Seasonal Patterns of Reproduction in Matlab,Bangladesh

In Bangladesh twice as many births occur in December as in July. This paper examines the seasonal patterns of the risks of conception, fetal loss and return of menses post partum in a longitudinal study of 2,300 women in 14 villages of Matlab, Bangladesh. Life tables were estimated for each month of entry event and then ‘period’ life tables were constructed with the risks for a given calendar month. Confirming the results of earlier studies, risks of resumption of menses were higher in November and December, regardless of time elapsed since the last birth. Similarly, there are increased conception risks in the period from February to April for all fecundable women. The time of lowest fetal loss and stillbirth risks is in the cool season, though this variation makes only a minor contribution to the overall seasonality of births. The pattern of fecundability estimated from data on coital frequency did not match the pattern estimated from reported conceptions; these discrepancies imply possible seasonal changes in other parameters of fecundability besides intercourse.