction and Fertility
, 65
, 545
–557
. 10.1530/jrf.0.0650545Howie, P. W., McNeilly, A. S., Houston, M. J., Cook, A., & Boyle, H. (
1981
). Effect of supplementary food on suckling patterns and ovarian activity during lactation
. British Journal of Medicine
, 283
, 757
–759
. 10.1136/bmj.283.6294.757Huffman, S. L, Chowdhury, A. K. M. A., Chakraborty, J., & Mosley, W. H. (
1978
). Nutrition and postpartum amenorrhea in rural Bangladesh
. Population Studies
, 32
, 251
–260
. 10.2307/2173560Huffman, S. L., Chowdhury, A. K., Chakraborty, J., & Simpson, N. (
1980
). Breastfeeding patterns in rural Bangladesh
. American Journal of Clinical Nutrition
, 33
, 144
–153
.Huffman, S. L., Ford, K., Allen, H. A., & Streble, P. (
1987
). Nutrition and fertility in Bangladesh: Breastfeeding and postpartum amenorrhea
. Population Studies
, 41
, 447
–462
. 10.1080/0032472031000142996Jain, A. K., Hermalin, A. I., & Sun, T. H. (
1979
). Lactation and natural fertility
. In Leridon, H., & Menken, J. (Eds.), Natual Fertility
(pp. 149
–163
). Liege, Belgium
: Ordina
.John, M., Menken, J., & Chowdhury, A. K. M. A. (
1987
). The effects of breastfeeding and nutrition on fecundability in rural Bangladesh: A hazards model analysis
. Population Studies
, 41
, 433
–446
. 10.1080/0032472031000142986Keys, A., Brozek, J., Henschel, A., Michelsen, O., & Taylor, H. L. (
1950
). The Biology of Human Starvation
. Minneapolis
: University of Minnesota Press
.Knauer, M. (
1985
). Determinants and correlates of the return of menstruation in nursing mothers following “natural motherhood
. In Hull, V., & Simpson-Hebert, M. (Eds.), Breastfeeding, Child Spacing: Anthropological Insights
(pp. 187
–212
). London
: Croom-Helm
.Lechtig, A., Delgado, H., Martorell, R., & Klein, R. (
1979
). Effect of maternal nutrition on the mother-child dyad
. In Hambreaus, L., & Sjolin, S. (Eds.), The Mother/Child Dyad—Nutritional Aspects
(pp. 74
–93
). Stockholm
: Almquist & Wiksell
.Lunn, P. G. (
1985
). Maternal nutrition and lactational amenorrhea: The baby in the driving seat
. In Dobbing, J. (Ed.), Maternal Nutrition and Lactational Amenorrhea, Nestle Nutrition Workshop
(pp. 41
–64
). New York
: Raven Press
.Lunn, P. G., Austin, S., Prentice, A. M., & Whitehead, R. G. (
1984
). The effect of improved nutrition on plasma prolactin concentrations and postpartum infertility in lactating Gambian women
. American Journal of Clinical Nutrition
, 39
, 227
–235
.Lunn, P. G., Watkinson, M., Prentice, A. M., Morrell, P., Austin, P., & Whitehead, R. G. (
1981
). Maternal nutrition and lactational amenorrhea
. Lancet
, 198191
, 1329
–1331
.McNeilly, A. S., Glasier, A., & Howie, P. W. (
1985
). Endocrine control of lactational infertility I
. In Dobbing, J. (Ed.), Maternal Nutrition and Lactational Infertility, Nestle Nutrition Workshop
(pp. 1
–24
). New York
: Raven Press
.Menken, J., Trussell, J., Stempel, D., & Babokol, O. (
1981
). Proportional hazard life table models: An illustrative analysis of sociodemographic influences on marriage dissolution in the United States
. Demography
, 18
, 181
–200
. 10.2307/2061092Mosley, W. H. (
1979
). The effects of nutrition on natural fertility
. In Leridon, H., & Menken, J. (Eds.), Natural Fertility
(pp. 83
–106
). Liege, Belgium
: Ordina
.Pebley, A. R., Huffman, S. L., Chowdhury, A. K. M. A., & Stupp, P. (
1985
). Intra-uterine mortality and maternal nutritional status in rural Bangladesh
. Population Studies
, 39
, 425
–440
. 10.1080/0032472031000141606Prema, K., & Philip, F. S. (
1980
). Lactational amenorrhea survey
. Indian Journal of Medical Research
, 71
, 538
–546
.Rochat, R., Jabeen, M. J., Rosenberg, A. R., Measham, A. R., Khan, A. R., Obaidullah, M., & Gould, P. (
1981
). Maternal and abortion related deaths in Bangladesh, 1978–1979
. International Journal of Gynaecology and Obstetrics
, 19
, 155
–164
. 10.1016/0020-7292(81)90056-4Smith, C. A. (
1947
). Effects of maternal undernutrition upon the newborn infant in Holland (1944–45)
. Journal of Pediatrics
, 30
, 229
–243
. 10.1016/S0022-3476(47)80158-1Stein, Z., Susser, M., Saenger, G., & Martorell, F. (
1975
). Famine and Human Development: The Dutch Hungry Winter of 1944–1945
. New York
: Oxford University Press
.Whitehead, R. D. (
1981
). Maternal Diet, Breast-feeding Capacity, and Lactational Infertility
. Tokyo
: United Nations University
.© Population Association of America 1989
1989
