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Children giving birth to children in Pakistan!

Read Post #70.

"Complications of pregnancy and childbirth are the leading cause of death in young women aged 15–19. Young girls who marry later and delay pregnancy beyond their adolescence have more chances to stay healthier, to better their education and build a better life for themselves and their families,” says Flavia Bustreo, M.D., Assistant Director-General for Family, Women’s and Children’s Health at the World Health Organization. "We have the means at our disposal to work together to stop child marriage.” “Child marriage makes girls far more vulnerable to the profound health risks of early pregnancy and childbirth – just as their babies are more vulnerable to complications associated with premature labor,” notes Anthony Lake, Executive Director of UNICEF. WHO | Child marriages: 39 000 every day

Child marriage threatens the health and life of girls.[153][154] Complications from pregnancy and childbirth are the main cause of death among adolescent girls below age 19 in developing countries. Pregnant girls aged 15 to 20 are twice as likely to die in childbirth as those in their 20s, and girls under the age of 15 are five times as likely to die. These consequences are due largely to girls’ physical immaturity where the pelvis and birth canal are not fully developed. Teen pregnancy, particularly below age 15, increases risk of developing obstetric fistula, since their smaller pelvises make them prone to obstructed labor. Fistula leaves its victims with urine or fecal incontinence that causes lifelong complications with infection, pain, and smell.[155] Complications during pregnancy and birth are worsened in poor countries where child marriage is prevalent.[15] -Wiki

pregnancy risk at age about 30 have more risk of complication then adolescents pregnancy .there was research paper published this year few months back.

Maternal mortality in adolescents compared with women of other ages: evidence from 144 countries
Dr Andrea Nove PhD a, Prof Zoë Matthews PhD b, Sarah Neal PhD b, Alma Virginia Camacho MD c

Summary
Background
Adolescents are often noted to have an increased risk of death during pregnancy or childbirth compared with older women, but the existing evidence is inconsistent and in many cases contradictory. We aimed to quantify the risk of maternal death in adolescents by estimating maternal mortality ratios for women aged 15—19 years by country, region, and worldwide, and to compare these ratios with those for women in other 5-year age groups.
Methods
We used data from 144 countries and territories (65 with vital registration data and 79 with nationally representative survey data) to calculate the proportion of maternal deaths among deaths of females of reproductive age (PMDF) for each 5-year age group from 15—19 to 45—49 years. We adjusted these estimates to take into account under-reporting of maternal deaths, and deaths during pregnancy from non-maternal causes. We then applied the adjusted PMDFs to the most reliable age-specific estimates of deaths and livebirths to derive age-specific maternal mortality ratios.
Findings
The aggregated data show a J-shaped curve for the age distribution of maternal mortality, with a slightly increased risk of mortality in adolescents compared with women aged 20—24 years (maternal mortality ratio 260 [uncertainty 100—410] vs 190 [120—260] maternal deaths per 100 000 livebirths for all 144 countries combined), and the highest risk in women older than 30 years. Analysis for individual countries showed substantial heterogeneity; some showed a clear J-shaped curve, whereas in others adolescents had a slightly lower maternal mortality ratio than women in their early 20s. No obvious groupings were apparent in terms of economic development, demographic characteristics, or geographical region for countries with these different age patterns.

Interpretation
Our findings suggest that the excess mortality risk to adolescent mothers might be less than previously believed, and in most countries the adolescent maternal mortality ratio is low compared with women older than 30 years. However, these findings should not divert focus away from efforts to reduce adolescent pregnancy, which are central to the promotion of women's educational, social, and economic development.
Funding
WHO, UN Population Fund.

Maternal mortality in adolescents compared with women of other ages: evidence from 144 countries : The Lancet Global Health


 
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pregnancy risk at age about 30 have more risk of complication then adolescents pregnancy .there was research paper published this year few months back.

