Global Advanced Research Journal of Medicine and Medical Sciences (GARJMMS) ISSN: 2315-5159
February 2018, Vol. 7(2), pp. 048-058
Copyright © 2018 Global Advanced Research Journals
Full Length Research Paper
Perception of and Awareness about Medicalisation of Pregnancy and Childbirth in Bangladesh: A Case of Rajshahi Metropolitan City
Dr. Bijoy Krishna Banik
Professor of Sociology, University of Rajshahi, Rajshahi, Bangladesh.
Accepted 18 February, 2018
The development of different interventions (antibiotics, Caesarean section and blood transfusion) and shortcomings of these interventions have created mistrust and confusion about the introduction of highly bio-medical measures at the country or community level. Exploring this debate about the medicalisation of pregnancy and childbirth (MoP&C) at local level of Bangladesh is a time-demanding attempt. The main objective of this paper was therefore to search the effectiveness of all these interventions in the urban context of Bangladesh. One hundred reproductive aged women delivering baby one year prior to the study from two slum areas of Rajshahi Metropolitan City (50 from each area)—Zianagar and Baze Kazla—were interviewed using ‘multistage sampling’ method during September and October 2013. Getting married at earlier ages, facing no pregnancy-related complications, hardly using any methods for being pregnant, readily availability of ante-natal care services, having knowledge about dangerous signs of pregnancy and giving preference for delivering baby at facility centres with the assistance of skilled attendants were the main findings of this study. All these findings suggest that mothers are rather influenced by bio-medical (pregnancy and childbirth is a medical issue that needs certain interventions) than by traditional (no need any interventions for pregnancy and childbirth) approach of pregnancy and child delivery. It concluded that medicalisation process starts just after marriage to avoid unwanted pregnancy but is acute between pregnancy and childbirth. Lastly, it suggests for giving due attention to social causes of high maternal deaths in order to reach the 5th MDG at the proper time (2015).
Keywords: Medicalisation, Bangladesh, Pregnancy and Childbirth
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