Complications during pregnancy, delivery, and postnatal stages and place of delivery in rural Bangladesh.

Full Abstract

The utilization of safe motherhood services including maternity care in Bangladesh is very poor. Only a very small proportion of deliveries takes place in a hospital/clinic. This study is based on data from a follow-up study on maternal morbidity in rural Bangladesh. Analysis is performed on the nature of complications by place of delivery. Most of the deliveries have taken place in the women's own or her mother's home. In addition, home deliveries are mostly assisted either by an untrained birth attendant or by relatives or others. Education, economic status, whether pregnancy was wanted or not, regular visits for antenatal care, past history of breathing problems and liver diseases, and palpitation during pregnancy appear to have significant association with place of delivery in rural Bangladesh. The utilization of a hospital/clinic instead of birth at home is higher among women with secondary or higher level of education, who desired the pregnancy, and who made regular visits for antenatal care. Delivery at a mother's home appears to be positively associated with higher economic status, desired pregnancy, gainful employment, and visits for antenatal care. If the respondents suffer from diseases/symptoms, then it is more likely that the delivery would take place in the mother's home.

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Author information

Author/s: Islam, M Ataharul (MA); Chowdhury, Rafiqul I (RI); Akhter, Halida H (HH);

Affiliation: Department of Statistics, University of Dhaka, Bangladesh.

Journal and publication information

Publication Type: Journal Article; Research Support, Non-U.S. Gov't

Journal: Health care for women international (Health Care Women Int), published in United States. (Language: eng)

Reference: 2006-Oct; vol 27 (issue 9) : pp 807-21

Dates: Created 2006/10/24; Completed 2006/12/19;

PMID: 17060180, status: MEDLINE (last retrieval date: 12/26/2008)

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Bangladesh - epidemiology
Cross-Sectional Studies
Delivery, Obstetric - psychology; utilization
Educational Status
Female
Follow-Up Studies
Health Services Research
Home Childbirth - psychology; utilization
Humans
Logistic Models
Maternal Health Services - utilization
Morbidity

Morbidity
Multivariate Analysis
Nursing Methodology Research
Patient Acceptance of Health Care - ethnology; statistics & numerical data
Pregnancy
Pregnancy Complications - epidemiology; ethnology; prevention & control
Pregnancy Outcome - epidemiology
Prenatal Care - utilization
Prospective Studies
Residence Characteristics
Rural Health Services - utilization
Socioeconomic Factors

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