An assessment of maternal morbidity pattern among reproductive age group women in a district of West Gujarat: A community based cross sectional study

2018 ◽  
Vol 4 (1) ◽  
pp. 40
Author(s):  
Mittal Rathod ◽  
Dipesh Parmar ◽  
Sumit Unadakat ◽  
Mehul Kaliya ◽  
Nirmika Patel ◽  
...  
Author(s):  
Nishant R. Bhimani ◽  
Pushti V. Vachhani ◽  
Girija P. Kartha

Background: Intra natal care means care taken during delivery. This consists of taking care of not only the mother but also the newborn at the time of child-birth. Appropriate delivery care is crucial for both maternal and perinatal health. Increasing skilled attendance at birth is a central goal of the safe motherhood and child survival mission. Postpartum care aimed at complication-free puerperium and a healthy baby. There is a high risk of mortality for both the mother and her baby in the immediate period around birth. High quality intranatal and postnatal care is the important way to reduce the maternal morbidity and mortality. Utilization of intranatal and postnatal services is poor in the rural areas, which ultimately lead to increased maternal & child morbidity and mortality.Methods: The study was carried out among married women of reproductive age group. Pre-designed and pretested Performa was used to obtain the information from participants. It was community based cross - sectional study. All the collected data were analysed by applying appropriate statistical tests. The data were analysed by statistical package for social sciences (SPSS).Results: A total of 353 women were included in the study. Majority (86.97%) of women utilized health facility either government or private for their deliveries. Significant difference was observed between literacy status as well as socio economic class and utilization of institutional facility for the place of delivery. More than half women i.e. nearly 56% had not availed postnatal care services.Conclusions: Percentage of institutional deliveries as well as deliveries attended by skilled birth attendant was quite better. The most common reason for not availing the intra natal and postnatal services was found to be lack of knowledge regarding importance of these services on the outcome of delivery.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Tania Dehesh ◽  
Elaheh Salarpour ◽  
Neda Malekmohammadi ◽  
Sepideh Arjomand Kermani

Abstract Background Optimal pregnancy spacing is an important incidence in reproductive women’s health. Short or long pregnancy spacing leads to the greatest health, social and economic problems such as increase in maternal and infant mortality and morbidity, and adverse pregnancy outcomes. The aim of this study is to assess the mean of pregnancy spacing and associated factors of pregnancy spacing among women of reproductive age group with recurrent event analysis. Methods The fertility history of 1350 women aged 15–49 years was collected in this cross-sectional study. The women were selected through multistage random sampling method from a list of clinics in 2018. Some predictors were collected from their records and others were collected by face-to-face interview. The recurrent event survival analysis was used to explore the effect of predictors on pregnancy spacing. The R software program was used for analysis. Results There were nine predictors that had significant effect on pregnancy spacing. These predictors included the age of mother at marriage, mother’s BMI, contraception use, breast feeding duration of the previous child, the education level of husband, the sex preference of the mother, presence of abortion or stillbirth in the preceding pregnancies, income sufficiency, and mother’s awareness of optimum pregnancy interval. The most influential predictors; contraception use (HR = 2.34, 95%CI = 1.23 to 2.76, P < 0.001) and income sufficiency (HR = 2.046, 95%CI = 1.61 to 3.02, P = 0.018) lead to longer and son preference of mother (HR = 2.231, 95%CI = 1.24 to 2.81, P = 0.023) lead to shorter pregnancy spacing. Conclusion The up to date contraception tool should be at hand for couples to manage their pregnancy intervals. The unfavorable economic situation of a family leads to long pregnancy spacing. Despite the relative equality of the status of girls and boys in today’s societies, the desire to have a son child is still an important factor in shorter pregnancy spacing. The benefit of optimal pregnancy spacing should be more announced.


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