Delaying early marriage

Another issue is early marriage. In most developing countries, many women, especially rural women, still get married on average at around 16 years, and most of them rapidly become pregnant.

This group of very young mothers is at especially high risk of obstructed labour because the pelvis has not grown sufficiently to accommodate the baby's head. In your discussions with women, their partners and community leaders you can point out these risks of early marriage, and try to persuade them of the importance of delaying the first birth until after the woman is 18.

As part of this, you will need to promote contraception (family planning methods) as a way of delaying the first pregnancy among these very young women. If unwanted pregnancy occurs, it is also important to counsel about safe abortion services.