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Table 1 Inventory of maternal complications and diagnostic symptoms

From: Women-focused development intervention reduces delays in accessing emergency obstetric care in urban slums in Bangladesh: a cross-sectional study

Complications Reported symptoms and identification of complication
Prolonged labour • True labour pain in regular interval for more than 18 hours (dawn to dusk/night)
  • Light vaginal bleeding, watery vaginal discharge during labour pain
  • Non progressing labour as cervix is not/delayed open with regular uterine contraction or
  • Foetal part is not descending due to abnormal position
  • Foetal position is okay but adequate uterine contraction is absent, need labour induction by uterotonics to deliver the baby
Obstructed labour • True labour pain in regular interval for more than 18 hours (dawn to dusk/night)
  • Light vaginal bleeding, watery vaginal discharge during labour pain
  • Cervix is open but head arrested at certain point with adequate uterine contraction.
  • Foetal size/head/foetal part is larger than maternal pelvis, birth attendant will able see the head but would not be able to bring the baby out.
  • Uterotonic drugs fail to assist in vaginal delivery
  • Need surgical intervention (caesarean section)
Haemorrhage • Any spout of bleeding after 28th weeks of pregnancy
  • Excessive bleeding during pregnancy or at the time of labour
  • Large mass of blood clot came out from genital tract
  • Excessive bleeding like tape water after delivery with or without placental delivery
Retained placenta • Placenta is not expelling out 30 minutes after delivery of the baby
Pregnancy induced hypertension/preeclampsia • Blood pressure ≥140/90 mm of Hg on ANC card or doctors prescription in pregnancy
  • Sever headache
  • Neck pain
  • Blurred vision
  • Pain abdomen
  • Swelling of face/hands/legs/genital organ
Eclampsia • Convulsion in pregnancy/delivery/after delivery
  • Fell unconscious
  • Tongue bite
  • Blood pressure ≥140/90 mm of Hg on ANC card or doctors prescription
  • Pain abdomen
  • Swelling of face/hands/legs/genital organ
Malpresentation • Foetal part (other than head) came first during the process of normal delivery
Puerperal pyrexia • Fever within first 10 days following delivery
  • Offensive vaginal discharge
  • Pain abdomen
  1. [*Source of information: [23, 24], and [25]]