Associated factors and their individual contributions to caesarean delivery among married women in Bangladesh: analysis of Bangladesh demographic and health survey data

Hasan, Farhana; Alam, Md. Mesbahul; Hossain, Md. Golam

doi:10.1186/s12884-019-2588-9

Cited by 43 publications

(78 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Mothers from higher-income family usually live with more comforts and facilities, and therefore, might be more anxious about the labor pain of vaginal delivery and might go under CS delivery. This outcome might be regarded as consistent and replicable to the previous findings [8,9,26]. A study explicated that the CS delivery rate was increasing with the upward of average income in both urban and rural areas in Bangladesh, and the rate was higher in the urban area compared to the rural area [26].…”

Section: Plos Onesupporting

confidence: 80%

“…Recently in Bangladesh, it is noticeable some mothers go under CS delivery without any complications. Several studies conducted in Bangladesh have identified a number of socioeconomic and demographic factors associated with CS delivery, such as mothers' education, place of residence, wealth index, mothers' age, age at marriage, age at first birth, parity, birth order, antenatal visit, husband occupation, delivery in the private sector, religion, geographical region [8][9][10][11][12]. Also, some other studies available in the literature for several countries identified various socio-economic, demographic, physical facilities, and community interrelated factors significantly associated with making decisions to undergo institutional delivery [13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Caesarian section (CS) delivery in Bangladesh: A nationally representative cross-sectional study

2021

View full text Add to dashboard Cite

A growing trend in the caesarian section (CS) for delivery is a threat to child health as well as maternal health. This study was conducted to identify the potential socioeconomic and demographic factors associated with CS delivery in Bangladesh. Data obtained from the Bangladesh Demographic and Health Survey (BDHS) 2014 has been used for this study. The prevalence of CS delivery among Bangladeshi mothers was 24% (Urban: 36.9%, Rural: 17.9%). A two-level logistic regression showed that mothers having delivery in the private sector or private hospital (adjusted odds ratio [AOR] = 38.70, 95% confidence interval [CI] = 29.58 to 50.62), mother’s age 25–35 years (AOR = 1.73, 95% CI = 1.26 to 2.37), wealth index average (AOR = 1.61, 95% CI = 1.15 to 2.27) and rich (AOR = 1.80, 95% CI = 1.29 to 2.51), antenatal visit 1–2 (AOR = 2.31, 95% CI = 1.47 to 3.64) and ≥ 3 (AOR = 3.68, 95% CI = 2.35 to 5.76), overweight mothers (AOR = 1.44, 95% CI = 1.09 to 1.90), multiple births (AOR = 3.87, 95% CI = 1.15 to 12.58), husband’s occupation professional/technical/managerial (AOR = 1.68, 95% CI = 1.15 to 2.47) were significantly more prone to CS delivery. Also, place of residence, number of family members, birth order, child’s size during birth, and divisions of Bangladesh, were potentially associated with CS delivery. The current epidemiological findings and evidence suggest adopting and implementing some urgent clinical practices and strict guidelines in the healthcare system to avoid unnecessary CS delivery in Bangladesh.

show abstract

Section: Plos Onesupporting

confidence: 80%

Section: Introductionmentioning

confidence: 99%

Caesarian section (CS) delivery in Bangladesh: A nationally representative cross-sectional study

2021

View full text Add to dashboard Cite

show abstract

“…There was sharp rise between 2017 and 2018.Sub division of emergency and elective caesarean sections in 2017 indicates that elective caesareans were 81.7 % and emergency caesarean sections were 18.3 %. Comparison of caesarean section with our neighbouring countries like Bangladesh, shows an increase in last 10years [18]. Worldwide, last decade has shown a rapid rise in delivery via caesarean section more than 20% in both developed and under developed nations.…”

