Abstract：
BACKGROUND: The risk of a woman dying as a result of pregnancy or childbirth during her lifetime is about one in six in the poorest parts of the world.
OBJECTIVE: The present study aims to determine prevalence of maternal risk and the influencing variables among ever-married women belonging to the reproductive age group (15-49) of Birbhum district, West Bengal.
METHODS: A cohort-based retrospective cross-sectional study was carried out among the sample of 229 respondents through a purposive stratified random sampling method and a pre-designed semi-structured questionnaire. The ordinal logistic regression (OLR) model was taken as a tool of assessment. Before developing the proportional OLR model, we have checked the multicollinearity effect among the predictors and the first-order effect modifier was evaluated as well. We performed data analysis using SPSS version 26.
RESULTS: The result shows that illiterate women (Odds ratios [OR] = 2.81, 95% CI, 0.277-1.791), from lower standard of living (OR = 1.14, 95% CI, -0.845-1.116), married before the age of 15 years (OR = 21.96, 95% CI, -0.55-6.73) and between the age of 15-18 years (OR = 24.51. 95% CI, -0.45-6.85) are more likely to be affected by the higher concentration of maternal risk. Other important predictor is the time of pregnancy registration. Considering the transport and related en-route causalities, the result portraying a clear picture where the distance and travel time becoming significant factors in determining the concentration of maternal risk.
CONCLUSIONS: Incidences of child marriages should be restricted. Eradicating factors influencing an individual\'s decision to seek care would be an essential contribution in excluding the dominant maternal risk factors.
OBJECTIVE: The present study aims to determine prevalence of maternal risk and the influencing variables among ever-married women belonging to the reproductive age group (15-49) of Birbhum district, West Bengal.
METHODS: A cohort-based retrospective cross-sectional study was carried out among the sample of 229 respondents through a purposive stratified random sampling method and a pre-designed semi-structured questionnaire. The ordinal logistic regression (OLR) model was taken as a tool of assessment. Before developing the proportional OLR model, we have checked the multicollinearity effect among the predictors and the first-order effect modifier was evaluated as well. We performed data analysis using SPSS version 26.
RESULTS: The result shows that illiterate women (Odds ratios [OR] = 2.81, 95% CI, 0.277-1.791), from lower standard of living (OR = 1.14, 95% CI, -0.845-1.116), married before the age of 15 years (OR = 21.96, 95% CI, -0.55-6.73) and between the age of 15-18 years (OR = 24.51. 95% CI, -0.45-6.85) are more likely to be affected by the higher concentration of maternal risk. Other important predictor is the time of pregnancy registration. Considering the transport and related en-route causalities, the result portraying a clear picture where the distance and travel time becoming significant factors in determining the concentration of maternal risk.
CONCLUSIONS: Incidences of child marriages should be restricted. Eradicating factors influencing an individual\'s decision to seek care would be an essential contribution in excluding the dominant maternal risk factors.
摘要：
背景：在世界最贫穷的地区，妇女一生中因怀孕或分娩而死亡的风险约为六分之一。
目的：本研究旨在确定Birbhum区育龄组（15-49岁）已婚妇女的孕产妇风险患病率和影响变量，西孟加拉邦.
方法：通过有目的的分层随机抽样方法和预先设计的半结构化问卷，在229名受访者的样本中进行了基于队列的回顾性横断面研究。采用序数逻辑回归(OLR)模型作为评价工具。在开发比例OLR模型之前，我们已经检查了预测因子之间的多重共线性效应，并评估了一阶效应修饰符。我们使用SPSS版本26进行数据分析。
结果：结果显示，文盲妇女（赔率[OR]=2.81，95％CI，0.277-1.791），来自较低的生活水平(OR=1.14，95%CI，-0.845-1.116)，在15岁之前结婚（OR=21.96，95％CI，-0.55-6.73）和15-18岁之间结婚（OR=24.51。95％CI，-0.45-6.85）更容易受到母亲风险浓度较高的影响。其他重要的预测因素是怀孕登记的时间。考虑到运输和相关的途中因果关系，结果描绘了一幅清晰的画面，其中距离和旅行时间成为决定孕产妇风险集中的重要因素。
结论：应该限制童婚的发生率。消除影响个人寻求护理决定的因素将是排除主要孕产妇风险因素的重要贡献。
目的：本研究旨在确定Birbhum区育龄组（15-49岁）已婚妇女的孕产妇风险患病率和影响变量，西孟加拉邦.
方法：通过有目的的分层随机抽样方法和预先设计的半结构化问卷，在229名受访者的样本中进行了基于队列的回顾性横断面研究。采用序数逻辑回归(OLR)模型作为评价工具。在开发比例OLR模型之前，我们已经检查了预测因子之间的多重共线性效应，并评估了一阶效应修饰符。我们使用SPSS版本26进行数据分析。
结果：结果显示，文盲妇女（赔率[OR]=2.81，95％CI，0.277-1.791），来自较低的生活水平(OR=1.14，95%CI，-0.845-1.116)，在15岁之前结婚（OR=21.96，95％CI，-0.55-6.73）和15-18岁之间结婚（OR=24.51。95％CI，-0.45-6.85）更容易受到母亲风险浓度较高的影响。其他重要的预测因素是怀孕登记的时间。考虑到运输和相关的途中因果关系，结果描绘了一幅清晰的画面，其中距离和旅行时间成为决定孕产妇风险集中的重要因素。
结论：应该限制童婚的发生率。消除影响个人寻求护理决定的因素将是排除主要孕产妇风险因素的重要贡献。
