Sociocultural factors perpetuating the practices of early marriage and childbirth in Sylhet District, Bangladesh.

BACKGROUND: The practice of adolescent marriage continues in communities throughout Bangladesh with adolescent childbearing a common result. This early childbearing is associated with increased medical risks for both mothers and their newborns. METHODS: Because of the need to understand the persistence of these behaviors in spite of the risks various qualitative research methods were used to identify and better understand the various socio cultural factors perpetuating the practices of early marriage and childbirth. RESULTS: Delaying the first birth after marriage can cause rumors of infertility bring shame on the family and in some cases lead the husbands family to seek another wife for their son. In addition social stigma for childless women emigration of husbands and the belief that using modern contraceptives prior to the birth of the first child results in infertility also inhibits couples from delaying their first pregnancy. DISCUSSION AND CONCLUSIONS: Future efforts to promote delay in marriage and subsequent early childbearing should focus on allaying the fears of infertility related to delay in childbearing or secondary to contraceptive use both for newly married couples and household decision-makers such as mothers-in-law. (c) The Author 2014. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. All rights reserved. For permissions please e-mail: journals.permissions@oup.com.