Maternal mortality in adolescents compared with women of other ages: evidence from 144 countries
Dr Andrea Nove PhD a, Prof Zoë Matthews PhD b, Sarah Neal PhD b, Alma Virginia Camacho MD c

Summary
Background
Adolescents are often noted to have an increased risk of death during pregnancy or childbirth compared with older women, but the existing evidence is inconsistent and in many cases contradictory. We aimed to quantify the risk of maternal death in adolescents by estimating maternal mortality ratios for women aged 15—19 years by country, region, and worldwide, and to compare these ratios with those for women in other 5-year age groups.
Methods
We used data from 144 countries and territories (65 with vital registration data and 79 with nationally representative survey data) to calculate the proportion of maternal deaths among deaths of females of reproductive age (PMDF) for each 5-year age group from 15—19 to 45—49 years. We adjusted these estimates to take into account under-reporting of maternal deaths, and deaths during pregnancy from non-maternal causes. We then applied the adjusted PMDFs to the most reliable age-specific estimates of deaths and livebirths to derive age-specific maternal mortality ratios.
Findings
The aggregated data show a J-shaped curve for the age distribution of maternal mortality, with a slightly increased risk of mortality in adolescents compared with women aged 20—24 years (maternal mortality ratio 260 [uncertainty 100—410] vs 190 [120—260] maternal deaths per 100 000 livebirths for all 144 countries combined), and the highest risk in women older than 30 years. Analysis for individual countries showed substantial heterogeneity; some showed a clear J-shaped curve, whereas in others adolescents had a slightly lower maternal mortality ratio than women in their early 20s. No obvious groupings were apparent in terms of economic development, demographic characteristics, or geographical region for countries with these different age patterns.

Interpretation
Our findings suggest that the excess mortality risk to adolescent mothers might be less than previously believed, and in most countries the adolescent maternal mortality ratio is low compared with women older than 30 years. However, these findings should not divert focus away from efforts to reduce adolescent pregnancy, which are central to the promotion of women's educational, social, and economic development.
Funding
WHO, UN Population Fund.

Maternal mortality in adolescents compared with women of other ages: evidence from 144 countries : The Lancet Global Health


This is just one link saying otherwise, an overwhelming majority of all sources agree that early age marriages are indeed, a significant cause of labor complications and maternal deaths in countries where it is practiced extensively. I can post other links, but thats not the point. Why take the risk, in the first place?

And this is from your own link, something you didn't bother answering me.

However, these findings should not divert focus away from efforts to reduce adolescent pregnancy, which are central to the promotion of women's educational, social, and economic development.

Requirements change with changing time, what might have been valid in the past due to wars, dispersed population, social and employment related factors isn't so today. Unless of course, God sent humans to earth only to breed like rabbits, disregarding every other thing in life.
 
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In an ideal world, yes. They wont bother for the couple's permission, these things aren't the way they seem to you. Seeing how young girls would be exploited using such allowances in any future law as is being done today without it, I cant support it. And this is Pakistan, aren't people found marrying their children early despite there being a law and strict enforcement of it, in a country with which you share "special relationship". Imagine, the outcome here.

With this, I will call it a night.

Two-thirds of the world’s neonatal deaths occur in just 10 countries, mostly in Asia. Pakistan is number three among these countries. With an estimated 298 000 neonatal deaths annually and a reported neonatal mortality rate of 49 per 1000 live births, Pakistan accounts for 7% of global neonatal deaths.15 Infection (36%), preterm birth (28%) and birth asphyxia(23%) account for 87% of neonatal deaths worldwide.1,2,6
WHO | Neonatal mortality, risk factors and causes: a prospective population-based cohort study in urban Pakistan
Neonatal mortality in Pakistan is high due to poor health facilities, lack of it in rural areas. Neonatal deaths due to Infection, preterm birth and birth asphyxia can occur in any age group.
 
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This is just one link saying otherwise, an overwhelming majority of all sources agree that early age marriages are indeed, a significant cause of labor complications and maternal deaths in countries where it is practiced extensively. I can post other links, but thats not the point. Why take the risk, in the first place?

And this is from your own link, something you didn't bother answering me.

However, these findings should not divert focus away from efforts to reduce adolescent pregnancy, which are central to the promotion of women's educational, social, and economic development.

Requirements change with changing time, what might have been valid in the past due to wars, dispersed population, social and employment related factors isn't so today. Unless of course, God sent humans to earth only to breed like rabbits, disregarding every other thing in life.

this isnt just one link its a extensive research from medical journal done on the same topic we have at hand. you can have thousand theories but what matters is how much solid data it is backed up with.
there are countries which have more adolescent mmr (maternal morality ratio) then women in their 20s and then their are countries which have less adolescent mmr then women in their 20s.
the major factor which plays role in high mmr is the limited access to the health care.

And this is from your own link, something you didn't bother answering me.

However, these findings should not divert focus away from efforts to reduce adolescent pregnancy, which are central to the promotion of women's educational, social, and economic development.

as you live in pakistan you should have known that we lived in joint family. the one who separate form their family separate at very later when they are completely self sufficient and are well established. if the couple is young and they get pregnant they have their parents and brother and sister to provide them support.
like i said if you have good environment around you and have all the support you need their is nothing wrong getting pregnant.
 
