Shahabuddin A S M, Delvaux Thérèse, Abouchadi Saloua, Sarker Malabika, De Brouwere Vincent
Woman and Child Health Research Centre, Institute of Tropical Medicine, Antwerp, Belgium.
Ecole Nationale de Santé Publique, Rabat, Morocco.
Trop Med Int Health. 2015 Jul;20(7):822-9. doi: 10.1111/tmi.12503. Epub 2015 Mar 27.
To understand the health-seeking behaviour of adolescent women in Bangladesh with respect to the use of maternal health services.
Literature review of seven electronic databases: PubMed, ISI Web of Knowledge, PsycINFO, Embase, CINAHL, POPLINE and Global Health. Studies published in English between 1990 and 2013 which describe Bangladeshi adolescent women's healthcare-seeking behaviour during pregnancy, delivery and post-partum were included.
Twelve studies were included in this review. 11 used quantitative methods and one used a mixed-methods approach. All studies included married adolescent women only. Women with lower educational levels are less likely to seek skilled maternal health services than those with higher levels of education. Use of maternal health services is also less common among rural married adolescent women than women in urban areas. Being part of the richest bands of wealth, having had previous experiences of childbirth and higher women's autonomy positively influence the use of skilled maternal health services among married adolescent women in Bangladesh. Antenatal care is a key predictor of the use of skilled birth attendants for delivery and post-natal care.
Maternal health-related programmes should be designed targeting rural and uneducated married adolescent women in Bangladesh. More qualitative investigations are required to broaden our understanding on maternal health-seeking behaviour of both married and unmarried adolescent women.
了解孟加拉国青春期女性在利用孕产妇保健服务方面的就医行为。
对七个电子数据库进行文献综述，这些数据库分别为：PubMed、ISI 科学网、PsycINFO、Embase、护理学与健康领域数据库（CINAHL）、人口信息数据库（POPLINE）和全球健康数据库。纳入1990年至2013年间发表的英文研究，这些研究描述了孟加拉国青春期女性在孕期、分娩期和产后的就医行为。
本综述纳入了12项研究。11项采用定量方法，1项采用混合方法。所有研究仅纳入已婚青春期女性。教育水平较低的女性比教育水平较高的女性寻求专业孕产妇保健服务的可能性更小。农村已婚青春期女性利用孕产妇保健服务的情况也比城市女性少见。属于最富裕阶层、有过生育经历以及女性自主性较高，对孟加拉国已婚青春期女性利用专业孕产妇保健服务有积极影响。产前护理是分娩时使用专业助产士和产后护理的关键预测因素。
应针对孟加拉国农村和未受过教育的已婚青春期女性设计与孕产妇健康相关的项目。需要进行更多定性研究，以拓宽我们对已婚和未婚青春期女性孕产妇就医行为的理解。
