Obstetric and pregnancy-related factors associated with caesarean delivery in Bangladesh: a survey in Rajshahi district
Objectives Caesarean section (CS) delivery is the most common operative obstetric procedure globally. The increasing trend of CS deliveries poses a significant threat to both child and maternal health. The adverse maternal outcomes associated with caesarean delivery represent a substantial public he...
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BMJ Publishing Group
2025-01-01
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| author | Md Aslam Hossain Md Reazul Karim Md Golam Hossain Abu Sayed Md Al Mamun Md Abdul Awal Jarin Sazzad |
| author_facet | Md Aslam Hossain Md Reazul Karim Md Golam Hossain Abu Sayed Md Al Mamun Md Abdul Awal Jarin Sazzad |
| author_sort | Md Aslam Hossain |
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| description | Objectives Caesarean section (CS) delivery is the most common operative obstetric procedure globally. The increasing trend of CS deliveries poses a significant threat to both child and maternal health. The adverse maternal outcomes associated with caesarean delivery represent a substantial public health concern worldwide. This study aimed to identify emerging obstetric and pregnancy risk factors and maternal outcomes associated with CS delivery among women in Rajshahi district, Bangladesh.Design This was a cross-sectional study.Setting Data were collected from 9 Upazilas with 233 community clinics of Rajshahi district, Bangladesh.Participants Multistage sampling technique was utilised for selecting sample from the population. A total of 540 mothers with a live infant were enrolled in the study. Descriptive statistics, χ2 test, logistic regression and ROC curve were used to analyse the data.Results The mean age of respondents was 26.28 years (SD 4.96); among them, the proportion of CS was 34.44%, with a higher proportion occurring in private clinics (82.8%) compared with public hospitals (17.2%). The likelihood of having a CS increased with factors such as insufficient sleep duration (p=0.002), oedema problems (p=0.014), inadequate supplements of micronutrients (p=0.009), severe headaches with blurred vision (p=0.028) and inadequate food consumption during pregnancy (p=0.032). The probability of experiencing obstetric fistula or postpartum anaemia (p=0.049) was higher among mothers who had a CS in their most recent live birth than mothers who had a vaginal birth.Conclusion The study found that having a CS increases the risk of maternal complications like an obstetric fistula or postpartum anaemia. Considering these results, it is recommended to urgently introduce carefully evaluated clinical practices to assess if vaginal delivery is possible. Counselling women about the delivery method is important to decrease unnecessary CS in Bangladesh. |
| format | Article |
| id | doaj-art-65ab7f2403d74befb74e0fd873c8f2e0 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMJ Publishing Group |
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| series | BMJ Open |
| spelling | doaj-art-65ab7f2403d74befb74e0fd873c8f2e02025-02-03T11:35:08ZengBMJ Publishing GroupBMJ Open2044-60552025-01-0115110.1136/bmjopen-2024-087668Obstetric and pregnancy-related factors associated with caesarean delivery in Bangladesh: a survey in Rajshahi districtMd Aslam Hossain0Md Reazul Karim1Md Golam Hossain2Abu Sayed Md Al Mamun3Md Abdul Awal4Jarin Sazzad5Health Research Group, Department of Statistics, University of Rajshahi, Rajshahi 6205, BangladeshHealth Research Group, Department of Statistics, University of Rajshahi, Rajshahi 6205, BangladeshStatistics, University of Rajshahi, Dhaka, BangladeshUniversity of Rajshahi, Rajshahi, Bangladesh3 Varendra University, Rajshahi, Bangladesh4 Rajshahi Medical College, Rajshahi, Rajshahi, BangladeshObjectives Caesarean section (CS) delivery is the most common operative obstetric procedure globally. The increasing trend of CS deliveries poses a significant threat to both child and maternal health. The adverse maternal outcomes associated with caesarean delivery represent a substantial public health concern worldwide. This study aimed to identify emerging obstetric and pregnancy risk factors and maternal outcomes associated with CS delivery among women in Rajshahi district, Bangladesh.Design This was a cross-sectional study.Setting Data were collected from 9 Upazilas with 233 community clinics of Rajshahi district, Bangladesh.Participants Multistage sampling technique was utilised for selecting sample from the population. A total of 540 mothers with a live infant were enrolled in the study. Descriptive statistics, χ2 test, logistic regression and ROC curve were used to analyse the data.Results The mean age of respondents was 26.28 years (SD 4.96); among them, the proportion of CS was 34.44%, with a higher proportion occurring in private clinics (82.8%) compared with public hospitals (17.2%). The likelihood of having a CS increased with factors such as insufficient sleep duration (p=0.002), oedema problems (p=0.014), inadequate supplements of micronutrients (p=0.009), severe headaches with blurred vision (p=0.028) and inadequate food consumption during pregnancy (p=0.032). The probability of experiencing obstetric fistula or postpartum anaemia (p=0.049) was higher among mothers who had a CS in their most recent live birth than mothers who had a vaginal birth.Conclusion The study found that having a CS increases the risk of maternal complications like an obstetric fistula or postpartum anaemia. Considering these results, it is recommended to urgently introduce carefully evaluated clinical practices to assess if vaginal delivery is possible. Counselling women about the delivery method is important to decrease unnecessary CS in Bangladesh.https://bmjopen.bmj.com/content/15/1/e087668.full |
| spellingShingle | Md Aslam Hossain Md Reazul Karim Md Golam Hossain Abu Sayed Md Al Mamun Md Abdul Awal Jarin Sazzad Obstetric and pregnancy-related factors associated with caesarean delivery in Bangladesh: a survey in Rajshahi district BMJ Open |
| title | Obstetric and pregnancy-related factors associated with caesarean delivery in Bangladesh: a survey in Rajshahi district |
| title_full | Obstetric and pregnancy-related factors associated with caesarean delivery in Bangladesh: a survey in Rajshahi district |
| title_fullStr | Obstetric and pregnancy-related factors associated with caesarean delivery in Bangladesh: a survey in Rajshahi district |
| title_full_unstemmed | Obstetric and pregnancy-related factors associated with caesarean delivery in Bangladesh: a survey in Rajshahi district |
| title_short | Obstetric and pregnancy-related factors associated with caesarean delivery in Bangladesh: a survey in Rajshahi district |
| title_sort | obstetric and pregnancy related factors associated with caesarean delivery in bangladesh a survey in rajshahi district |
| url | https://bmjopen.bmj.com/content/15/1/e087668.full |
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