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
{"title":"影响孟加拉国偏远地区分娩相关并发症及其后果的因素","authors":"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","doi":"10.1016/j.srhc.2024.100973","DOIUrl":null,"url":null,"abstract":"<div><h3>Background and objectives</h3><p>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.</p></div><div><h3>Methods</h3><p>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.</p></div><div><h3>Results</h3><p>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.</p></div><div><h3>Conclusion</h3><p>Delivery-related complications are significantly related to a woman's reproductive history and other background characteristics. Unnecessary caesarean delivery is prominent at private facilities.</p></div>","PeriodicalId":1,"journal":{"name":"Accounts of Chemical Research","volume":null,"pages":null},"PeriodicalIF":16.4000,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877575624000284/pdfft?md5=8f4ecd9ae81e3b45cf51289d8cdaccc4&pid=1-s2.0-S1877575624000284-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Factors influencing delivery-related complications and their consequences in hard-to-reach areas of Bangladesh\",\"authors\":\"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\",\"doi\":\"10.1016/j.srhc.2024.100973\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background and objectives</h3><p>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.</p></div><div><h3>Methods</h3><p>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.</p></div><div><h3>Results</h3><p>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.</p></div><div><h3>Conclusion</h3><p>Delivery-related complications are significantly related to a woman's reproductive history and other background characteristics. 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Factors influencing delivery-related complications and their consequences in hard-to-reach areas of Bangladesh
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.
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.
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