Assessment of Maternal Morbidity, 6 Weeks after Delivery in Tabriz, 2001.

Abstract

Abstract: 6 weeks after delivery changes which is produced in pregnancy recovered but many of unknown morbidity remained and have many effects on daily activity (child care, household responsibilities and employment). Some of mothers don’t reveal this morbidity and health care providers don't pay attention to this morbidity. For this reasons health problems after childbirth have been called a hidden morbidity. Methods: This survey was a descriptive study that postpartum maternal fatigue in this period were measured. In this survey 1330 mothers who came for their baby's immunization 45 days to health centers in Tabriz, were interviewed. SPSS/Win10 was used for all statistical analysis. Results: One or more health problems were reported by 89% of women during the first six postnatal. The problems that reported by mothers include: backache (5207%), headache (49.9%), fatigue (44.4%), constipation (26.6%), postpartum blue (24.1%), breast problem (14.4%), sleep problems (13.6%), abnormal vaginal discharge (11.1%), hemorrhoids (10.1%), and stitched infection (9.6%), urinary tract infection (9.0%), side effect of anesthesia (7.4%), abnormal vaginal bleeding (5.5%), sexual problems (5.4%), urinary incontinence (2.1%). Difficulty voiding (2.8%) and other problems (3.4%). Husbands were the most common source for consult. In the most cases Stitches infection was the only reason for mothers referring to physicians. In the rest cases mothers did not referred anywhere. Prevalence of depression 30.8% and fatigue (ranged from moderate to severe) was 77.1%. Conclusion: With such a large variety of postpartum health problems quality and quantity plan care should be assessed. At antenatal care, mother and her family would be educated about this problem and health care providers should assessed mothers about these problems.