Women's Descriptions of Postpartum Health Problems: Preliminary Findings from Matlab, Bangladesh

Authors

  • Lynn M. Sibley CNM, PhD,

    Corresponding author
      Address correspondence to Lynn M. Sibley, CNM, PhD, FACNM, Nell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Road NE, Suite 428, Atlanta, GA 30322. E-mail: lsibley@emory.edu
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    • Lynn M. Sibley, CNM, PhD, FACNM, is Associate Professor, Lillian Carter Center for International Nursing and Director, Center for Research on Maternal and Newborn Survival, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA.

  • Lauren S. Blum MPH, PhD,

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    • Lauren S. Blum, MPH, PhD, is a Consultant, International Center for Diarrheal Disease Research: Center for Health and Population Research, Dhaka, Bangladesh.

  • Nahid Kalim MSS,

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    • Nahid Kalim Kanti, MSS, is Senior Research Officer, International Center for Diarrheal Disease Research: Center for Health and Population Research, Dhaka, Bangladesh.

  • Daniel Hruschka MPH, PhD,

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    • Daniel Hruschka, MPH, PhD, is Post Doctoral Fellow, Santa Fe Institute, Santa Fe, New Mexico.

  • Joyce K. Edmonds BSN, MPH,

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    • Joyce K. Edmonds, BSN, MPH, is a Doctoral Fellow, Center for Research on Maternal and Newborn Survival, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA.

  • Marge Koblinsky PhD

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    • Marge Koblinsky, PhD, is Director, Public Health Services Division, International Center for Diarrheal Disease Research: Center for Health and Population Research, Dhaka, Bangladesh.


Address correspondence to Lynn M. Sibley, CNM, PhD, FACNM, Nell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Road NE, Suite 428, Atlanta, GA 30322. E-mail: lsibley@emory.edu

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.

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