Patterns and determinants of care seeking for obstetric complications in rural northwest Bangladesh: analysis from a prospective cohort study

• DOI: 10.1186/s12913-015-0832-1
• Publication Date: 2015-04-17T02:36:41Z
• Authors: Shegufta S Sikder; Alain B Labrique; Ian M Craig; Mohammad Abdul Wakil; Abu Ahmed Shamim; Hasmot Ali; Sucheta Mehra; Lee Wu; Saijuddin Shaikh; Keith P West; Parul Christian
• Keywords: Adult; Adolescent; Health Behavior; Young Adult; 03 medical and health sciences; 0302 clinical medicine; 5. Gender equality; Pregnancy; Odds Ratio; Humans; Family; Maternal Health Services; Prospective Studies; 10. No inequality; Bangladesh; Health Policy; 1. No poverty; Middle Aged; Patient Acceptance of Health Care; Delivery, Obstetric; 3. Good health; Pregnancy Complications; Logistic Models; Socioeconomic Factors; Female; Rural Health Services; 0305 other medical science; Research Article

In communities with low rates of institutional delivery, little data exist on care-seeking behavior for potentially life-threatening obstetric complications. this analysis, we sought to describe patterns self-reported complications and near misses in rural Bangladesh identify factors associated care seeking these conditions.Utilizing from a community-randomized controlled trial enrolling 42,214 pregnant women between 2007 2011, used multivariable multinomial logistic regression explore the association demographic socioeconomic factors, perceived need, service availability or misses. We also analyze by type complication (eclampsia, sepsis, hemorrhage, obstructed labor).Out 9,576 complications, 77% any care, 29% (n = 2,150) visiting at least one formal provider 70% 5,149) informal providers only. The proportion was highest among reporting eclampsia (57%), followed hemorrhage (28%), labor (22%), sepsis (17%) (p < 0.001). analyses, such as living household wealth quartile (Relative Risk Ratio 1.49; 95% CI [1.33-1.73]), women's literacy (RRR 1.21; [1.05-1.42]), employment 1.10; [1.01-1.18]) were significantly providers. Service including less than 10 kilometers health facility 1.16; [1.05-1.28]) comprehensive services 1.25; 1.04-1.36) providers.While majority third visited facilities. Improvements maternal literacy, coupled improved geographic access availability, may increase Enhancing community awareness symptoms their consequences promote Bangladesh.NCT00860470 .