Cesarean delivery and its determining factors: A hospital-based study in Jashore District, BangladeshWhat This Study Adds:Policy Implications:
Background: The rising prevalence of cesarean deliveries (CD) is a major public health problem worldwide, especially in Bangladesh. This study aims to investigate the prevalence and factors associated with cesarean deliveries in the Jashore district of Bangladesh. Study design: This cross-sectional...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-12-01
|
| Series: | Public Health in Practice |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666535224000958 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850247413200060416 |
|---|---|
| author | Md. Sakhawot Hossain Suvasish Das Shuvo Sharmin Asha Md. Raihan Chodhoury Md. Toufiq Elahi |
| author_facet | Md. Sakhawot Hossain Suvasish Das Shuvo Sharmin Asha Md. Raihan Chodhoury Md. Toufiq Elahi |
| author_sort | Md. Sakhawot Hossain |
| collection | DOAJ |
| description | Background: The rising prevalence of cesarean deliveries (CD) is a major public health problem worldwide, especially in Bangladesh. This study aims to investigate the prevalence and factors associated with cesarean deliveries in the Jashore district of Bangladesh. Study design: This cross-sectional study, conducted from December 2022 to February 2023 in Jashore district, Bangladesh, involved face-to-face interviews with 662 mothers during hospital visits. Methods: A pretested, structured, and validated questionnaire was employed to gather information on socioeconomic characteristics, obstetric history, maternal healthcare utilization, and factors influencing the choice of delivery method. Multinomial logistic regression models were employed to assess and predict determining factors influencing cesarean delivery. Results: The study revealed a high cesarean delivery (CD) prevalence of 70.5 %, exceeding the WHO-recommended threshold. Key socioeconomic factors associated with increased CD rates included rural residence, younger maternal age (15–20 years), nuclear family structure, and husbands in business. Additionally, private hospital deliveries, a history of previous CD, maternal self-preference, and doctor's influence were significant predictors of CD. The majority of participants believed CD enhances maternal safety (74.6 %) and alleviates pain (74.8 %). Conclusion: The high rate of cesarean deliveries in Jashore highlights the need for public health interventions that improve access to quality maternal care and promote evidence-based decision-making. Reducing unnecessary cesarean procedures, particularly in private hospitals, and enhancing patient education can significantly improve maternal and neonatal health outcomes. |
| format | Article |
| id | doaj-art-1aaf9f5028b54de2aaba80168cbc78ee |
| institution | OA Journals |
| issn | 2666-5352 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Public Health in Practice |
| spelling | doaj-art-1aaf9f5028b54de2aaba80168cbc78ee2025-08-20T01:58:56ZengElsevierPublic Health in Practice2666-53522024-12-01810055810.1016/j.puhip.2024.100558Cesarean delivery and its determining factors: A hospital-based study in Jashore District, BangladeshWhat This Study Adds:Policy Implications:Md. Sakhawot Hossain0Suvasish Das Shuvo1Sharmin Asha2Md. Raihan Chodhoury3Md. Toufiq Elahi4Department of Nutrition and Food Technology, Jashore University of Science and Technology, Jashore, 7408, BangladeshDepartment of Nutrition and Food Technology, Jashore University of Science and Technology, Jashore, 7408, Bangladesh; Corresponding author.Department of Nutrition and Food Technology, Jashore University of Science and Technology, Jashore, 7408, BangladeshDepartment of Physical Education and Sports Science, Jashore University of Science and Technology, Jashore, 7408, BangladeshDepartment of Applied Nutrition and Food Technology, Islamic University, Kushtia, 7003, BangladeshBackground: The rising prevalence of cesarean deliveries (CD) is a major public health problem worldwide, especially in Bangladesh. This study aims to investigate the prevalence and factors associated with cesarean deliveries in the Jashore district of Bangladesh. Study design: This cross-sectional study, conducted from December 2022 to February 2023 in Jashore district, Bangladesh, involved face-to-face interviews with 662 mothers during hospital visits. Methods: A pretested, structured, and validated questionnaire was employed to gather information on socioeconomic characteristics, obstetric history, maternal healthcare utilization, and factors influencing the choice of delivery method. Multinomial logistic regression models were employed to assess and predict determining factors influencing cesarean delivery. Results: The study revealed a high cesarean delivery (CD) prevalence of 70.5 %, exceeding the WHO-recommended threshold. Key socioeconomic factors associated with increased CD rates included rural residence, younger maternal age (15–20 years), nuclear family structure, and husbands in business. Additionally, private hospital deliveries, a history of previous CD, maternal self-preference, and doctor's influence were significant predictors of CD. The majority of participants believed CD enhances maternal safety (74.6 %) and alleviates pain (74.8 %). Conclusion: The high rate of cesarean deliveries in Jashore highlights the need for public health interventions that improve access to quality maternal care and promote evidence-based decision-making. Reducing unnecessary cesarean procedures, particularly in private hospitals, and enhancing patient education can significantly improve maternal and neonatal health outcomes.http://www.sciencedirect.com/science/article/pii/S2666535224000958Bangladeshi womenObstetricPrevalenceChildbirthDecision-making |
| spellingShingle | Md. Sakhawot Hossain Suvasish Das Shuvo Sharmin Asha Md. Raihan Chodhoury Md. Toufiq Elahi Cesarean delivery and its determining factors: A hospital-based study in Jashore District, BangladeshWhat This Study Adds:Policy Implications: Public Health in Practice Bangladeshi women Obstetric Prevalence Childbirth Decision-making |
| title | Cesarean delivery and its determining factors: A hospital-based study in Jashore District, BangladeshWhat This Study Adds:Policy Implications: |
| title_full | Cesarean delivery and its determining factors: A hospital-based study in Jashore District, BangladeshWhat This Study Adds:Policy Implications: |
| title_fullStr | Cesarean delivery and its determining factors: A hospital-based study in Jashore District, BangladeshWhat This Study Adds:Policy Implications: |
| title_full_unstemmed | Cesarean delivery and its determining factors: A hospital-based study in Jashore District, BangladeshWhat This Study Adds:Policy Implications: |
| title_short | Cesarean delivery and its determining factors: A hospital-based study in Jashore District, BangladeshWhat This Study Adds:Policy Implications: |
| title_sort | cesarean delivery and its determining factors a hospital based study in jashore district bangladeshwhat this study adds policy implications |
| topic | Bangladeshi women Obstetric Prevalence Childbirth Decision-making |
| url | http://www.sciencedirect.com/science/article/pii/S2666535224000958 |
| work_keys_str_mv | AT mdsakhawothossain cesareandeliveryanditsdeterminingfactorsahospitalbasedstudyinjashoredistrictbangladeshwhatthisstudyaddspolicyimplications AT suvasishdasshuvo cesareandeliveryanditsdeterminingfactorsahospitalbasedstudyinjashoredistrictbangladeshwhatthisstudyaddspolicyimplications AT sharminasha cesareandeliveryanditsdeterminingfactorsahospitalbasedstudyinjashoredistrictbangladeshwhatthisstudyaddspolicyimplications AT mdraihanchodhoury cesareandeliveryanditsdeterminingfactorsahospitalbasedstudyinjashoredistrictbangladeshwhatthisstudyaddspolicyimplications AT mdtoufiqelahi cesareandeliveryanditsdeterminingfactorsahospitalbasedstudyinjashoredistrictbangladeshwhatthisstudyaddspolicyimplications |