Antenatal and postnatal care practices among mothers in rural Bangladesh

A community based cross-sectional study

Md Shahjahan, Hasina Akhter Chowdhury, Ahmed Y. Al-Hadhrami, Golam Dostogir Harun

Research output: Contribution to journalArticle

Abstract

Background appropriate utilization of antenatal and postnatal care can prevent complications and ensures better maternal and child health care. Although under-five mortality in South Asia, including Bangladesh, has reduced substantially, the rate of neonatal mortality is still high. The study aims to identify factors associated with the practice of antenatal and/or postnatal care amongst mothers of newborns from a healthcare facility in a selected area of rural Bangladesh. Research design/Setting a community-based cross-sectional study was conducted among 360 postnatal mothers, who were within 42 days of delivery. The study was conducted at Madhupur Upazila (sub-district) in Tangail district of Bangladesh from January 2012 to June 2012. A structured questionnaire was used to collect relevant information from the study subjects. Findings only one in seven (14.2%) of the mothers visited health care facility for 4 or more times to receive antenatal care. A higher proportion of mothers delivered at home, thirty-five percent of the respondents experienced post-delivery complications. About 18% of mothers received postnatal care from the health care facility. Several variables revealed significant associations in bivariate analyses; few variables remained significant for antenatal care and post-natal care categories in the multinomial logistic regression analysis. The likelihood of receiving either antenatal care or post-natal care (OR =0.30, 95% CI =0.10–0.96) was significantly lower among mothers who had either no education or less education (1–5 years of schooling); and was found significantly higher for women who watched TV (OR = 2.79; 95% CI = 1.45–5.37); family income showed significant association for receiving both antenatal care and postnatal care services as well. Conclusion mother's education appears to have a strong and significant association with antenatal care and postnatal care practices in rural Bangladesh. Community based intervention and regular home visits by health care providers could enhance care for women and newborns including delivery of specific health messages. Counseling could be integrated during antenatal care visits to increase the postnatal care service further.

Original languageEnglish
Pages (from-to)42-48
Number of pages7
JournalMidwifery
Volume52
DOIs
Publication statusPublished - Sep 1 2017

Fingerprint

Postnatal Care
Prenatal Care
Bangladesh
Cross-Sectional Studies
Mothers
Delivery of Health Care
Health Facilities
Education
Newborn Infant
House Calls
Infant Mortality
Child Care
Health Personnel
Counseling
Research Design
Logistic Models
Regression Analysis
Mortality

Keywords

  • Antenatal care
  • Community-based study
  • Cross-sectional study, Bangladesh
  • Postnatal care

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Maternity and Midwifery

Cite this

Antenatal and postnatal care practices among mothers in rural Bangladesh : A community based cross-sectional study. / Shahjahan, Md; Chowdhury, Hasina Akhter; Al-Hadhrami, Ahmed Y.; Harun, Golam Dostogir.

In: Midwifery, Vol. 52, 01.09.2017, p. 42-48.

Research output: Contribution to journalArticle

Shahjahan, Md ; Chowdhury, Hasina Akhter ; Al-Hadhrami, Ahmed Y. ; Harun, Golam Dostogir. / Antenatal and postnatal care practices among mothers in rural Bangladesh : A community based cross-sectional study. In: Midwifery. 2017 ; Vol. 52. pp. 42-48.
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abstract = "Background appropriate utilization of antenatal and postnatal care can prevent complications and ensures better maternal and child health care. Although under-five mortality in South Asia, including Bangladesh, has reduced substantially, the rate of neonatal mortality is still high. The study aims to identify factors associated with the practice of antenatal and/or postnatal care amongst mothers of newborns from a healthcare facility in a selected area of rural Bangladesh. Research design/Setting a community-based cross-sectional study was conducted among 360 postnatal mothers, who were within 42 days of delivery. The study was conducted at Madhupur Upazila (sub-district) in Tangail district of Bangladesh from January 2012 to June 2012. A structured questionnaire was used to collect relevant information from the study subjects. Findings only one in seven (14.2{\%}) of the mothers visited health care facility for 4 or more times to receive antenatal care. A higher proportion of mothers delivered at home, thirty-five percent of the respondents experienced post-delivery complications. About 18{\%} of mothers received postnatal care from the health care facility. Several variables revealed significant associations in bivariate analyses; few variables remained significant for antenatal care and post-natal care categories in the multinomial logistic regression analysis. The likelihood of receiving either antenatal care or post-natal care (OR =0.30, 95{\%} CI =0.10–0.96) was significantly lower among mothers who had either no education or less education (1–5 years of schooling); and was found significantly higher for women who watched TV (OR = 2.79; 95{\%} CI = 1.45–5.37); family income showed significant association for receiving both antenatal care and postnatal care services as well. Conclusion mother's education appears to have a strong and significant association with antenatal care and postnatal care practices in rural Bangladesh. Community based intervention and regular home visits by health care providers could enhance care for women and newborns including delivery of specific health messages. Counseling could be integrated during antenatal care visits to increase the postnatal care service further.",
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AB - Background appropriate utilization of antenatal and postnatal care can prevent complications and ensures better maternal and child health care. Although under-five mortality in South Asia, including Bangladesh, has reduced substantially, the rate of neonatal mortality is still high. The study aims to identify factors associated with the practice of antenatal and/or postnatal care amongst mothers of newborns from a healthcare facility in a selected area of rural Bangladesh. Research design/Setting a community-based cross-sectional study was conducted among 360 postnatal mothers, who were within 42 days of delivery. The study was conducted at Madhupur Upazila (sub-district) in Tangail district of Bangladesh from January 2012 to June 2012. A structured questionnaire was used to collect relevant information from the study subjects. Findings only one in seven (14.2%) of the mothers visited health care facility for 4 or more times to receive antenatal care. A higher proportion of mothers delivered at home, thirty-five percent of the respondents experienced post-delivery complications. About 18% of mothers received postnatal care from the health care facility. Several variables revealed significant associations in bivariate analyses; few variables remained significant for antenatal care and post-natal care categories in the multinomial logistic regression analysis. The likelihood of receiving either antenatal care or post-natal care (OR =0.30, 95% CI =0.10–0.96) was significantly lower among mothers who had either no education or less education (1–5 years of schooling); and was found significantly higher for women who watched TV (OR = 2.79; 95% CI = 1.45–5.37); family income showed significant association for receiving both antenatal care and postnatal care services as well. Conclusion mother's education appears to have a strong and significant association with antenatal care and postnatal care practices in rural Bangladesh. Community based intervention and regular home visits by health care providers could enhance care for women and newborns including delivery of specific health messages. Counseling could be integrated during antenatal care visits to increase the postnatal care service further.

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