DOI: https://dx.doi.org/10.18203/2394-6040.ijcmph20170756
Published: 2017-02-22

Levels and determinants of maternal morbidity in Sangli, Maharashtra, India: a community based study

Sanjay R. Quraishi, Anuradha P. Gaydhanker, Girish B. Dhumale

Abstract


Background: In developing countries, the leading cause of disability in women aged 15-44 years is pregnancy and childbirth related complications. Many women do not die of causes related to pregnancy but suffer severe morbidities due to pregnancy related physiological stress.

Methods: It is a Community based cross sectional study, conducted at randomly selected villages, towns and households in Sangli, Maharashtra, India. Sampling was done by simple random sampling, with a computed sample size of 3200. Study tool was a pre-tested questionnaire. Statistical analysis was done using percentages and Chi-square test. Microsoft Excel and SPSS 22 were used for analysis.

Results: The study revealed a high prevalence of maternal morbidity in Sangli, Maharashtra, India. 52.65% women in urban area and 96.53% in rural area suffered from at least one morbidity. In rural area of Sangli, Maharashtra, India maximum of the women surveyed i.e., 30% have primary school education as compared to urban area of Sangli, Maharashtra, India which constitute 34%. A majority of the women in both the districts were suffering from mild complications but the percentage of serious complications is very high in the rural area (15%) than in the urban area (6%).

Conclusions: In spite of low levels of perception about maternal morbidities, relatively higher utilization of health services during antepartum period should be taken as an advantage for initiating complete antenatal services, i.e. beyond the coverage of women by TT injection and supply of IFA tablets. The governmental initiation of supplying protein-rich food to pregnant and lactating mothers through ICDS programme has significantly lowered the morbidity levels probably by lessening the levels of anaemia. 


Keywords


Antenatal, Complications, Maternal morbidity, Pregnancy

Full Text:

PDF

References


Padma GR. Maternal Morbidity in Rural Andhra Pradesh. Working Paper No. 63, November 2004.

Datta KK, Sharma RS, Razack PM, Ghosh TK, Arora RR. Morbidity pattern amongst rural pregnant women in Alwar, Rajasthan–a cohort study. Health and Population Perspectives and Issues. 1980;3(4):282-92.

Bhatia J C. Levels and causes of maternal mortality in Southern India. Stud Fam Plann. 1993; 24(5):310-8.

Jamison DT, Mosley WH. Evolving health sector priorities in developing countries. Washington DC: World Bank. 1991.

Koblinsky MA, Campbell OM, Harlow SD. Mother and more: a broader perspective on womens health. In: the health of women: a global perspective, edited by Marge Koblinsky, Judith Timyan and Jill Gay. Boulder, Colorado, Westview Press, 1993. 33-62

International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005-06: India: Volume I. Mumbai: IIPS

Bhatia JC, Cleland J. Obstetric morbidity in South India: results from a community survey. Social Sci Medic. 1996;43(10):1507-16.

Mantel GD, Buchmann E, Rees H, Pattinson RC. Severe acute maternal morbidity: A pilot study of a definition for a near‐miss. BJOG: Int J Obstet Gynaecol. 1998;105(9):985-90.

Prual A, Bouvier-Colle MH, Bernis LD, Breart G. Severe maternal morbidity from direct obstetric causes in West Africa: incidence and case fatality rates. Bull World Health Organ. 2000;78(5):593-602.

Stones W, Lim W, Al-Azzawi F, Kelly M. An investigation of maternal morbidity with identification of life-threatening'near miss' episodes. Health trends. 1990;23(1):13-5.

Hall MH: Near misses and severe maternal morbidity. In: Why mothers die 1997-1999; The confidential enquiries into maternal deaths in the United Kingdom. London: RCOG Press: Department of Health, Welsh Office, Scottish Home and Health Department, Department of Health and Social Sciences, Northern Ireland; 2001:323-325.

World Health Organization: International Classification of Diseases and Related Health Problems, Tenth Revision Vol 1. Geneva, Switzerland; 1992.

Srinivasa DK, Narayan KA, Oumachigui A, Roy G. Prevalence of maternal morbidity in a south Indian community. Ford Foundation Study, (Pondicherry, Department of Community medicine, Jawaharlal Institute of Postgraduate Medical education and Research) 1997.

Basu S. Anthropological Approach to Tribal Health, In Bose A, Nongbri T, Kumar N (eds.) Tribal demography and development in North-East India. Delhi: Hindustan Publishing Corporation; 1990.