The study aims to examine maternal complications in the eastern states of India. Further, an attempt is also made to understand the socioeconomic factors that determine the utilization of health care services during maternity in the state of West Bengal. The data used for the study are District Level Household Survey (DLHS) 2007-08, which reveals wide regional variations in maternal complications in India. But the state of West Bengal depicts a unique picture. It has the dubious distinction of achieving low fertility and mortality with high maternal complications. The utilisation of health care services in West Bengal was never near completion. Full utilisation of ANC which is essential for safe motherhood is just above national average. A large number of deliveries still take place out of the institution and are unsafe. Analysis reveals that higher age at motherhood increases the probability of utilising maternal health care services. Social groups, years of schooling, wealth index and place of residence also show significant relationship. The findings of the study provide an insight that efforts should be made to create awareness among socially and economically disadvantaged groups of the society about the benefits of utilisation of health care services. Further it also addresses the issue of creating awareness about MDG’s.
Cite this paper
Subba, D. (2013) Maternal complications and the utilisation of maternal health care services with special reference to West Bengal, India. Open Journal of Obstetrics and Gynecology
, 694-701. doi: 10.4236/ojog.2013.39128
 Bhatia, J.C. and Cleland, J. (1993) Levels and causes of maternal mortality in south India. Studies in Family Planning, 24, 301-318.
 Mc. Carthy, J. and Maine, D. (1992) A framework for analyzing determinants of maternal mortality. Studied in Family Planning, 23, 23-33.
 Hauwa, S.A. (2011) Utilization of maternal health care services in Nigeria: An analysis of regional differences in the patterns and determinants of maternal health care use. Dissertation, University of Liverpool.
 Sexana, D.,Vangani, R., Mavalankar, D.V. and Thomsen, S. (2013) Inequity in maternal health care service utilizetion in Gujarat: Analysis of district level health survey data, Global Health Action, 6, 1-9.
 International Institute or Population Sciences (IIPS), (2005-2006) District level household and facility survey (DLHS-3), Mumbai.
 International Institute or Population Sciences (IIPS) and Macro International, (2007) National family health survey (NFHS-3), 2005-2006, Mumbai.
 Subba, D. (2013) Determinants of maternal complications in eastern states with special reference to West Bengal, India. M. Phill, Dissertation, Jawaharlal Nehru University, New Delhi.
 CORT (2007) Assessment of Janani Suraksha Yojana in West Bengal.
 Elo, T.I. (1992) Utilisation of maternal health care services in peru, the role of women’s education. Health Transition Review. Vol 2, 49-69.
 Fiedler, J.L. (1981) A review of the literature on access and utilisation of medical care with special emphasis on rural primary care. Social Science and Medicine. Vol 15, 129-142.
 Chakraborty, N., Islam, M.A., Chowdhury, R.I., Bari, W. and Akhtar, H. (2003) Determinants of the use of maternal health services in rural Bangladesh, Health Promotion International, 18, 327-337.
 Bhatia, J.C. and Cleland, J. (1995) Determinants of maternal care in a region of South India. Health Transition Review, 5, 127-142.
 Navaneetham, K. and Dharmalingam, A. (2002) Utilisation of maternal health care services in Southern India. Social Science and Medicine, 55, 1849-1869.
 Wong, E.L., Popkin, B.M., Cullkey, D.K and Akin, J.S. (1987) Accessibility, quality of care and prenatal care use in the Philippines. Social Science and Medicine, 24, 927-944. http://dx.doi.org/10.1016/ 0277-9536(87)90286-3
 Sontakke, P., Reshmi, R.S. and Sebastian, D. (2009) Obstetric morbidity among currently married women in selected states in India. Journal of Family Welfare, 55, 17-26.
 Manna, P.K., De, D. and Ghosh, D. (2011) Knowledge attitude and practices for antenatal care and delivery of the mothers of tea garden in Jalpaiguri and Darjeeling Districts, West Bengal. National Journal of Community Medicine, 2, 4-8.
 Salam, A. and Siddiqui, S. A. (2006) Socioeconomic inequalities in use of delivery care services in India. Journal of Obstetric Gynecology India, 56, 123-127.
 Becker, S., Peters, D.H., Gray, R.H., Gulatiano, C. and Blake R.E. (1998) Determinants of use of maternal and child health service in Cebu, the Phillippines. Health Transition Review, 3, 77-89.
 Mosley, W.H. and Chen, L.C. (1994) An analytical framework for the study of child survival in developing countries. Population and Development Review, 10, 25-45. http://dx.doi.org/10.2307/ 2807954