• Nurjahan Begum, PhD
• Dr. Md. Nasir Uddin Bhuiyan, PhD

Topic: A Study on Levels and Determinants of Maternal Morbidity in a selected rural health center of Sunamganj District, Bangladesh. Introduction: WHO Maternal Morbidity Working Group (MMWG) defines maternal morbidity as “any health condition attributed to and/or aggravated by pregnancy and childbirth that has a negative impact on the woman’s wellbeing”. Maternal morbidity is a topic of more concern than maternal mortality. However, maternal mortality is just the tip of the iceberg of the health problems of women. Many women do not die of causes related to pregnancy but suffer severe morbidities. In developing countries, pregnancy and childbirth related complications are the leading causes of disability among women aged 15-49 Years. The world development report estimated that 18 percent of the burden of disease for these women is due to maternal causes. In September 2000, 189 world leaders signed a declaration on eight Millennium Development Goals (MDGs) to improve the lives of women, men, and children in their respective countries (United Nations Millennium Declaration, 2000). Goal 5 calls for the reduction of maternal mortality by 75 percent between 1990 and 2015. Goal 5 was later supplemented by MDG 5b on universal access to contraception. MDGs 5a and 5b have been important catalysts for the achieved reductions in maternal mortality levels in many settings over recent years. General objective: To determine the levels and Determinants of Maternal Morbidity in a selected rural health center of Sunamganj District, Bangladesh. Specific Objective: 1. To find out the Socio-Demographic Data of Pregnant women in a rural health center-KAITACK RHC of Sunamganj District, Bangladesh, 2. To find out the levels and causes of maternal morbidity in antenatal period. 3. To find out the levels and causes of maternal morbidity in intranatal period. 4. To find out the levels and causes of maternal morbidity in post natal period. Method: A descriptive Cross-sectional study was carried out. Data was collected through interview, Verbal autopsy, general examination, gynecological, examination, obstetrical examination, other clinical examination, investigations and screening. Study population: Pregnant women and postnatal women attended at rural health center- KAITACK RHC of Sunamganj District Bangladesh. Study area: Rural health center- KAITACK RHC of Sunamganj District Bangladesh. Estimated Sample Size: 1000 (one thousand) Results and Findings: Among the respondents maximum are of 21 to 25 years age group next to which 26-30 years age group. Community people 79% are Muslim and 21% hindu. All are coming from rural areas. Most them are housewives and less are doing jobs. Socio economic status is within lower to middle class. Primary Education account 45% and secondary education 30%. Majority women are primi next to which 2nd gravida. Poorer suffers most. Socio economic status is inversely proportional to morbidity status. High Status has less morbidity. It is found that minor morbidities like morning sickness and Peptic ulcer disease in pregnancy contribute about 90% of the cases. Next to which anemia 56% & UTI 25% during Pregnancy. Among the respondents major determinants of morbidity (Moderate to severe) are Pregnancy induced hypertension (PIH) 7%, Gestational Diabetic Mellitus (GDM) 2%, Threatened abortion 3%, incomplete abortion 4%, History of LUCS (Verbal Autopsy) 30%, Ectopic Pregnancy 0.2%, History of Ruptured Uterus (Verbal Autopsy) 0.3%, Prolong Obstructed Labor 7%, History Retained Placenta (Verbal Autopsy) 2%, Postpartum Hemorrhage (PPH) 5%, Puerperal Sepsis 2%, IUFD (0.5)%, PROM (4.4%), APH 1%. Discussion & Conclusion: Measurement of maternal morbidity provides a useful tool to assess the quality of maternal health in developing countries where MMR is high (1.72 in Bangladesh) it appears feasible to setup a national reporting system for maternal morbidity. It is demonstrated that is possible to quantify the incidence of maternal morbidity as well as mortality. Access to good medical care and other simple preventive measures can reduce morbidities. Appropriate maternity care during pregnancy and delivery will prevent Obstetric emergencies and reduce maternal morbidity as well as mortality.

Levels and Determinants, Rural, Maternal Morbidity and mortality, Selected, Rural health Center

"A Study on Levels and Determinants of Maternal Morbidity in a Selected Rural Health Center of Sunamganj District, Bangladesh", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.8, Issue 9, page no.b525-b538, September-2021, Available :http://www.jetir.org/papers/JETIR2109163.pdf

"A Study on Levels and Determinants of Maternal Morbidity in a Selected Rural Health Center of Sunamganj District, Bangladesh", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.8, Issue 9, page no. ppb525-b538, September-2021, Available at : http://www.jetir.org/papers/JETIR2109163.pdf