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Published on: October 10, 2025
Determinants of antenatal morbidity: a multivariate analysis
Rafiqul Islam Chowdhury1, M Ataharul Islam, Nitai Chakraborty
1Department of Health Information Administration, Faculty of Allied Health Sciences, Kuwait University, Kuwait. rafiq@hsc.edu.kw
World Health & Population
|February 15, 2008
Summary
Maternal complications during pregnancy are linked to factors like early marriage and anemia. Addressing these risks through education and improved healthcare access can reduce adverse outcomes in rural Bangladesh.
Area of Science:
- Obstetrics and Gynecology
- Public Health
- Epidemiology
Background:
- Antenatal care is crucial for maternal health.
- Identifying risk factors for pregnancy complications is essential for targeted interventions.
- Maternal morbidity remains a significant concern in developing countries, particularly in rural settings.
Purpose of the Study:
- To investigate potential risk factors for developing life-threatening and high-risk complications during the antenatal period.
- To analyze the magnitude of these complications in a rural Bangladeshi population.
Main Methods:
- Prospective survey conducted in rural Bangladesh (1992-1993).
- Data collected by the Bangladesh Institute of Research for Promotion of Essential and Reproductive Health and Technologies (BIRPERHT).
- Multivariate analysis using logistic regression and proportional hazards models.
Main Results:
- Life-threatening complications associated with pregnancy number, age at marriage, pregnancy duration, economic status, and anemia history.
- High-risk complications linked to education level, age at marriage, wanted pregnancy, pregnancy duration, and economic status.
- Anemia and economic status were specifically associated with life-threatening complications in proportional hazards models.
Conclusions:
- Findings provide insights into maternal morbidity determinants for health planning in developing countries.
- Recommendations include preventing early marriage via education and social awareness, establishing referral systems for high-risk groups, and promoting nutritional supplements.
- Interventions should focus on reducing antenatal complications through a multi-faceted approach.
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