A Natural Female Disadvantage? Maternal Mortality and the Role of Nutrition Related Causes of Death in the Netherlands, 1875-1899

This article addresses the question whether maternal mortality should be excluded from the study of excess female mortality. This phenomenon points to lower survival chances for women in certain age groups as opposed to men in the same age group. The existence of excess female mortality has been est...

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Main Authors: Angelique Janssens, Elien Van Dongen
Format: Article
Language:English
Published: openjournals.nl 2018-04-01
Series:Tijdschrift voor Sociale en Economische Geschiedenis
Subjects:
Online Access:https://test.openjournals.nl/tseg/article/view/8255
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author Angelique Janssens
Elien Van Dongen
author_facet Angelique Janssens
Elien Van Dongen
author_sort Angelique Janssens
collection DOAJ
description This article addresses the question whether maternal mortality should be excluded from the study of excess female mortality. This phenomenon points to lower survival chances for women in certain age groups as opposed to men in the same age group. The existence of excess female mortality has been established for a number of European countries, primarily for the nineteenth century period, and it has also been observed for the Netherlands between approximately 1850 and 1930. There are strong indications that in this period Dutch women were at a disadvantage compared to men, most notably between the ages of 10 to 19, but also in the adult years after age 20. The survival disadvantage for women between age 20 and 50 may be related to the dangers of pregnancy and childbirth. These maternal mortality risks may seem a natural female disadvantage. However, deficiencies in nutrition may seriously enhance the dangers of pregnancy and childbirth. Hence, if women are less privileged in access to food, causing increased levels of maternal mortality, the risk to die during pregnancy and during or after childbirth should be considered as part of the phenomenon of excess female mortality. The results of our analysis indicate that maternal mortality in this period in the Netherlands is partly the effect of the female nutritional disease environment. In particular, the incidence of nutrition-related deaths among women in fertile ages, such as tuberculosis, increase maternal mortality. We therefore assume that gender disadvantages in the access to foodstuffs of sufficient nutritional quality increased the level of maternal mortality. Consequently, in research on excess female mortality maternal mortality cannot be simply discounted as a natural disadvantage which should be left out of measures of excess female mortality.
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spelling doaj.art-c82e15890199400096bfdbe682668af22022-12-22T00:05:21Zengopenjournals.nlTijdschrift voor Sociale en Economische Geschiedenis1572-17012468-90682018-04-01144A Natural Female Disadvantage? Maternal Mortality and the Role of Nutrition Related Causes of Death in the Netherlands, 1875-1899Angelique Janssens0Elien Van Dongen1Radboud Universiteit NijmegenLund UniversityThis article addresses the question whether maternal mortality should be excluded from the study of excess female mortality. This phenomenon points to lower survival chances for women in certain age groups as opposed to men in the same age group. The existence of excess female mortality has been established for a number of European countries, primarily for the nineteenth century period, and it has also been observed for the Netherlands between approximately 1850 and 1930. There are strong indications that in this period Dutch women were at a disadvantage compared to men, most notably between the ages of 10 to 19, but also in the adult years after age 20. The survival disadvantage for women between age 20 and 50 may be related to the dangers of pregnancy and childbirth. These maternal mortality risks may seem a natural female disadvantage. However, deficiencies in nutrition may seriously enhance the dangers of pregnancy and childbirth. Hence, if women are less privileged in access to food, causing increased levels of maternal mortality, the risk to die during pregnancy and during or after childbirth should be considered as part of the phenomenon of excess female mortality. The results of our analysis indicate that maternal mortality in this period in the Netherlands is partly the effect of the female nutritional disease environment. In particular, the incidence of nutrition-related deaths among women in fertile ages, such as tuberculosis, increase maternal mortality. We therefore assume that gender disadvantages in the access to foodstuffs of sufficient nutritional quality increased the level of maternal mortality. Consequently, in research on excess female mortality maternal mortality cannot be simply discounted as a natural disadvantage which should be left out of measures of excess female mortality.https://test.openjournals.nl/tseg/article/view/8255Maternal MortalityCauses of DeathNineteenth Centurythe Netherlands
spellingShingle Angelique Janssens
Elien Van Dongen
A Natural Female Disadvantage? Maternal Mortality and the Role of Nutrition Related Causes of Death in the Netherlands, 1875-1899
Tijdschrift voor Sociale en Economische Geschiedenis
Maternal Mortality
Causes of Death
Nineteenth Century
the Netherlands
title A Natural Female Disadvantage? Maternal Mortality and the Role of Nutrition Related Causes of Death in the Netherlands, 1875-1899
title_full A Natural Female Disadvantage? Maternal Mortality and the Role of Nutrition Related Causes of Death in the Netherlands, 1875-1899
title_fullStr A Natural Female Disadvantage? Maternal Mortality and the Role of Nutrition Related Causes of Death in the Netherlands, 1875-1899
title_full_unstemmed A Natural Female Disadvantage? Maternal Mortality and the Role of Nutrition Related Causes of Death in the Netherlands, 1875-1899
title_short A Natural Female Disadvantage? Maternal Mortality and the Role of Nutrition Related Causes of Death in the Netherlands, 1875-1899
title_sort natural female disadvantage maternal mortality and the role of nutrition related causes of death in the netherlands 1875 1899
topic Maternal Mortality
Causes of Death
Nineteenth Century
the Netherlands
url https://test.openjournals.nl/tseg/article/view/8255
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