![]() Reference Agampodi, Wickramage, Agampodi, Thennakoon, Jayathilaka and Karunarathna12Ĭhallenges in the development of services A study conducted in a rural district of Sri Lanka reported that 17.8% of recorded maternal deaths were due to suicide and 79% of the women who had killed themselves were less than 30 years old. ![]() However, figures such as these cause significant concern as they highlight the need for identification and addressing of factors associated with maternal suicide. Reference Jayaratne11 One explanation for these alarming figures may be the improvement in the health information system in recording the cause of death. Reference Wijesinghe, Jayaratne and Peiris8 It is reported that the rate of maternal suicide has increased from 0.8 per 100 000 live births in 2002 to 12.1 per 100 000 live births in 2010. Sri Lanka introduced the Maternal Death Surveillance and Response (MDSR) system in 1981, where deaths by suicide up to 42 days postpartum are reviewed by a team led by a consultant psychiatrist using a psychological autopsy tool, which helps to translate findings into policies. In this study primiparity, having had three or more pregnancies and a lower income level were found to be risk factors for developing postnatal depression. This study, however, did not find significant associations with sociodemographic factors.Ī large descriptive cross-sectional study Reference Agampodi, Agampodi, Wickramasinghe, Adhikari and Chathurani9 reported the prevalence of postpartum depression as 27.1%. Reference Agampodi and Agampodi10Ī study carried out among antenatal women in a more rural area of Sri Lanka Reference Agampodi and Agampodi10 reported a prevalence of antenatal depression of 16.2%. The burden of mental health problems among women during pregnancy and postpartumĭespite the relatively low overall MMR, the maternal mental health service remains largely a neglected area in Sri Lanka. Reference Wijesinghe, Jayaratne and Peiris8 Reference Wijesinghe, Jayaratne and Peiris8 This decline is attributed to improved quality of obstetric care as well as timely referrals to hospitals by teams in the primary healthcare setting. There has been a huge decline in the maternal mortality ratio (MMR) in Sri Lanka, from 92 per 100 000 live births in 1990 to 36 per 100 000 in 2017. Reference Rowel, Jayewardene and Fernando6 Urban areas report a higher proportion of births taking place in private health facilities (in rural areas, 100% of deliveries occur in public health facilities). 5 Around 94% of all deliveries take place in a public-sector health facilitiy. ![]() 5 About 85% of postnatal mothers are reported to receive at least one postnatal visit from a public health midwife during the first 10 days after their delivery. Reference Qian3 Antenatal care services in Sri Lanka cover 100% of the population and 95% of expectant females are registered for antenatal care before 12 weeks of pregnancy. The maternal and child health (MCH) programme, which is primarily run by MOHs, concentrates on promoting antenatal care, delivery care and care for postpartum mothers. Kalyani Medical Centre, Chennai, India, an institution exclusively dedicated to women’s health.Healthcare services for women of childbearing ageĬombined maternal and child health services have been established in Sri Lanka since the 1920s. She is currently the Director and Obstetrician and Gynaecologist at E.V. Gita Arjun is an eminent obstetrician and gynaecologist who has been practising in Chennai for more than 25 years. List of Hindi Books for Pregnancy: Passport to a Healthy Pregnancy (Revised and Updated)ĭr. TOP 10 BEST FIRST TIME PREGNANCY & CHILD CARE TIPS IN HINDI BUY NOW ONLINE Best Pregnancy Books in Hindi for Moms & Dads | Hindi Pregnancy Books to Read during Pregnancy
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