What New Mothers Endure: Burden of Physical Postpartum morbidities and its determinants among recently delivered women, evidence from a hospital-based cross-sectional study in Kanpur
DOI:
https://doi.org/10.47203/IJCH.2025.v37i05.016Keywords:
Postpartum Period, Maternal Morbidity, Postnatal Care, Anemia; Cesarean Section, Cross-Sectional StudiesAbstract
Background: The postpartum period, often referred to as the “fourth stage of labor,” is critical for maternal recovery; however, it remains underprioritized in many low- and middle-income countries. Aims and Objectives: This study aimed to assess the burden of physical postpartum morbidities and identify associated sociodemographic and obstetric factors among recently delivered women (RDW) in Kanpur, Uttar Pradesh. Methodology: A hospital-based cross-sectional study was conducted among 560 RDW within six months of delivery attending the immunization clinic of a tertiary care hospital. Study participants were selected using systematic random sampling. Data were collected using a pre-tested, semi-structured interview schedule covering sociodemographic details, obstetric history, and postpartum health status, and were analyzed using appropriate statistical methods to determine associations. Results: Back pain (54.1%) and anemia (51.3%) were the most prevalent postpartum morbidities. Other commonly reported conditions included excessive vaginal bleeding (19.1%), white discharge (15.4%), urinary incontinence (4.5%), and breast-related problems such as engorgement (3.0%) and infection (1.4%). Perineal pain (2.5%) and perineal tears (1.9%) were notable local morbidities. Significant associations were observed between postpartum morbidities and parity, socioeconomic status, antenatal care visits, birth spacing, and mode of delivery (p < 0.05). Conclusion: The high burden of postpartum morbidities highlights the need for comprehensive and sustained postnatal care extending beyond childbirth, with focused interventions and increased awareness to improve maternal physical health.
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References
World Health Organization. Maternal mortality [Internet]. Geneva: World Health Organization; 2025 [cited 2025 Feb 27]. Available from: https://www.who.int/news-room/fact-sheets/detail/maternal-mortality
Springer. Postpartum period. In: Encyclopedia of Women’s Health [Internet]. Berlin: Springer; 2025 [cited 2025 Feb 27]. Available from: https://link.springer.com/referenceworkentry/10.1007/978-0-306-48113-0_348
Vogel JP, Jung J, Lavin T, Simpson G, Kluwgant D, Abalos E, et al. Neglected medium-term and long-term consequences of labour and childbirth: a systematic analysis of the burden, recommended practices, and a way forward. Lancet Glob Health. 2024;12:e317–30.
Federation of Obstetric and Gynaecological Societies of India. Names of leadership and experts/champions [Internet]. Mumbai: FOGSI; 2025 [cited 2025 Feb 27]. Available from: https://www.fogsi.org/names-of-leadership-and-experts-champions/
Gedefaw G, Mekuriaw B, Joho A, Bishaw KA, Sharew Y, et al. Incidence and predictors of puerperal sepsis among postpartum women at Debre Markos comprehensive specialized hospital, northwest Ethiopia: a prospective cohort study. Womens Health. 2023;19:966942.
Shivalli S, Gururaj N. Postnatal depression among rural women in South India: do sociodemographic, obstetric and pregnancy outcomes have a role to play? PLoS One. 2015;10(4):e0122079.
Upadhyay RP, Chowdhury R, Salehi A, Sarkar K, Singh SK, Sinha B, et al. Postpartum depression in India: a systematic review and meta-analysis. Bull World Health Organ. 2017;95(10):706–17.
Kim S, Kim DJ, Lee MS, Lee H. Association of social support and postpartum depression according to the time after childbirth in South Korea. Psychiatry Investig. 2023;20(8):750–7.
Faziqin LM, Liberty IA. Association between social support and postpartum depression: a systematic review. Sriwijaya J Med. 2023;6(1).
Iyengar K. Early postpartum maternal morbidity among rural women of Rajasthan, India: a community-based study. J Health Popul Nutr. 2012;30(2):213–25.
Raichura RK, Patel AM. Prevalence of urinary incontinence in postpartum women across Ahmedabad city. Int J Health Sci Res [Internet]. 2023 [cited 2025 Feb 17];13(6). Available from: https://doi.org/10.52403/ijhsr.20230608
Dave V, Solanki A, Rathod V, Shah V, Shukla R. A cross-sectional study on breastfeeding challenges in the immediate postpartum period at a tertiary care hospital in Ahmedabad, India. Iran J Neonatol. 2022;13(3).
Trompetto M, Tutino R, Laganà AS, Poškus T, Bužinskien? D. Perianal diseases in pregnancy and after childbirth: frequency, risk factors, impact on women’s quality of life and treatment methods. Front Surg [Internet]. 2022 [cited 2025 Feb 18];9:788823. Available from: https://www.frontiersin.org/articles/10.3389/fsurg.2022.788823/full
Selvaraj R, Ramakrishnan J, Sahu S, Kar S, Laksham K, Premarajan K, et al. High prevalence of anemia among postnatal mothers in urban Puducherry: a community-based study. J Fam Med Prim Care. 2019;8(8):2703–8.
Ramachandran R, Dash M, Adaikaladorai FC, Aridass J, Zachariah B, Manoharan B. Effect of individual nutrition education on perceptions of nutritional iron supplementation, adherence to iron–folic acid intake and hemoglobin levels among anemic South Indian pregnant women. J Matern Fetal Neonatal Med. 2023;36(1).
Patel V, DeSouza N, Rodrigues M. Postnatal depression and infant growth and development in low-income countries: a cohort study from Goa, India. Arch Dis Child. 2003;88(1):34–7.
Postnatal morbidity: prevalent, enduring, and neglected. Lancet Glob Health [Internet]. 2024 [cited 2025 Feb 19];12(1):e1. Available from: http://www.thelancet.com/article/S2214109X23005594/fulltext
World Health Organization. Maternal mortality [Internet]. Geneva: World Health Organization; 2025 [cited 2025 Feb 18]. Available from: https://www.who.int/news-room/fact-sheets/detail/maternal-mortality
Vyas N, Kamath R, Pattanshetty S, Binu V. Postpartum-related morbidities among women visiting government health facilities in Udupi Taluk, Karnataka, India. J Fam Med Prim Care. 2016;5(2):320–4.
Iyengar K, Yadav R, Sen S. Consequences of maternal complications in women’s lives in the first postpartum year: a prospective cohort study. J Health Popul Nutr. 2012;30(2):226–40.
Ferdous J, Ahmed A, Dasgupta SK, Jahan M, Huda FA, Ronsmans C, et al. Occurrence and determinants of postpartum maternal morbidities and disabilities among women in Matlab, Bangladesh. J Health Popul Nutr [Internet]. 2012 [cited 2025 Mar 20];30(2):143–58. Available from: https://pubmed.ncbi.nlm.nih.gov/22838157/
Saha S, Pandya AK, Raval D, Wanjari MB, Saxena D. Maternal anemia and utilization of antenatal and postnatal care services in Devbhumi Dwarka, Gujarat. Cureus. 2022 Oct 18.
Eram U, Nawab T, Sultan Z. Common health problems during the postpartum period among females in rural areas of Aligarh. Ann Int Med Dent Res. 2018;4(3):37–40.
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Copyright (c) 2025 Shriya, Seema Nigam, Dr Tanu Midha Seema Nigam, Dr S.K Barman, Dr. Punit Varma, Dr Samarjeet Kaur
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