Prevalence and factors of cesarean delivery among Bangladeshi reproductive aged women: evidence from multiple Indicator cluster survey 2019 data

Islam, Md. Momin; Noor, Farjana Akther

doi:10.1007/s10389-021-01551-9

Cited by 7 publications

(11 citation statements)

References 39 publications

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“…Due to health care providers' inducements and their financial benefits, there is an increasing trend of c-section deliveries in Bangladesh. The rate is higher than in many other Asian countries [30]. Understanding the specific childbearing characteristics of women of reproductive age and the underlying causes of the increased c-section delivery rates would facilitate targeting the modifiable risk factors in maternal and child health.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and predictors of elective and emergency caesarean delivery among reproductive-aged women in Bangladesh: evidence from demographic and health survey, 2017–18

Muhammad

Srivastava

Kumar

et al. 2022

BMC Pregnancy Childbirth

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Background Over the years, an increasing trend of unnecessary caesarean section (c-section) deliveries has raised concerns in Bangladesh. So far, many studies have reported the risk factors of c-section delivery in Bangladesh. However, most of these studies did not estimate the predictors of the two c-section procedures (i.e., emergency and elective) separately based on the timing of the c-section decision. This study solely brings forward the role of socio-demographic and economic factors that may be associated differently with emergency and elective c-section deliveries. Methods Data for the study were drawn from the 2017–18 Bangladesh Demographic and Health Survey with 5,299 women aged 15–49 years who gave birth at a health facility during three years preceding the survey. Descriptive statistics along with bivariate analysis were used to fulfill the study objectives. Further, multivariable logistic regression analysis was conducted on binary outcome variables of elective/emergency c-section deliveries. Results Approximately one-third of women in the reproductive-age group opted for delivery through c-section. Out of them, 18.7% of women had elective c-sections, and 14.1% had emergency c-sections. Women who had mass media exposure were 32% more likely to deliver through elective c-sections than women who had no exposure [AOR: 1.32; CI: 1.02–1.72]. Women with higher education had a 56% lower likelihood of delivering through emergency c-section than women with no educational status [AOR: 0.44; CI: 0.24–0.83]. Children from the third or higher birth order were significantly more likely to be delivered through elective c-sections than those from the first birth order [AOR: 2.67; CI: 1.75–4.05]. In contrast, children with higher birth order had fewer chances of emergency c-section than children with first birth order [AOR: 0.29; CI: 0.18 -0.45]. Both elective and emergency c-section deliveries were significantly higher among private health facilities. Conclusion Although c-section delivery has emerged as a life-saving intervention, the overuse of such practice has created lucrative risks for the mother and unborn child. Proper sensitization of mothers and families can enhance the knowledge of the unsafe nature of unnecessary c-section deliveries. Authorizations in case of over-use of elective and emergency c-sections should be observed to minimize the unnecessary c-sections and related complications and to increase normal institutional deliveries in Bangladesh.

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Section: Introductionmentioning

confidence: 99%

Prevalence and predictors of elective and emergency caesarean delivery among reproductive-aged women in Bangladesh: evidence from demographic and health survey, 2017–18

Muhammad

Srivastava

Kumar

et al. 2022

BMC Pregnancy Childbirth

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“…Variables that showed a significant association in bivariate logistic regression analysis and which were also found to be associated in the relevant literature were added to the multivariable logistic regression model to identify the association of independent predictors of CB. 18,21,26,35 Results are presented as adjusted odds ratio (AOR) with 95% confidence intervals (CIs). A p-value below 0.05 was considered statistically significant.…”

Section: Discussionmentioning

confidence: 99%

“…[23][24][25] Studies indicated that healthcare practitioners' inducements and their financial benefit were the primary causes of CB in Bangladesh. 5,26 Additionally, the CB rate is not uniform throughout Bangladesh. Most of the cesareans that occurred in big cities were conducted in private healthcare facilities, which often resulted in excessive costs.…”

mentioning

confidence: 99%

“…Most of the cesareans that occurred in big cities were conducted in private healthcare facilities, which often resulted in excessive costs. 26 Bangladesh practices a mix of healthcare financing strategies, including general revenue taxation, out of pocket (OOP) payments, development partners' contributions, and others, including small-scale health insurance schemes. 27 Indeed, OOP expenditure is the main payment strategy for healthcare in Bangladesh.…”

