Determinants of maternal morbidity during pregnancy in urban Bangladesh

Article


Hossain, Zakir, Afroz, Nilima, Sharmin, Sabina, Sharmin, Sayema and Kabir, Enamul. 2023. "Determinants of maternal morbidity during pregnancy in urban Bangladesh." PLoS One. 18 (2), pp. 1-11. https://doi.org/10.1371/journal.pone.0268487
Article Title

Determinants of maternal morbidity during pregnancy in urban Bangladesh

ERA Journal ID39745
Article CategoryArticle
AuthorsHossain, Zakir, Afroz, Nilima, Sharmin, Sabina, Sharmin, Sayema and Kabir, Enamul
Journal TitlePLoS One
Journal Citation18 (2), pp. 1-11
Article Numbere0268487
Number of Pages11
Year2023
PublisherPublic Library of Science (PLoS)
Place of PublicationUnited States
ISSN1932-6203
Digital Object Identifier (DOI)https://doi.org/10.1371/journal.pone.0268487
Web Address (URL)https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0268487
Abstract

Background
Maternal morbidities especially life-threatening pregnancy complications are major health
concerns in developing countries. The main aim is to investigate the prevalence of maternal
morbidity during pregnancy and its determinants among women from urban areas of
Bangladesh.
Methods
The secondary data were used and extracted from the latest Bangladesh Urban Health Survey (BUHS) 2013. Several statistical models: Poisson, negative binomial (NB) and mixed
Poisson were adapted and compared to explore the best model for investigating potential
determinants of maternal morbidity. Pearson chi-square statistic was used for the detection
of overdispersion in the data.
Results
Overall 13.5% of the urban women in Bangladesh suffered from at least two pregnancy
complications. The study detected the overdispersion existing in the maternal morbidity
count data and found the NB regression as the best choice for analyzing the data because
of its smallest Akaike information criterion. Administrative division (Rangpur: p = 0.003, incidence rate ratio, IRR = 1.34, 95% confidence interval, CI: 1.11 to 1.63; Sylhet: p = 0.006,
incidence rate ratio, IRR = 1.42, 95% CI: 1.11 to 1.82), unwanted pregnancy (p<0.001, IRR
= 1.25, 95% CI: 1.11 to 1.40), place of delivery (p<0.001, IRR = 1.68, 95% CI: 1.53 to 1.86)
and wealth index (Poor: p<0.001, IRR = 1.34, 95% CI: 1.19 to 1.50; Middle: p = 0.003, IRR =
1.21, 95% CI: 1.08 to 1.36) were found to be statistically significant determinants for maternal morbidity during pregnancy among the urban women in Bangladesh.
Conclusions
Urban women in Bangladesh with an unwanted pregnancy, from the poor/middle-income
group; and living in Rangpur and Sylhet divisional cities have a higher risk of maternal morbidity during pregnancy. Study findings may help the government and relevant authorities to take necessary steps for reducing maternal morbidity and mortality due to pregnancyrelated complications.

