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On Analyzing Factors Affecting Severe Pregnancy Complications in Urban Areas of Bangladesh

Received: 18 November 2018    Accepted: 4 December 2018    Published: 14 January 2019
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Abstract

Pregnancy is a period of increased vulnerability of a woman’s life and this study is designed to identify potential determinants of complications that women in urban areas of Bangladesh face during pregnancy, delivery or after delivery. For the purpose of analysis, data extracted from Urban Health Survey (UHS), 2013 has been used. Bivariate analysis has been performed using Chi-square test and multiple logistic regression model is used to assess the adjusted effect of potential determinants on the pregnancy complications. Migration status, mothers’ education level, wealth index, working status of mothers, NGO (non-governmental organization) membership, received ANC (antenatal care), place of delivery and wanted pregnancy are found to have significant association with severe pregnancy complications. To reduce severe pregnancy, delivery or after delivery complications, the migrant women should be more health conscious during this period; women’s decision regarding pregnancy should be valued considerably and their perception towards health care seeking behavior should be changed.

Published in American Journal of Biological and Environmental Statistics (Volume 4, Issue 4)
DOI 10.11648/j.ajbes.20180404.11
Page(s) 98-104
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Chi-square Test, Migration, Multiple Logistic Regression, Severe Pregnancy Complications, UHS

References
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[2] Bangladesh Maternal Mortality and Health Care Survey (BMMS), 2016. NIPORT, Dhaka, Bangladesh; icddr, b, Dhaka, Bangladesh.
[3] 5,200 women die annually due to pregnancy, childbirth related problems (2016, October 28), Dhaka Tribune. Retrieved from https://www.dhakatribune.com/bangladesh/2016/10/28/5200-women-die-annually-due-pregnancy-childbirth-related-problems
[4] Ferdos, J., Rahman, M. M., Jesmin, S. S., Rahman, M. A. and Sasagawa, T. (2017). Association between Intimate Partner Violence during Pregnancy and Maternal Pregnancy Complications among Recently Delivered Women in Bangladesh. Aggressive Behavior. 44 (3).
[5] Mullah, M. A. S., Parveen, N. and Hossain, M. Z. (2010). Generalized Linear Mixed Models for Longitudinal Data Analysis: An Application to Maternal Morbidity Data. Dhaka University Journal of Science. 58 (2), 219-223.
[6] Islam, M. A., Chowdhury, R. I., Chakraborty, N., Bari, W. and Akhter, H. H. (2004). Factors Associated with Delivery Complications in Rural Bangladesh. The European Journal of Contraception & Reproductive Health Care. 9 (4), 203-213.
[7] Rahman, R., Hossain, M. A. and Hossain, M. Z. (2011). Extended Mallow’s Cp in GEE: An Application to Maternal Morbidity Data. Dhaka University Journal of Science. 59 (1), 65-70.
[8] Huda, F. A., Ahmed, A., Dasgupta, S. K., Jahan, M., Ferdous, J., Koblinsky, M., Ronsmans, C. and Chowdhury, M. E. (2012). Profile of Maternal and Foetal Complications during Labour and Deliverry among Women Giving Birth in Hospitals in Matlab and Chandpur, Bangladesh. Journal of Health, Population and Nutrition. 30 (2), 131-142.
[9] Chakraborty, N., Islam, M. A., Chowdhury, R. I. and Bari, W. (2003). Analysis of Ante-partum Maternal Morbidity in Rural Bangladesh. Australian Journal of Rural Health. 11 (1), 22-27.
[10] Backos, M., Rai, R., Baxter, N., Chilcott, I. T., Cohen, H. and Regan, L. (1999). Pregnancy Complications in Women with Recurrent Miscarriage Associated with Antiphospholipid Antibodies Treated with Low Dose Aspirin and Heparin. British Journal of Obstetrics and Gynaecology. 106, 102-107.
[11] Kilpatric, S. K., Ecker, J. L. and Callaghan, W. M. (2016). Severe Maternal Morbidity: Screening and Review. Obstetric Care Consensus Series. 5.
[12] Callaghan, W. M., Andreea, A. C. and Kuklina, E. V. (2012). Severe Maternal Morbidity Among Delivery and Postpartum Hospitalizations in the United States. Obstetrics and Gynecology. 120 (5), 1029-1036.
[13] Kilpatric, S. J., Abreo, A., Gould, J., Grrene, N. and Main, E. K. (2016). Confirmed Maternal Morbidity is Associated with High Rate of Preterm Delivery. American Journal of Obstetrics and Gynecology. 215 (2).
[14] Bhatia, J. C. (1995). Levels and Determinants of Maternal Morbidity: Results from A Community-based Study in Southern India. International Journal of Gynecology and Obstetrics. 50 (2), 153-163.
[15] Almeida, L. M., Caldas, J., Campos, D. A., Barrientos, D. S. and Dias, S. (2013). Maternal Healthcare in Migrants: A Systematic Review. Maternal and Child Health Journal. 17, 1346-1354.
[16] Bangladesh Urban Health Survey, 2013. NIPORT, Dhaka, Bangladesh; icddr, b, Dhaka, Bangladesh; MEASURE Evaluation, UNC-Chapel Hill, USA.
[17] Souza, J. P., Say, L., Pattinson, R. and Gulmezoglu, A. M. (2011). Evaluating the Quality of Care for Severe Pregnancy Complications: the WHO Near-Miss Approach for Maternal Health. World Health Organization (WHO).
[18] Agresti, A. (1996). An Introduction to Categorical DataAnalysis. John Wiley & Sons, New York.
[19] Homer, A. S. and Lemshow, S. (1992). Applied Logistic Regression. Wiley, New York.
[20] Choolani, M. and Ratnam, S. S. (1995). Maternal Morbidity: A Global Overview. Journal of the Indian Medica Association. 93, 36-40.
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  • APA Style

