Beliefs and Practices Regarding Delivery and Postpartum Maternal Morbidity in Rural Bangladesh

Goodburn, E; Gazi, Rukhsana; Chowdhury, Mushtaque

doi:10.2307/2138048

Cited by 114 publications

(82 citation statements)

References 14 publications

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“…Doing so would annoy Rahu (a Hindu god). 71 All these practices result in protein deficiency in the mother's health.…”

Section: -64mentioning

confidence: 99%

Barriers to access in maternal healthcare services in the Northern Bangladesh

Banik

2017

SE Asia J. Pub. Health

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Poor women, in both rural and urban areas in the northern region of Bangladesh, experience high maternal mortality rate (MMR), and compared to other regions, this group also has a low proportion of receiving antenatal care (ANC) and of births assisted by the skilled health personnel. One of the prime factors for this situation is the lack of the poor mothers access to maternal health care (MHC) services. Finding out physical, social and organisational access barriers to MHC services and exploring how these barriers caused three delays in healthcare seeking behaviour were therefore the main objectives of the paper. The study used both primary and secondary data to meet its objectives. The primary data was collected from October to December in 2010 interviewing 160 mothers who were pregnant or delivered at least one baby during the last ten years and the heads of seven relevant health centres, administering eight focus group discussions and observing the field. An assortment of articles, reports, theses and books were consulted in complementing and substantiating the argument. The study found social (early marriage, perception of pregnancy and childbirth, high financial cost) and organizational (lack of female health staff, lack of a guiding principle in the health sector, in/exclusion errors in benefit distribution, low quality services) barriers more acute than physical (distance and waiting time) barriers. As concluded, all these barriers seem to have caused delays in seeking healthcare, reaching facility centres at the right time and receiving adequate services. The findings of the current study suggest that rescheduling official time of the service centre, recruiting and posting female health workers, following a guiding path and providing emergency obstetric care at free of costs are the feasible ways of getting better maternal health situation in the study areas.South East Asia Journal of Public Health Vol.6(2) 2016: 23-36

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“…Doing so would annoy Rahu (a Hindu god). 71 All these practices result in protein deficiency in the mother's health.…”

Section: -64mentioning

confidence: 99%

Barriers to access in maternal healthcare services in the Northern Bangladesh

Banik

2017

SE Asia J. Pub. Health

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“…8,9,11 Susceptibility was considered to be at its pinnacle during labour and delivery, which were to take place in utmost privacy to keep them a secret. delivery period, particularly in life-and-death situations.…”

Section: Social Pressurementioning

confidence: 99%

“…Key aspects of safe delivery practices include the physical setting, availability of supplies and equipment, level of skill and selfconfidence of the provider and a supportive environment. 10 While the constraints faced by women living in developing countries in accessing professional birthing care and quality of care issues are well researched, [11][12][13][14][15] the views and experiences of skilled attendants assisting childbirth in women's homes have not been available. This paper examines the experiences of skilled birth attendants carrying out home-based deliveries in a rural setting in Bangladesh, in comparison with deliveries attended by the same attendants in health facilities.…”

mentioning

confidence: 99%

Attending Home vs. Clinic-Based Deliveries: Perspectives of Skilled Birth Attendants in Matlab, Bangladesh

Blum¹,

Sharmin

Ronsmans

2006

Reproductive Health Matters

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Abstract:In an effort to make skilled attendance at birth more accessible, some countries in Asia have begun major initiatives to promote the option of home delivery with a midwife. Yet there is little empirical evidence from the region to suggest that home-based care is as safe or effective as care in medical facilities. Qualitative research involving key informant and in-depth interviews and group discussions was carried out in 2003 and 2004 in Matlab, a rural area of Bangladesh, to examine the feasibility of home-vs. facility-based delivery from the perspective of 13 skilled birth attendants. The findings illuminate major constraints encountered during home deliveries, including poor transportation, inappropriate environment for delivery, insufficient supplies and equipment, lack of security, and inadequate training and medical supervision, which may prevent the provision of skilled care. Most difficult was the pressure by families to adhere to traditional childbirth norms and convincing families to accept the need for referral. The advantages highlighted of attending births in a health facility were the safe, clean environment, availability of supplies, ability to accommodate other work activities and make quick referrals, and higher coverage. The study illuminates practical, cultural and medical issues that need to be taken into consideration when choosing between home-and facility-based strategies and designing safe motherhood interventions. A

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“…In the intravenous iron therapy group 40% were in group 1, 38% in group 2 and 22% in group 3. [9] Hb …”

Section: Socioeconomic Statusmentioning

confidence: 99%