Postpartum haemorrhage and eclampsia: differences in knowledge and care-seeking behaviour in two districts of Bangladesh

J Health Popul Nutr. 2009 Apr;27(2):156-69. doi: 10.3329/jhpn.v27i2.3328.

Abstract

In high- and low-performing districts of Bangladesh, the study explored the demand-side of maternal healthcare by looking at differences in perceived knowledge and care-seeking behaviours of women in relation to postpartum haemorrhage or eclampsia. Haemorrhage and eclampsia are two major causes of maternal mortality in Bangladesh. The study was conducted during July 2006-December 2007. Both postpartum bleeding and eclampsia were recognized by women of different age-groups as severe and life-threatening obstetric complications. However, a gap existed between perception and actual care-seeking behaviours which could contribute to the high rate of maternal deaths associated with these conditions. There were differences in care-seeking practices among women in the two different areas of Bangladesh, which may reflect sociocultural differences, disparities in economic and educational opportunities, and a discrimination in the availability of care.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Bangladesh
  • Eclampsia* / therapy
  • Female
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Maternal Mortality
  • Middle Aged
  • Obstetric Labor Complications / therapy
  • Patient Acceptance of Health Care*
  • Postnatal Care*
  • Postpartum Hemorrhage* / therapy
  • Pregnancy
  • Qualitative Research
  • Socioeconomic Factors
  • Young Adult