Colonel Morsheda Tania Rashid Khan
Contingent Commander, BangladeshPresentation Title:
Mode of delivery of women with complicated pregnancy in a tertiary hospital setting in Bangladesh
Abstract
Introduction: Women die from pregnancy related complications which are preventable. In developing countries mostly don’t have access to maternal health services and cannot afford high quality care. Maternal death is due to three delays, in decision to seek care, reaching care and receiving care. Right decision at the right time regarding mode of delivery has a direct impact on healthy outcome of pregnancy as well as the maternal wellbeing.
Objective: To find out the outcome of complicated pregnancy.
Material and Methods: This cross-sectional observational study was conducted at Obstetrics and Gynecology ward of Dhaka Medical College Hospital from January to June 2011.Total 107 mothers who delivered recently with or without pregnancy complications and who were willing to participate were selected purposively. Data were collected by face-to-face interview with semi structured questionnaire. Verbal consents were taken prior to interview.
Results: Among the respondents about 68.2% had antenatal complications and about 31.8% had no antenatal complication. Among the women having antenatal complications, 83.6% delivered by caesarean section and only 16.4% delivered by normal vaginal delivery. There was significant association of antenatal complications with mode of delivery by caesarean section.
Conclusion: Women having antenatal complications had significant association with caesarean section. Though every pregnancy is at risk but early detection of complications, timely referral and timely intervention can save lives of many women during the process of childbirth.
Biography
Colonel Morsheda Tania Rashid Khan, MBBS, MPH, is a Public Health expert, specialised in Maternal and Child Health. Having completed her MBBS from Sylhet M A G Osmani Medical College in 1997, she swiftly began her internship training in Obstetrics and Gynaecology and also Medicine and Paediatrics. The high risk nature of the fields, her medical training involved handling sensitive cases, including high-risk pregnancies, mother-foetal/infant health complications, etc. She completed her Master’s in Public Health from the National Institute of Preventive and Social Medicine (NIPSOM), in Dhaka, Bangladesh, in the year 2011, with a focus in Reproductive and Child Health. In addition to her contribution to Reproductive and Pediatric Health, she has been serving in Bangladesh Army for the past 25 years. Her service ranges from several positions at the Combined Military Hospitals (CMH), including Commanding one of the busiest and most specialized wings of Dhaka CMH; the Family Wing (circa 2015), after which she was entrusted with commanding a specialized unit within the Bangladesh Army Medical Corp; the Field Ambulances. She was entrusted with commanding not only 81 Field Ambulance (Located in Mymensingh/Momenshahi Cantonment, situated North of the capital Dhaka) but also 61 Field Ambulance (Located in Dhaka itself). The field ambulances are the first to respond in cases of national emergencies, including war, foreign threat/attacks, disaster sites, and of course, disease outbreaks. Her service in 81 Field Ambulance started mid 2019 and spanned throughout 2020 and 2021, which of course, was right around the beginning of the COVID-19 pandemic. During that time, she had to carry out multiple operations, including building and running field hospitals due to the high volume of COVID patients. Early 2022, she was posted to 61 Field Ambulance in Dhaka, where she had to carry out similar operations. She had put in almost 5 years of constant service in the field ambulances before she received the offer to carry out her services as part of a United Nations (UN) mission. This, however, is not her first UN mission by any means. She had already successfully completed 2 other UN missions, one in Western Sahara (circa 2013) and the other in the Democratic Republic of the Congo (circa 2018). Her current venture has her located in the Central African Republic (CAR) as the Contingent Commander of the UN Level-2 hospital (as of December 2024).
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