    Nishat Tasnim Toosty. (2019). On Analyzing Factors Affecting Severe Pregnancy Complications in Urban Areas of Bangladesh. American Journal of Biological and Environmental Statistics, 4(4), 98-104. https://doi.org/10.11648/j.ajbes.20180404.11

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    ACS Style

    Nishat Tasnim Toosty. On Analyzing Factors Affecting Severe Pregnancy Complications in Urban Areas of Bangladesh. Am. J. Biol. Environ. Stat. 2019, 4(4), 98-104. doi: 10.11648/j.ajbes.20180404.11

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    AMA Style

    Nishat Tasnim Toosty. On Analyzing Factors Affecting Severe Pregnancy Complications in Urban Areas of Bangladesh. Am J Biol Environ Stat. 2019;4(4):98-104. doi: 10.11648/j.ajbes.20180404.11

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  • @article{10.11648/j.ajbes.20180404.11,
      author = {Nishat Tasnim Toosty},
      title = {On Analyzing Factors Affecting Severe Pregnancy Complications in Urban Areas of Bangladesh},
      journal = {American Journal of Biological and Environmental Statistics},
      volume = {4},
      number = {4},
      pages = {98-104},
      doi = {10.11648/j.ajbes.20180404.11},
      url = {https://doi.org/10.11648/j.ajbes.20180404.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajbes.20180404.11},
      abstract = {Pregnancy is a period of increased vulnerability of a woman’s life and this study is designed to identify potential determinants of complications that women in urban areas of Bangladesh face during pregnancy, delivery or after delivery. For the purpose of analysis, data extracted from Urban Health Survey (UHS), 2013 has been used. Bivariate analysis has been performed using Chi-square test and multiple logistic regression model is used to assess the adjusted effect of potential determinants on the pregnancy complications. Migration status, mothers’ education level, wealth index, working status of mothers, NGO (non-governmental organization) membership, received ANC (antenatal care), place of delivery and wanted pregnancy are found to have significant association with severe pregnancy complications. To reduce severe pregnancy, delivery or after delivery complications, the migrant women should be more health conscious during this period; women’s decision regarding pregnancy should be valued considerably and their perception towards health care seeking behavior should be changed.},
     year = {2019}
    }
    

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    AB  - Pregnancy is a period of increased vulnerability of a woman’s life and this study is designed to identify potential determinants of complications that women in urban areas of Bangladesh face during pregnancy, delivery or after delivery. For the purpose of analysis, data extracted from Urban Health Survey (UHS), 2013 has been used. Bivariate analysis has been performed using Chi-square test and multiple logistic regression model is used to assess the adjusted effect of potential determinants on the pregnancy complications. Migration status, mothers’ education level, wealth index, working status of mothers, NGO (non-governmental organization) membership, received ANC (antenatal care), place of delivery and wanted pregnancy are found to have significant association with severe pregnancy complications. To reduce severe pregnancy, delivery or after delivery complications, the migrant women should be more health conscious during this period; women’s decision regarding pregnancy should be valued considerably and their perception towards health care seeking behavior should be changed.
    VL  - 4
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Author Information
  • Department of Statistics, University of Dhaka, Dhaka, Bangladesh

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