Marriage and migration: Bengali and Bihari brides in Baduan, Uttar Pradesh

Shruti Chaudhry and Taneesha Mohan argue that cross-regional marriages in Uttar Pradesh do not constitute bride-buying or trafficking, and are instead a new kind of commercially mediated marriage

Lived experiences of marriage: regional and cross-regional brides in rural North India

Based on eleven months of ethnographic fieldwork (September 2012-August 2013) in a village in Baghpat district located in the western part of the north Indian state of Uttar Pradesh (UP), the thesis compares the lived experiences of marriage of women in what I describe as regional marriage (RM) with women in cross-regional marriage (CRM). RMs are marriages that conform to caste and community norms (caste endogamy, gotrā [clan] and village/territorial exogamy) and are negotiated within a limited geographical region, i.e., the state. CRMs are those between men in north India and women from the southern, eastern and north-eastern parts of the country. Such marriages cross caste, linguistic and state boundaries with the marriage distance exceeding 1000 kms. CRMs also differ from RMs with regard to their modes of arrangement and the payments involved. They result from two sets of factors – one operating at bride-sending regions (mainly poverty) and the other at bride-receiving regions (masculine sex ratios and the difficulties some men have in achieving “eligibility” for marriage). NGO and journalistic accounts and some academic work has focused on CRMs: being a consequence only of masculine sex ratios and bride shortages; deviating from north Indian marriage norms; involving the “sale” and “purchase” of poor women from poor districts and states; and CRBs’ low status and lack of agency in receiving communities. This research aims to interrogate the moral panic surrounding the “plight” of CRBs. The thesis begins by contextualising CRM by exploring the factors that lead some (UP) men of particular castes to seek brides from other states and those that influence the migration of women over long-distances for marriages. It examines the process of negotiation entailed in making a RM and a CRM – the role of matchmakers, marriage payments and the rituals regarded as necessary to make a marriage “legitimate”. The thesis then focuses on the question of lived experiences of marriage by examining different aspects of regional brides’ (RB) and cross-regional brides’ (CRB) everyday lives – what the process of adjustment in a new (marital) home means for women when they leave their natal homes to live in their husbands’ homes and villages, the work that married women do, their relationships with other women in their marital villages, their relationships with their husbands and with their natal kin. Married women’s lives are embedded in various power dynamics and this research aims to address how factors such as caste, class, religion and age/years of marriage shape women’s post-marital experiences, in addition to their regional origins. This ethnographic study also attempts to outline issues specific to CRBs, particularly discrimination, belonging and incorporation within a culturally and linguistically different context, as well as the intergenerational implications of these marriages in terms of the (caste) status, rights and marriages of children of cross-regional couples. This research departs from existing studies on CRM as it attempts to understand postmarital experiences through a comparison with RM. Such an approach makes it possible to recognise similarities in the lived experiences of RBs and CRBs that enables a more nuanced understanding of the gendering of intimate/marital relationships in contemporary rural India within a context of caste inequalities and poverty

Final technical report of the project on gender and migration : negotiating rights; a women’s movement perspective

The project devised a new method for assessing women’s work/employment situations through separation of paid and unpaid work, which has allowed for construction of a picture of female labour migration previously camouflaged in the official data by the dominance of marriage migration. At another level, the project investigated cross-region long distance marriage, to explore factors that determine movement of young brides to distant and different cultural regions. The research shows diverse patterns of migration and how migrant women workers are excluded from a range of citizenship rights: as migrant workers, as migrant women and as migrating citizens

Extracorporeal membrane oxygenation in patients with severe respiratory failure from COVID-19.

PURPOSE: Limited data are available on venovenous extracorporeal membrane oxygenation (ECMO) in patients with severe hypoxemic respiratory failure from coronavirus disease 2019 (COVID-19). METHODS: We examined the clinical features and outcomes of 190 patients treated with ECMO within 14 days of ICU admission, using data from a multicenter cohort study of 5122 critically ill adults with COVID-19 admitted to 68 hospitals across the United States. To estimate the effect of ECMO on mortality, we emulated a target trial of ECMO receipt versus no ECMO receipt within 7 days of ICU admission among mechanically ventilated patients with severe hypoxemia (PaO2/FiO2 < 100). Patients were followed until hospital discharge, death, or a minimum of 60 days. We adjusted for confounding using a multivariable Cox model. RESULTS: Among the 190 patients treated with ECMO, the median age was 49 years (IQR 41-58), 137 (72.1%) were men, and the median PaO2/FiO2 prior to ECMO initiation was 72 (IQR 61-90). At 60 days, 63 patients (33.2%) had died, 94 (49.5%) were discharged, and 33 (17.4%) remained hospitalized. Among the 1297 patients eligible for the target trial emulation, 45 of the 130 (34.6%) who received ECMO died, and 553 of the 1167 (47.4%) who did not receive ECMO died. In the primary analysis, patients who received ECMO had lower mortality than those who did not (HR 0.55; 95% CI 0.41-0.74). Results were similar in a secondary analysis limited to patients with PaO2/FiO2 < 80 (HR 0.55; 95% CI 0.40-0.77). CONCLUSION: In select patients with severe respiratory failure from COVID-19, ECMO may reduce mortality

Extracorporeal membrane oxygenation in patients with severe respiratory failure from COVID-19

Limited data are available on venovenous extracorporeal membrane oxygenation (ECMO) in patients with severe hypoxemic respiratory failure from coronavirus disease 2019 (COVID-19). We examined the clinical features and outcomes of 190 patients treated with ECMO within 14 days of ICU admission, using data from a multicenter cohort study of 5122 critically ill adults with COVID-19 admitted to 68 hospitals across the United States. To estimate the effect of ECMO on mortality, we emulated a target trial of ECMO receipt versus no ECMO receipt within 7 days of ICU admission among mechanically ventilated patients with severe hypoxemia (PaO /FiO  < 100). Patients were followed until hospital discharge, death, or a minimum of 60 days. We adjusted for confounding using a multivariable Cox model. Among the 190 patients treated with ECMO, the median age was 49 years (IQR 41-58), 137 (72.1%) were men, and the median PaO /FiO prior to ECMO initiation was 72 (IQR 61-90). At 60 days, 63 patients (33.2%) had died, 94 (49.5%) were discharged, and 33 (17.4%) remained hospitalized. Among the 1297 patients eligible for the target trial emulation, 45 of the 130 (34.6%) who received ECMO died, and 553 of the 1167 (47.4%) who did not receive ECMO died. In the primary analysis, patients who received ECMO had lower mortality than those who did not (HR 0.55; 95% CI 0.41-0.74). Results were similar in a secondary analysis limited to patients with PaO /FiO  < 80 (HR 0.55; 95% CI 0.40-0.77). In select patients with severe respiratory failure from COVID-19, ECMO may reduce mortality