The Silent Epidemic of Reproductive Morbidity Among Ever Married Women (15–49 Years) in an Urban Area of Delhi

Concept of reproductive health has long been discussed and need to focus on reproductive morbidity as a measure of reproductive
health has evolved. There is poor reproductive health with neglect of women’s own health. Compounded with socio-cultural factors,
the result is poor treatment seeking and hence poor quality of life. This community based study was conducted to find out
the magnitude, type of reproductive morbidity and treatment seeking behavior for the same. Cross sectional study was conducted
in Palam Village among married women aged 15–49 years. 750 women were interviewed by visiting every fifth house through systematic
random sampling. Symptomatic women were referred for gynecological examination and investigations. The overall prevalence
of Reproductive Morbidity was found to be 46.3 %: Gynaecological morbidity in 31.3 % subjects, obstetric morbidity in 43.4 %
of the eligible women and contraceptive induced morbidity in 11.2 % of the ever contraceptive users with 5 % reporting more
than one symptom. Problem perception and treatment compliance was poor for subjects with gynecological morbidity as compared
with contraceptive and obstetric morbidity respectively. High self-reported obstetric morbidity was observed with good treatment
seeking behavior as compared to poor treatment seeking behavior in women with gynaecological morbidity. Contraceptive morbidity
was reported by fewer subjects but treatment seeking was good. There is a need to understand the pattern of reporting and
health seeking behavior among women suffering from reproductive morbidity. The large magnitude of reproductive morbidity warrants
attention and hints the poor quality of MCH care delivered to women.