title: Self-reported postpartum morbidity: prevalence and determinants among women in Marrakesh, Morocco.
abstract: BACKGROUND
  Maternal mortality is a public health problem particularly in developing countries. This is mainly related to maternal morbidity, especially during the post-partum period (Haemorrhage, infections…). In Morocco, little is known about maternal morbidity within the population. The aim of this study is to determine the prevalence of self-reported postpartum morbidity and grasp its determinants.
  
  
  METHODS
  This descriptive and analytic cross-sectional survey was carried out in six health centers drawn randomly in Marrakesh, Morocco. A total of 1,029 women of reproductive age (15-49) giving birth in the year preceding the survey were enrolled. Women were examined in these health centers during the study period. A questionnaire gathered information about socio-demographic, health and reported postpartum morbidity. Bivariate and multiple analyses were used to identify associated factors with the self-reported postpartum morbidity. Statistical significance was set at p < 0.05.
  
  
  RESULTS
  The self-reported postpartum morbidity prevalence was 13.1% while haemorrhage, pregnancy-induced hypertension and fever were the main complications: 71.92%; 12.18% and 10.64% respectively. According to the multiple logistic regression model, the illiteracy among women and the number of pregnancies greater than 3 determine independently this morbidity (OR = 1.24; CI 95%: 1.09-1.54; and OR = 1.69; CI 95%:1.04-2.70 respectively).
  
  
  CONCLUSIONS
  Reducing female illiteracy and fertility will help the fight against postpartum maternal morbidity, which is critical to the wellbeing of women and their infants.
authors: Laboratory of Human Ecology, Faculty of Science Semlalia, Cadi Ayyad Marrakesh University, Avenue Prince Moulay Abdellah, BP 2390, Marrakech, Morocco. noureddinebio@hotmail.com.
authors: Noureddine
authors: N
authors: Elkhoudri
authors: Laboratory of Human Ecology, Faculty of Science Semlalia, Cadi Ayyad Marrakesh University, Avenue Prince Moulay Abdellah, BP 2390, Marrakech, Morocco. amor@uca.ac.ma.
authors: Hakima
authors: H
authors: Amor
authors: Laboratory of Human Ecology, Faculty of Science Semlalia, Cadi Ayyad Marrakesh University, Avenue Prince Moulay Abdellah, BP 2390, Marrakech, Morocco. baali@uca.ac.ma.
authors: Abdellatif
authors: A
authors: Baali
mesh_terms: D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D046110:Hypertension, Pregnancy-Induced / Q000453:epidemiology; D000067010:Literacy / Q000706:statistics & numerical data; D008875:Middle Aged; D009018:Morocco / Q000453:epidemiology; D010298:Parity; D006473:Postpartum Hemorrhage / Q000453:epidemiology / Q000209:etiology; D011247:Pregnancy; D015995:Prevalence; D011644:Puerperal Disorders / Q000453:epidemiology* / Q000209:etiology; D011645:Puerperal Infection / Q000453:epidemiology / Q000209:etiology; D012307:Risk Factors; D057566:Self Report; D055815:Young Adult