title: Women's descriptions of postpartum health problems: preliminary findings from Matlab, Bangladesh.
abstract: Complications of childbirth kill more than 500,000 women each year. Postpartum hemorrhage (PPH) is the leading cause of death. Because nearly half the women who give birth at home in developing countries are cared for by unskilled attendants, it is critical to understand how women and their caregivers recognize bleeding and decide to seek help when needed. Using an approach that combined systematic qualitative data collection and multivariate analysis, we identified local cultural theories that women and traditional birth attendants in rural Bangladesh use to recognize and care for postpartum problems, including PPH. These preliminary findings will be used to further explore cultural norms related to PPH and their possible modes of transmission. The overall approach may be used to develop or improve birth preparedness and complication readiness, a core global safe motherhood intervention.
authors.affiliation: Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA 30322, USA. lsibley@emory.edu
authors.forename: Lynn M
authors.initials: LM
authors.lastname: Sibley
authors.forename: Lauren S
authors.initials: LS
authors.lastname: Blum
authors.forename: Nahid
authors.initials: N
authors.lastname: Kalim
authors.forename: Daniel
authors.initials: D
authors.lastname: Hruschka
authors.forename: Joyce K
authors.initials: JK
authors.lastname: Edmonds
authors.forename: Marge
authors.initials: M
authors.lastname: Koblinsky
mesh_terms: D000328:Adult; D001459:Bangladesh / Q000453:epidemiology; D003466:Cultural Characteristics; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006700:Home Childbirth / Q000451:nursing* / Q000706:statistics & numerical data; D006801:Humans; D007231:Infant, Newborn; D008429:Maternal Welfare / Q000706:statistics & numerical data*; D008880:Midwifery / Q000379:methods*; D015999:Multivariate Analysis; D024802:Nurse's Role; D009723:Nurse-Patient Relations; D006473:Postpartum Hemorrhage / Q000453:epidemiology / Q000451:nursing* / Q000517:prevention & control; D011247:Pregnancy; D012424:Rural Population / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D016387:Women's Health