Miscarriage and Associated Factors: a Hospital Based CrossSectional Study in Bangladesh

Abstract

Miscarriage is one of the common, however devastating pregnancy outcomes. In this study experience of miscarriage is investigated from a socio-demographic view point in Bangladesh context. The principal aim is to identify the determinants of miscarriage experienced by currently pregnant women. Primary data used for the analysis and it’s extracted from one public and another three private hospitals and clinic at Rajshahi City in Bangladesh to a purposive sample of 418 ever married women aged 15-49 years. A contingency analysis was first constructed to identify the important relations based on experience of miscarriage by various selected socio-demographic characteristics. Then binary logistic regression analyses were integral to evaluate the significance of these interactions along with the individuals risks factors. The study results showed that 11.2% ever married currently pregnant women were having of experience of miscarriage. Duration of pregnancy period mean score is 9.34 weeks and the number of child score is 0.66, and most of important thing around 44% women have no child but they are currently pregnant and among them 45 women experience of miscarriage. The study shows that the women who are in the age group 30 years and above they are higher risk of miscarriage compare in the women of age 15-19 years (OR 63.04 with 95% CI, 3.35 - 1.37E3). Similarly higher educated women are higher risk of miscarriage compare to illiterate women (OR 18.01 with 95% CI, 2.19-1.169E3). Controversial result shows well-balance diet during pregnancy period and its reveal that the women get well-balance diet during pregnancy has higher risk of miscarriage compare to the women who get regular foods (OR 2.06 with 95% CI, 1.21-14.23). Besides knowledge and skills, education might also increase awareness about miscarriage. Finally, it can be concluded that an opportunity to improve a reproductive health education for public health intervention. Marriage would be done in appropriate time and get babies within couple of days after marriage. Global pre-conception healthcare programs successfully provide health promotion strategies to increase knowledge and awareness about miscarriage. In Bangladesh, it would also be relevant to implement global programs and strategies on pregnancy care as well as on the prevention of miscarriage.