Professional healthcare use for life-threatening obstetric conditions.
Obstetric complications are the major causes of death and disability in women of reproductive age. Our study aimed at investigating the use of professional healthcare when women in communities recognised possible life-threatening obstetric conditions (PLTCs). We conducted a survey in a Cambodian district with a population of 130,000. The subjects were women of reproductive age who had delivered babies during a 3-month period prior to the survey. We interviewed 980 women, and 141 (14.4%) of these had PLTCs. The utilisation rates of professional healthcare were 47% for prolonged labour; 42% for bleeding during the delivery and puerperal period; 33% for antenatal bleeding; 25% for convulsion; and 23% for postpartum high fever. A logistic regression analysis revealed that education, geographic accessibility and parity were significant determinants of seeking healthcare. Two additional determinants, namely, economic affluence and antenatal care attendance, were identified in the socioeconomic status (SES) and obstetric models.
Yanagisawa
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School of Health Sciences, Faculty of Medicine, Shinshu University, Nagano, Japan. sarahyana@hotmail.com
Wakai
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D000293:Adolescent; D000328:Adult; D002160:Cambodia / Q000453:epidemiology; D003695:Delivery of Health Care / Q000706:statistics & numerical data*; D005260:Female; D005334:Fever / Q000453:epidemiology; D019538:Health Care Surveys; D006801:Humans; D008428:Maternal Mortality; D008875:Middle Aged; D006473:Postpartum Hemorrhage / Q000453:epidemiology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology / Q000628:therapy*; D012424:Rural Population; D014592:Uterine Hemorrhage / Q000453:epidemiology