1. Original Scientific Paper
Abstract

Background: The caesarean section (CS) delivery is still a major surgery and carries some risks. In Bangladesh the CS rate has been increasing over time. Aims and Objectives: The aim of the study was to determine the associated factors of CS delivery among Bangladeshi women in reproductive age. Materials and Methods: Data was extracted from Bangladesh Demographic and Health Survey (BDHS), 2014. BDHS-2014 data collected from Bangladeshi women in reproductive age from the whole country using two stages stratified cluster sampling. Data derived from several levels of hierarchy may show cluster effect, therefore we adopted multilevel logistic regression analysis to remove them. Results: The prevalence of CS delivery among Bangladeshi women was 23.93%. With the sample population of 4378 women, we utilized χ2-test to study selected socio-demographic factors. They were subsequently used as independent variables in multilevel logistic regression model. We showed that women along with their partner with higher education (p<0.01) and those coming from rich households were more likely to have CS delivery. Overweight and obese women had a more chance to get CS delivery than underweight women (p<0.05). Women who delivered their first baby at age 30 years and above were more likely to get Caesarean delivery than their counterparts (p<0.01). Women having large baby at delivery time are more likely to have CS (p<0.01).Long duration to take first baby after marriage like 2-4 years also lead women to go through CS delivery (p<0.01). Conclusion: We concluded that the prevalence of CS delivery in Bangladesh is high which is associated with some major factors. With limited medical and health resources, it is important for the government to understand the pattern of CS deliveries among the women to ensure proper indication of the procedure to reduce the rate of intra-partum morbidity and mortality.

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