title: Minor ailments in pregnancy are not a minor concern for pregnant women: a morbidity assessment survey in rural Sri Lanka.
abstract: BACKGROUND
  Although maternal mortality has become a major focus on global public health agenda, maternal morbidity is a neglected area of research. The purpose of this paper is to present the burden of acute maternal illness during pregnancy.
  
  
  METHODS
  A cross sectional study was carried out in Anuradhapura district, Sri Lanka. Pregnant women residing in the Anuradhapura district with a gestational age more than 24 weeks through 36 weeks were recruited to the study using a two-stage cluster sampling technique. All pregnant women who consented participated in a detailed interview using a structured questionnaire. Self reported episodes of acute illness during pregnancy were the main outcome measures. Secondary outcomes were utilization of medical services and frequency of hospitalizations.
  
  
  RESULTS
  Nausea and vomiting during pregnancy (NVP) was experienced by 325 (69.7%) of the 466 pregnant women studied. Other common symptoms were backache (152, 32.6%), dizziness (112, 24.0%) and heartburn/regurgitation (107, 23.0%). Of the 421 pregnant women who reported ill health conditions 260 (61.8%) women sought medical treatment for these illnesses. Total number of episodes that needed treatment seeking were 373. Hospitalizations were reported by 83 (17.8%) pregnant women and the total number of hospitalizations was 109. The leading cause of hospitalization was NVP which accounted for 43.1% of total admissions and 49.1% of total days spent in hospitals.
  
  
  CONCLUSIONS
  Minor maternal ill health conditions affecting day-to-day life have a major burden on pregnancy period. Evidence based management guidelines and health promotion strategies are needed to control and prevent these conditions, in order to provide comprehensive, good quality maternal health care.
authors.affiliation: Maternal and Child Health Research Unit, Department of Community Medicine, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Saliya pura, Sri Lanka. sunethagampodi@yahoo.com
authors.forename: Suneth Buddhika
authors.initials: SB
authors.lastname: Agampodi
authors.forename: Nuwan Dharshana
authors.initials: ND
authors.lastname: Wickramasinghe
authors.forename: Jennifer
authors.initials: J
authors.lastname: Horton
authors.forename: Thilini Chanchala
authors.initials: TC
authors.lastname: Agampodi
mesh_terms: D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D005865:Gestational Age; D006306:Health Surveys; D006760:Hospitalization; D006801:Humans; D008428:Maternal Mortality; D008875:Middle Aged; D009017:Morbidity; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000453:epidemiology*; D037841:Pregnant People / Q000523:psychology*; D013188:Sri Lanka / Q000453:epidemiology; D011795:Surveys and Questionnaires; D055815:Young Adult