Hypertensive disorders in pregnancy: Assessing postnatal quality of care and outcomes for women and their infants in Bangladesh

Abstract

Hypertensive disorders in pregnancy (HDPs) are the second leading cause of maternal mortality in Bangladesh, responsible for 24 percent of maternal deaths. Various factors, such as lack of health-care provider capacities for detecting, preventing, and managing pre-eclampsia and eclampsia (PE/E), late referrals, late (or lack of) antenatal care (ANC), and poor awareness of PE/E, are factors in most of these deaths. While some information was available on the prenatal and postnatal periods, an evidence gap existed in information after delivery through the first year postnatal, and beyond. In this prospective cohort study, the Ending Eclampsia project recruited married women ages 15 to 49 years with HDP, along with their infants, around the time of delivery and prospectively followed them for up to one year to evaluate their care, assess their health statuses, and identify any pattern of morbidities. Numerous conclusions and recommendations emerged from this report to help health-care providers, public health experts, policy decision-makers, health administrators, and developmental partners in Bangladesh provide better services to women with HDPs

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