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A natural female disadvantage? : Maternal mortality and the role of nutrition related causes of death in The Netherlands, 1875-1899

Janssens, Angélique and Van Dongen, Elien LU orcid (2017) In The Low Countries Journal of Social and Economic History / Tijdschrift voor Sociale en Economische Geschiedenis 14(4). p.84-115
Abstract

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... (More)

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. 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 TB, 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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author
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organization
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type
Contribution to journal
publication status
published
subject
in
The Low Countries Journal of Social and Economic History / Tijdschrift voor Sociale en Economische Geschiedenis
volume
14
issue
4
pages
32 pages
publisher
International Institute of Social History
external identifiers
  • scopus:85045882071
ISSN
1572-1701
language
English
LU publication?
yes
id
071d8deb-a8b3-473f-870d-befece062162
alternative location
https://www.tseg.nl/articles/abstract/988/
date added to LUP
2018-05-07 12:40:43
date last changed
2024-04-15 06:25:41
@article{071d8deb-a8b3-473f-870d-befece062162,
  abstract     = {{<p>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. 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 TB, 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.</p>}},
  author       = {{Janssens, Angélique and Van Dongen, Elien}},
  issn         = {{1572-1701}},
  language     = {{eng}},
  month        = {{01}},
  number       = {{4}},
  pages        = {{84--115}},
  publisher    = {{International Institute of Social History}},
  series       = {{The Low Countries Journal of Social and Economic History / Tijdschrift voor Sociale en Economische Geschiedenis}},
  title        = {{A natural female disadvantage? : Maternal mortality and the role of nutrition related causes of death in The Netherlands, 1875-1899}},
  url          = {{https://www.tseg.nl/articles/abstract/988/}},
  volume       = {{14}},
  year         = {{2017}},
}