Keywordspregnancy; Bangladesh; urban
ANZSRC Field of Research 2020420699. Public health not elsewhere classified
Byline AffiliationsUniversity of Dhaka, Bangladesh
Ministry of Road Transport and Bridges, Bangladesh
School of Mathematics, Physics and Computing
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Shewhart control chart for individual measurement: an application in a weaving mill
Biswas, Raaj Kishore, Masud, Mohammad Shahed and Kabir, Enamul. 2015. "Shewhart control chart for individual measurement: an application in a weaving mill." Melbourne International Business and Social Science Research Conference 2015. Melbourne, Australia 02 - 04 Oct 2015 Australia.
Epileptic seizure detection from EEG signals using logistic model trees
Kabir, Enamul, Siuly, . and Zhang, Yanchun. 2016. "Epileptic seizure detection from EEG signals using logistic model trees." Brain Informatics. 3 (2), pp. 93-100. https://doi.org/10.1007/s40708-015-0030-2
Cluster analysis of behavioural weight management strategies and associations with weight change in young women: a longitudinal analysis
Madigan, C. D., Daley, A. J., Kabir, E., Aveyard, P. and Brown, W.. 2015. "Cluster analysis of behavioural weight management strategies and associations with weight change in young women: a longitudinal analysis." International Journal of Obesity. 39 (11), pp. 1601-1606. https://doi.org/10.1038/ijo.2015.116
Exploring sampling in the detection of multicategory EEG signals
Siuly, Siuly, Kabir, Enamul, Wang, Hua and Zhang, Yanchun. 2015. "Exploring sampling in the detection of multicategory EEG signals." Computational and Mathematical Methods in Medicine. 2015. https://doi.org/10.1155/2015/576437
K−means clustering microaggregation for statistical disclosure control
Kabir, Md Enamul, Mahmood, Abdur Naser and Mustafa, Abdul K.. 2012. "K−means clustering microaggregation for statistical disclosure control." 2012 International Conference on Advances in Computing (ICADC 2012). Bangalore 04 - 06 Jul 2012 https://doi.org/10.1007/978-81-322-0740-5_135
Novel iterative min-max clustering to minimize information loss in statistical disclosure control
Mahmood, Abdun Naser, Kabir, Md Enamul and Mustafa, Abdul K.. 2014. "Novel iterative min-max clustering to minimize information loss in statistical disclosure control." 10th International Conference on Security and Privacy in Communication Networks (SecureComm 2014). Beijing, China 24 - 26 Sep 2014 Germany. https://doi.org/10.1007/978-3-319-23802-9_14
A statistical framework for intrusion detection system
Kabir, Md Enamul and Hu, Jiankun. 2014. "A statistical framework for intrusion detection system." Zhang, Defu (ed.) 11th International Conference on Fuzzy Systems and Knowledge Discovery (FSKD 2014). Xiamen, China 19 - 21 Aug 2014 Piscataway, NJ. United States. https://doi.org/10.1109/FSKD.2014.6980966
A role-involved purpose-based access control model
Kabir, Md Enamul, Wang, Hua and Bertino, Elisa. 2012. "A role-involved purpose-based access control model." Information Systems Frontiers: a journal of research and innovation. 14 (3), pp. 809-822. https://doi.org/10.1007/s10796-011-9305-1
Microdata protection method through microaggregation: a systematic approach
Kabir, Md Enamul and Wang, Hua. 2012. "Microdata protection method through microaggregation: a systematic approach." Journal of Software. 7 (11), pp. 2415-2422. https://doi.org/10.4304/jsw.7.11.2415-2423
A conditional purpose-based access control model with dynamic roles
Kabir, Md Enamul, Wang, Hua and Bertino, Elisa. 2011. "A conditional purpose-based access control model with dynamic roles." Expert Systems with Applications. 38 (3), pp. 1482-1489. https://doi.org/10.1016/j.eswa.2010.07.057
Efficient systematic clustering method for k-anonymization
Kabir, Md Enamul, Wang, Hua and Bertino, Elisa. 2011. "Efficient systematic clustering method for k-anonymization." Acta Informatica. 48 (1), pp. 51-66. https://doi.org/10.1007/s00236-010-0131-6
Access control management and privacy-preserving
Kabir, Md Enamul. 2010. Access control management and privacy-preserving. PhD Thesis Doctor of Philosophy. University of Southern Queensland.
Estimation of univariate normal mean using p-value
Kabir, Md Enamul and Khan, Shahjahan. 2007. "Estimation of univariate normal mean using p-value." 9th Islamic Countries Conference on Statistical Sciences. Shah Alam, Malaysia 12 - 14 Dec 2007 Kuala Lumpur, Malaysia.
Microdata protection method through microaggregation: a median-based approach
Kabir, Md Enamul and Wang, Hua. 2011. "Microdata protection method through microaggregation: a median-based approach." Information Security Journal: a Global Perspective. 20 (1), pp. 1-8. https://doi.org/10.1080/19393555.2010.515288
Systematic clustering-based microaggregation for statistical disclosure control
Kabir, Md Enamul and Wang, Hua. 2010. "Systematic clustering-based microaggregation for statistical disclosure control." NSS 2010: International Conference on Network and System Security. Melbourne, Australia 01 - 03 Sep 2010 Washington, DC, USA. https://doi.org/10.1109/NSS.2010.66
A pairwise systematic microaggregation for statistical disclosure control
Kabir, Md Enamul, Wang, Hua and Zhang, Yanchun. 2010. "A pairwise systematic microaggregation for statistical disclosure control." Webb, Geoffrey I., Liu, Bing, Zhang, Chengqi, Gunopulos, Dimitrios and Wu, Xindong (ed.) 10th IEEE International Conference on Data Mining (ICDM 2010). Sydney, Australia 14 - 17 Dec 2010 Los Alamitos, CA. United States. https://doi.org/10.1109/ICDM.2010.111
A conditional role-involved purpose-based access control model
Kabir, Md Enamul, Wang, Hua and Bertino, Elisa. 2011. "A conditional role-involved purpose-based access control model." Journal of Organizational Computing and Electronic Commerce. 21 (1), pp. 71-91. https://doi.org/10.1080/10919392.2011.541007
Systematic clustering method for l-diversity model
Kabir, Md Enamul, Wang, Hua, Bertino, Elisa and Chi, Yunxiang. 2010. "Systematic clustering method for l-diversity model." Shen, Heng Tao and Bouguettaya, Athman (ed.) ADC 2010: 21st Australasian Conference on Database Technologies. Brisbane, Australia 18 - 22 Jan 2010 Sydney, Australia.
Conditional purpose based access control model for privacy protection
Kabir, Md Enamul and Wang, Hua. 2009. "Conditional purpose based access control model for privacy protection." Bouguettaya, Athman and Lin, Xuemin (ed.) ADC 2009: 20th Australasian Conference on Australasian Database. Wellington, New Zealand 20 - 23 Jan 2009 Sydney, Australia.
Distribution of future location vector and residual sum of squares for multivariate location-scale model with spherically contoured errors
Khan, Shahjahan and Kabir, Md Enamul. 2006. "Distribution of future location vector and residual sum of squares for multivariate location-scale model with spherically contoured errors." Journal of Statistical Theory and Applications. 5 (2), pp. 91-104.