Factors influencing delivery-related complications and their consequences in hard-to-reach areas of Bangladesh

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-04-23 DOI:10.1016/j.srhc.2024.100973

Anisuddin Ahmed , Ema Akter , Abu Sayeed , Fariya Rahman , Molly Hanson , Nondo Saha , Md Refat Uz Zaman Sajib , Lubna Hossain , KM Tanvir , Aniqa Tasnim Hossain , Ritu Rana , Saraban Tahura Ether , Shafiqul Ameen , Sabrina Jabeen , AM Rumayan Hasan , Shams El Arifeen , Ahmed Ehsanur Rahman , Syed Moshfiqur Rahman

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引用次数: 0

Abstract

Background and objectives

Bangladesh's high maternal mortality ratio is exacerbated by delivery-related complications, particularly in hard-to-reach (HtR) areas with limited healthcare access. Despite this, few studies have explored delivery-related complications and factors contributing to these complications among the disadvantaged population. This study aimed to investigate the factors contributing to delivery-related complications and their consequences among the mothers residing in the HtR areas of Bangladesh.

Methods

Data were collected using a cross-sectional study design from 13 HtR sub-districts of Bangladesh between September 2019 and October 2019. Data from 1,290 recently delivered mothers were analysed.

Results

Around 32% (95% CI: 29.7–34.8) of the mothers reported at least one delivery-related complication. Prolonged labour pain (21%) was the highest reported complication during the delivery, followed by obstructive labour (20%), fever (14%), severe headache (14%). Mothers with higher education, a higher number of antenatal care (ANC) visits, complications during ANC, employed, and first-time mothers had higher odds of reporting delivery-related complications. More than one-half (51%) of these mothers had normal vaginal delivery. Nearly one-fifth (20%) of mothers who reported delivery-related complications were delivered by unskilled health workers at homes. On the other hand, about one-fifth (19%) of the mothers without any complications during delivery had a caesarean delivery. Nine out of ten of these caesarean deliveries were done at the private facilities.

Conclusion

Delivery-related complications are significantly related to a woman's reproductive history and other background characteristics. Unnecessary caesarean delivery is prominent at private facilities.

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影响孟加拉国偏远地区分娩相关并发症及其后果的因素

背景和目标孟加拉国的孕产妇死亡率很高，分娩相关并发症加剧了这一问题，尤其是在医疗条件有限的偏远地区。尽管如此，很少有研究探讨与分娩相关的并发症以及导致弱势群体出现这些并发症的因素。本研究旨在调查孟加拉国 HtR 地区产妇分娩相关并发症的诱发因素及其后果。结果约有 32%（95% CI：29.7-34.8）的母亲报告了至少一种与分娩相关的并发症。产痛时间延长（21%）是产妇在分娩过程中报告最多的并发症，其次是难产（20%）、发烧（14%）和严重头痛（14%）。受教育程度较高、产前护理（ANC）次数较多、在产前护理期间出现并发症、有工作和初为人母的母亲报告分娩相关并发症的几率较高。超过一半（51%）的产妇经阴道正常分娩。在报告分娩相关并发症的母亲中，近五分之一（20%）是在家中由非熟练保健人员接生的。另一方面，大约五分之一（19%）在分娩过程中没有出现任何并发症的产妇是剖腹产。结论分娩相关并发症与妇女的生育史和其他背景特征有很大关系。不必要的剖腹产主要发生在私立医院。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.