Child Loss among Adolescent Mothers in India: Associations with Consanguineous Marriage, Child Marriage and Teenage Childbirth
Introduction: Teenage childbearing increases the risk of adverse physical and mental health outcomes. According to NFHS-5, 7% of women aged 15–19 in India have begun childbearing, including 5% who have had a live birth and 2% who are pregnant with their first child. Child marriage remains common in several northern Indian states and is a major driver of early and high-risk fertility. Consanguineous marriage, prevalent in parts of India, may further increase reproductive risks. This study examines the individual and combined effects of consanguineous marriage, child marriage, and teenage pregnancy on child loss among adolescent women in India.Method: Data were drawn from NFHS-5 for women aged 15–19 years. Descriptive statistics and chi-square tests assessed associations between key predictors and child loss. Univariate and bivariate analyses, followed by binary logistic regression, estimated the independent and combined effects of consanguinity, age at marriage, and teenage pregnancy.Results: Consanguineous marriage and child marriage were associated with an increased risk of adverse pregnancy outcomes, while their combined effect further increased the probability of first-child death. The overall model was statistically significant (χ²(5,5462) = 25.278, p < 0.01). Women who married at age 18 or older had 1.2 times higher odds of having a living child than women who experienced child marriage.Conclusion: Consanguineous marriage and child marriage significantly increase the risk of child loss among adolescent mothers in India. Interventions should focus on improving education, reducing poverty, delaying marriage, and increasing awareness of the reproductive risks associated with consanguinity and early pregnancy.
S Radhakrishnan