Removing risk from safe motherhood

BJSTR, 2017

Motherhood is a natural phenomenon, but safe motherhood is fraught with many complications related to of pregnancy and child birth. A “high risk pregnancy”(HRP) is one in which the maternal environment or past reproductive performance presents a significant risk to fetal wellbeing , such as premature birth, small for date infant, full term with low reservoir or still births and early neonatal deaths. Identification of patients at risk for these complicated pregnancies with poor outcome is fundamental to antenatal care. A woman is considered to have a high risk pregnancy when health concerns exist that may threaten the natural course of the development or birth of the baby, or that pose a risk to the mother. In such cases the mother may need special care, more investigations and possibly medication to ensure that she can carry the baby safely through to delivery. While pregnancy is a natural condition, it can be complicated even in healthy woman’s body because of changes in blood volume, hormone balance, pressure, the physical burden of pregnancy etc. Underlying medical conditions can add even more stress while complications caused by pregnancy itself (such as preeclampsia or gestational diabetes) can turn a normal pregnancy into a high risk pregnancy. A pre-pregnancy visit with a health care provider is especially important for a woman who has a medical problem

Objective. This sampled survey tries to answer the question "To find the pregnancy related complications rate among rural Women of Reproductive Age (WRA) during pregnancy in Village Shah Bollah". Methods: Structured Questionnaire technique was implemented to collect information. This tool is focused on such question which helped to gather the information on the complications which occurred during pregnancy. The data was collected with the help of LHW after taking verbal consent of targeted females. Results: 75.3% (N=73) of the respondents used Hospital facilities for their last delivery. 11% vaginal bleeding, 20% anemia, 15% severe abdominal pain, high grade fever 7%, 18% severe headache, only 2% loss of consciousness, swelling of lower limbs was recorded 12%, fast heart beat 8% and child does not move responded by 7% was recorded during pregnancy (N=73). Conclusion: The effectiveness of social mobilization and attitudinal change towards safe birthing strongly correlates with the intensive efforts carried out by Government and Line Departments which surely has led to bring a change in traditional mind sets of intended beneficiaries in rural areas.

Birth, 2009

Zahid MA, Hossain MS, Jahid MIK, Azam MNK, Nahar N (2011) Monitoring of safe motherhood and sociodemographic status of Kushtia district, Bangladesh. J. Innov. Dev. Strategy 5(3), 19-23.

2013

"""ABSTRACT: Objective. This sampled survey tries to answer the question “To find the pregnancy related complications rate among rural Women of Reproductive Age (WRA) during pregnancy in Village Shah Bollah”. Methods: Structured Questionnaire technique was implemented to collect information. This tool is focused on such question which helped to gather the information on the complications which occurred during pregnancy. The data was collected with the help of LHW after taking verbal consent of targeted females. Results: 75.3% (N=73) of the respondents used Hospital facilities for their last delivery. 11% vaginal bleeding, 20% anemia, 15% severe abdominal pain, high grade fever 7%, 18% severe headache, only 2% loss of consciousness, swelling of lower limbs was recorded 12%, fast heart beat 8% and child does not move responded by 7% was recorded during pregnancy (N=73). Conclusion: The effectiveness of social mobilization and attitudinal change towards safe birthing strongly correlates with the intensive efforts carried out by Government and Line Departments which surely has led to bring a change in traditional mind sets of intended beneficiaries in rural areas."""

BJOG: An International Journal of Obstetrics & Gynaecology, 2014

Objective We aimed to determine the prevalence and risks of late fetal deaths (LFDs) and early neonatal deaths (ENDs) in women with medical and obstetric complications.

The professional medical journal, 2016

April 1 st 2012 to Sep 30 th 2012. Methods: The data was collected on pre-designed pro-forma by the researcher. Tools and techniques were analyzed through SPSS version 15. Results The Following results were drawn by the study: The mean age of enrolled participants was 32.5±4.7 years, mean parity was 3.8±1.4 and mean gestational age was 34.7±2.9 weeks. The frequency of morbidly adherent placenta was 23.7%, postpartum hemorrhage 21.9%, blood transfusion >4 47.2% and cesarean hystrectomy was 12.3% cases. Conclusions: It is concluded from this study that morbidly adherent placenta was 23.7%, postpartum hemorrhage 21.9%, blood transfusion >4 47.2% and cesarean hystrectomy was 12.3% cases.

Objective. This sampled survey tries to answer the question “To find the pregnancy related complications rate among rural Women of Reproductive Age (WRA) during pregnancy in Village Shah Bollah”. Methods: Structured Questionnaire technique was implemented to collect information. This tool is focused on such question which helped to gather the information on the complications which occurred during pregnancy. The data was collected with the help of LHW after taking verbal consent of targeted females. Results: 75.3% (N=73) of the respondents used Hospital facilities for their last delivery. 11% vaginal bleeding, 20% anemia, 15% severe abdominal pain, high grade fever 7%, 18% severe headache, only 2% loss of consciousness, swelling of lower limbs was recorded 12%, fast heart beat 8% and child does not move responded by 7% was recorded during pregnancy (N=73). Conclusion: The effectiveness of social mobilization and attitudinal change towards safe birthing strongly correlates with the in...

2016

If clinicians are to play a leading role in reducing risks to the fetus, they have to think outside the box. Improved pregnancy outcomes require that medical and health professionals, including midwives and nurses, work with others far beyond the confines of the antenatal clinic and the delivery room. For the WHO-estimated 200 million plus conceptions glo-bally each year,1 mostly among disadvantaged groups in disadvantaged (at-risk) areas, the first nine months of life are vulnerable to risks. These risks are not just medical, but also employment, agri-cultural, security, energy and climate risks. Improving care to reduce these varied risks to the fetus inside the womb challenges us to accept a very broad concept of integrated health2 – drawing from