The role of socio-economic, maternal and service utilization
Self-reported maternal complications are associated with maternal morbidity, deliveries by C-section, postpartum depression, and maternal death. Thus, it is necessary to examine the contribution of socio-demographic and maternal characteristics, as well as service utilization in the rising self-reporting of maternal complications in India.

The study aimed at examining the factors that have influenced the increasing prevalence of maternal complications in India.

Data from the two most recent rounds of the National Family Health Survey, which covered a sample of 36,850 and 190,898 women respectively who delivered in the last five years preceding the survey has been used. Logistic regression analysis was performed to carve out the factors which significantly contributed to maternal complications among women aged 15 – 49 years in India.

- A significant increase was seen in the prevalence of maternal complications — from 43.6% to 53.7%.

- About 21% of the increase could be explained by certain maternal, households level factors, service utilization, and birth outcomes.

- This was followed by individual-level factors like education, body mass index, and tobacco use. It was also found that household-level factors like standard of living and region, and birth weight contributed to the reduction of complications during the period.

The increase in the prevalence of maternal complications in India could be attributed mainly attributed to increase in reporting behavior, an outcome of increased utilization of maternal healthcare services, and an increase in BMI.

BMC Pregnancy and Childbirth