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This is what Malala said in her acceptance speech when she received the Nobel Peace Prize today: Instead of parents giving their children a good education for a better future for themselves and their country, they are marrying them off even before they enter their teens.

The parents need to be educated too.
 
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Ok did I miss something. As per the article the data shows that the average age for Pakistani women getting married was 23.1 some 7 years ago and rising. So what's this fuss about?
 
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this isnt just one link its a extensive research from medical journal done on the same topic we have at hand. you can have thousand theories but what matters is how much solid data it is backed up with.

Post # 70 too is filled with links backed by extensive research, even WHO's official stance is aligned with the prevalent opinion. Dismiss it then, just because a new research deviates slightly? Even that source isn't found in support of early age marriages, take everything or take nothing. Whats with the selective following?

as you live in pakistan you should have known that we lived in joint family. the one who separate form their family separate at very later when they are completely self sufficient and are well established. if the couple is young and they get pregnant they have their parents and brother and sister to provide them support.
like i said if you have good environment around you and have all the support you need their is nothing wrong getting pregnant.

What exact role does the joint family system, now largely extinct in cities, have here? So, marry young, kill off your dreams and future prospects, effectively end your education and be burdened by lifelong of responsibilites when its time to achieve something on the God's blue earth and well including your present logic, burden half a dozen people around you? Can you please explain me the wisdom of that? Does it happen that your daughters are so undesirable so to kick them out of house early? And how exactly do young immature kids give their consent, after all, they are bound to agree with their parent's or elder's choices, aren't they?

And while you are at it, why only poor and illiterate people choose to mostly follow this path? Why is there a decline seen in this practice when better education is provided? For instance, Bangladesh.

WASHINGTON, DC, 11 June 2010 (IRIN) - Despite slow progress in increasing the number of skilled birth attendants, Bangladesh has made enormous reductions in maternal mortality by improving girls' education. The maternal mortality rate (MMR) more than halved in less than a decade, from 724 deaths per 100,000 live births in 1990, to 338 per 100,000 in 2008, according to a recent study published in British medical journal The Lancet. By comparison, the 2008 MMR in India was 254 deaths per 100,000 live births, 47 in Thailand and 7 in Japan. Improving the education of women has been a key factor in bringing down the MMR. In 2001, the Bangladesh government began offering free education for girls up to 12th grade, with additional incentives like food for education. Girls' enrolment in secondary schools jumped from 1.1 million in 1991 to 3.9 million in 2005, according to the UN Children's Fund (UNICEF).

Increased access to education has had huge ramifications in socioeconomic development and maternal mortality. "Girls are going to school, getting a better education, getting jobs and, as a result, delaying marriages - it's as simple as that," said Ishtiaq Mannan, of Save the Children.
IRIN Asia | BANGLADESH: Educating girls lowers maternal death rate | Bangladesh | Gender Issues | Health & Nutrition

Neonatal mortality in Pakistan is high due to poor health facilities, lack of it in rural areas. Neonatal deaths due to Infection, preterm birth and birth asphyxia can occur in any age group.

Just one side of the picture, what aggravates the problem is well known and documented extensively.

Girls between the ages of 15 and 19 are more likely to experience complications during pregnancy and childbirth, including obstetric fistula. They are also more likely to have children with low birth weight, inadequate nutrition and anemia. The health of these young mothers is further compromised, as they are also more likely to develop cervical cancer later in life.
“Married adolescents have been largely ignored in development and health agendas because of the perception that their married status ensures them a safe passage to adulthood. Nothing could be further from the truth.”
- Thoraya Ahmed Obaid, UNFPA Executive Director

Early Marriage - International Women's Health Program
 
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Forget about Indians, they are just obsessed with "whitening" things, this is whats going on in Africa and Indonesia apparently

African and Indonesian women 'dry' vaginas to make sex more pleasurable for men | Daily Mail Online

Wtf lmao dudes are gonna get their things chafed. Wtf is wrong with people seriously.

I heard in some parts of northern SA, women rub alum/filkari to keep it taught and tight.

SA? Idk man I am all for kinky but you never know the side effects of such things, even if the sex is pleasurable it might mess up the eggs of the woman or something and then they become barren.
 
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I thought that the legal age for marriage in Pakistan was 16? .....but I'm assuming this is probably not enforced very well.
 
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