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confidence: 99%

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Increasing rates of cesarean birth in Bangladesh: A household‐level pooled analysis

Sarker,

Zabeen,

Hossain

et al. 2023

Birth

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BackgroundCesarean birth (CB) rates have been increasing rapidly globally, including in Bangladesh. This study aimed to assess national trends in CB rates and to investigate associated factors in Bangladesh.MethodsWe analyzed data from the five most recent Bangladesh Demographic and Health Surveys (BDHS) between 2003 and 2018. A total of 27,328 ever‐married women aged 15–49 who had a live birth in the 2 years preceding the survey were included in this study. We estimated the prevalence of CB from 2003 to 2018, as well as changes in the prevalence. Logistic regression analysis was used to measure the association between dependent and independent variables.ResultsThe overall prevalence of CB among Bangladeshi mothers was 3.99% in 2003–04; this rate increased to 33.22% in 2017–18. The annual percentage change in CB rate was 16.34% from 2004 to 2017–18, which is alarming relative to the World Health Organization's cesarean birth recommended threshold. Several factors, such as maternal age, maternal and paternal education, working status of the mother, maternal BMI, age at first pregnancy, antenatal care (ANC) use, administrative division, and wealth status, had a significant influence on the rising rate of CB in Bangladesh.ConclusionsThis study documents the alarming rate of CB increase in Bangladesh since 2003. It is critical that authorities implement more effective national monitoring measures to identify the causes of this dramatic increase and work to mitigate the rate of unnecessary CB in Bangladesh.

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“…CS had introduced in Bangladesh in the late 1990s. Initially, it was performed, when vaginal delivery was not possible, and the life of the mother or baby was in peril, but now the prevalence rate in Bangladesh is alarmingly increased (36.1%) while World Health Organization (WHO) recommends not exceeding 5-10% in a country (Islam and Noor, 2021).…”

Section: Introductionmentioning

confidence: 99%

Rising Trends of Cesarean Section in Bangladesh: Associated Factors and Long-Term Complications on Health of Mother and Children

Hossain

Jahan

Haque

et al. 2022

J Matern Child Health

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Background: With taking into consideration of the high cesarean section (CS) rate, the objectives of this study were to ascertain factors associated with and point out metamorphose complications with high CS rates in Bangladesh. Subjects and Method:A cross-sectional study accounted for data collection from rural (196) and urban (241) women who gave birth to babies between 2005 and 2018 in Chattogram, Bangladesh. The study subjects were selected by using a systematic random sampling technique and the sample size was determined by using web-based Raosoft software. The delivery modes were dependent variables whereas influential factors and complications related to delivery were independent variables. The data were collected through face-to-face interviews using a pre-structured questionnaire. The height and weight of the participants were measured by using a stadiometer and weighing machine respectively. Data analysis was done by using regression analysis. Results:The results divulged that mingling of relative influence and doctor's profit-making tendency, obstetric factors, and demand from a family with higher socioeconomic status contributed to the recent increased cesarean rate in urban areas (41.5%). The distended abdomen in mothers (OR= 5.11, 95% CI= 2.98 to 8.76) was strongly associated with CS (p< 0.05), and back pain, and urinary incontinence were about one and half times higher in CS mothers. However, miscarriage and pelvic organ prolapse were associated with decreased risks of CS. Postnatal complications include cold fever (OR= 11.95, 95% CI= 7.02 to 20.35), and pneumonia (OR= 5.79; 95% CI= 2.71 to 12.36) were highly prevalent in children with cesarean delivery. Conclusion: Cesarean section has become alarmingly increased in urban rather than rural areas of Bangladesh in recent decays. Awareness-raising, doctor commitment, government policy, and strict monitoring of private health facilities are needed to control high rates of cesarean delivery.

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Prevalence and factors of cesarean delivery among Bangladeshi reproductive aged women: evidence from multiple Indicator cluster survey 2019 data

Cited by 7 publications

References 39 publications

Prevalence and predictors of elective and emergency caesarean delivery among reproductive-aged women in Bangladesh: evidence from demographic and health survey, 2017–18

Prevalence and predictors of elective and emergency caesarean delivery among reproductive-aged women in Bangladesh: evidence from demographic and health survey, 2017–18

Increasing rates of cesarean birth in Bangladesh: A household‐level pooled analysis

Rising Trends of Cesarean Section in Bangladesh: Associated Factors and Long-Term Complications on Health of Mother and Children

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