Section: Discussionmentioning

confidence: 99%

Untitled

2021

RMGO

View full text Add to dashboard Cite

Objectives: To study the rate of caesarean sections (indications, ratio in emergency and elective caesarean sections) the percentage of vaginal birth after caesarean sections and instrumental deliveries.Methods: This retrospective study was conducted over a period of one year from 1st January 2018 to 31st December 2018 at the Department of obstetrics and gynaecology, unit 2, Lahore general hospital, Lahore. The data of obstetrical patients who got admitted in the unit and were delivered either vaginally or through abdominal route during the defined study period was recorded and a statistical analysis of various parameters namely the caesarean section rates, its indications, the ratio of emergency and elective caesarean sections, the rate of Vaginal Births after Caesarean Section (VBACS) and instrumental deliveries was done. Results:The total numbers of obstetrical patients admitted over the study period were 18183. Out of which total deliveries were 6602, vaginal births were 3699 and caesarean sections were 2765. The overall caesarean section rate was 41.88%, elective sections were 473 (17.1%) and emergency sections were 2292 (82.89%). The vaginal births were 3699 (56.02%), VBACS were 98 (2.6%), instrumental deliveries like forcep deliveries were 31 (0.8%) and ventouse deliveries were 47 (1.2%). There were 38 (1.02%) twin deliveries and 59 (1.5%) assisted breech deliveries. The caesarean sections done electively as well as in emergency with different indications were calculated individually. Conclusion:The rising incidence of caesarean section is most pressing fact of the decade in modern obstetrics. The detailed audit of the caesarean sections done over a year in a tertiary care hospital showed a large number of sections done due to fetal distress. The confirmation of its diagnosis to prevent unnecessary surgeries is pivotal. The previous scars and indications related to them are the most important component in the study so concluding this study to take steps in prevention of primary caesarean section is foremost.

show abstract

“…For instance, the risk of disease was higher in the Khulna division in the MICS surveys. Most of the women in these areas are educated and they belong to middle-class and rich families and have access to and ability to undergo C-section delivery [ 28 ]. Nowadays, educated pregnant women want to avoid vaginal delivery in fear of labor pain and other conveniences.…”

Section: Discussionmentioning

confidence: 99%

Cesarean delivery and early childhood diseases in Bangladesh: An analysis of Demographic and Health Survey (BDHS) and Multiple Indicator Cluster Survey (MICS)

et al. 2020

View full text Add to dashboard Cite

Introduction The rate of cesarean delivery (C-section) has been increasing worldwide, including Bangladesh, and it has a negative impact on the mother and child's health. Our aim was to examine the association between C-section and childhood diseases and to identify the key factors associated with childhood diseases. Methods We used four nationally representative data sets from multiple indicator cluster survey (MICS, 2012 and 2019) and Bangladesh Demographic and Health Survey (BDHS, 2011and 2014) and analyzed 25,270 mother-child pairs. We used the frequency of common childhood diseases (fever, short or rapid breaths, cough, blood in stools, and diarrhea) as our outcome variable and C-section as exposure variable. We included mother’s age, place of residence, division, mother’s education, wealth index, child age, child sex, and child size at birth as confounding variables. Negative binomial regression model was used to analyze the data. Results In the BDHS data, the prevalence of C-section increased from 17.95% in 2011 to 23.33% in 2014. Also, in MICS, the prevalence almost doubled over an eight-year period (17.74% in 2012 to 35.41% in 2019). We did not observe any significant effect of C-section on childhood diseases in both surveys. Only in 2014 BDHS, we found that C-section increases the risk of childhood disease by 5% [Risk Ratio (RR): 1.05, 95% CI: 0.95, 1.17, p = 0.33]. However, the risk of childhood disease differed significantly in all survey years by division, child's age, and child’s size at birth after adjusting for important confounding variables. For example, children living in Chittagong division had a higher risk [(2011 BDHS RR: 1.22, 95% CI: 1.08, 1.38) and (2019 MICS RR: 1.21, 95% CI: 1.08, 1.35)] of having disease compared to Dhaka division. Maternal age, education, and wealth status showed significant differences with the outcome in some survey years. Conclusion Our study shows that C-section in Bangladesh continued to increase over time, and we did not find significant association between C-section and early childhood diseases. High C-section rate has a greater impact on maternal and child health as well as the burden on the health care system. We recommend raising public awareness of the negative impact of unnecessary C-section in Bangladesh.

show abstract

Associated factors and their individual contributions to caesarean delivery among married women in Bangladesh: analysis of Bangladesh demographic and health survey data

Cited by 43 publications

References 22 publications

Caesarian section (CS) delivery in Bangladesh: A nationally representative cross-sectional study

Caesarian section (CS) delivery in Bangladesh: A nationally representative cross-sectional study

Untitled

Cesarean delivery and early childhood diseases in Bangladesh: An analysis of Demographic and Health Survey (BDHS) and Multiple Indicator Cluster Survey (MICS)

Contact Info

Product

Resources

About