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Risk factors of caesarean deliveries in urban–rural areas of Bangladesh

BACKGROUND AND AIMS: The key interest of this research is to identify the causes of the ongoing increasing trends in caesarean section or C-section (CS) deliveries in both urban and rural areas of Bangladesh. METHODS: This study analyzed all Bangladesh Demographic and Health Survey (BDHS) datasets t...

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Autores principales: Abdulla, Faruq, Hossain, Md. Moyazzem, Rahman, Md. Mahabubur, Rahman, Md. Siddikur, Rahman, Azizur
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9975760/
https://www.ncbi.nlm.nih.gov/pubmed/36874261
http://dx.doi.org/10.3389/frph.2023.1101400
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author Abdulla, Faruq
Hossain, Md. Moyazzem
Rahman, Md. Mahabubur
Rahman, Md. Siddikur
Rahman, Azizur
author_facet Abdulla, Faruq
Hossain, Md. Moyazzem
Rahman, Md. Mahabubur
Rahman, Md. Siddikur
Rahman, Azizur
author_sort Abdulla, Faruq
collection PubMed
description BACKGROUND AND AIMS: The key interest of this research is to identify the causes of the ongoing increasing trends in caesarean section or C-section (CS) deliveries in both urban and rural areas of Bangladesh. METHODS: This study analyzed all Bangladesh Demographic and Health Survey (BDHS) datasets through Chi-square and z tests and the multivariable logistic regression model. RESULTS: CS deliveries were found to be more prevalent in urban than in rural areas of Bangladesh. Mothers above 19 years, above 16 years at first birth, overweight mothers, those with higher educational levels, those who received more than one antenatal care (ANC) visit, fathers having secondary/higher education degrees and employed as workers or in business, and mothers living in wealthy households in the cities of Dhaka, Khulna, Mymensingh, Rajshahi, and Rangpur divisions had a significantly higher likelihood of CS deliveries in urban areas. Contrastingly, mothers with ages between 20 and 39 years, above 20 years at first birth, normal weight/overweight mothers, those with primary to higher level of education, those in the business profession, fathers who also received primary to higher education, mothers who received more than one ANC visit, and those living in wealthy households in Dhaka, Khulna, Mymensingh, Rajshahi, and Rangpur divisions were more likely to have CS deliveries in rural areas. The 45–49 age group mothers had a five times higher likelihood of CS deliveries [odds ratio (OR): 5.39] in urban areas than in rural areas. Wealthy mothers were more likely to be CS-delivered in urban (OR: 4.84) than in rural areas (OR: 3.67). CONCLUSION: The findings reveal a gradual upward alarming trend in CS deliveries with an unequal contribution of significant determinants in urban and rural areas of Bangladesh. Therefore, integrated community-level awareness programs are an urgent need in accordance with the findings on the risks of CS and the benefits of vaginal deliveries in this country.
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spelling pubmed-99757602023-03-02 Risk factors of caesarean deliveries in urban–rural areas of Bangladesh Abdulla, Faruq Hossain, Md. Moyazzem Rahman, Md. Mahabubur Rahman, Md. Siddikur Rahman, Azizur Front Reprod Health Reproductive Health BACKGROUND AND AIMS: The key interest of this research is to identify the causes of the ongoing increasing trends in caesarean section or C-section (CS) deliveries in both urban and rural areas of Bangladesh. METHODS: This study analyzed all Bangladesh Demographic and Health Survey (BDHS) datasets through Chi-square and z tests and the multivariable logistic regression model. RESULTS: CS deliveries were found to be more prevalent in urban than in rural areas of Bangladesh. Mothers above 19 years, above 16 years at first birth, overweight mothers, those with higher educational levels, those who received more than one antenatal care (ANC) visit, fathers having secondary/higher education degrees and employed as workers or in business, and mothers living in wealthy households in the cities of Dhaka, Khulna, Mymensingh, Rajshahi, and Rangpur divisions had a significantly higher likelihood of CS deliveries in urban areas. Contrastingly, mothers with ages between 20 and 39 years, above 20 years at first birth, normal weight/overweight mothers, those with primary to higher level of education, those in the business profession, fathers who also received primary to higher education, mothers who received more than one ANC visit, and those living in wealthy households in Dhaka, Khulna, Mymensingh, Rajshahi, and Rangpur divisions were more likely to have CS deliveries in rural areas. The 45–49 age group mothers had a five times higher likelihood of CS deliveries [odds ratio (OR): 5.39] in urban areas than in rural areas. Wealthy mothers were more likely to be CS-delivered in urban (OR: 4.84) than in rural areas (OR: 3.67). CONCLUSION: The findings reveal a gradual upward alarming trend in CS deliveries with an unequal contribution of significant determinants in urban and rural areas of Bangladesh. Therefore, integrated community-level awareness programs are an urgent need in accordance with the findings on the risks of CS and the benefits of vaginal deliveries in this country. Frontiers Media S.A. 2023-02-15 /pmc/articles/PMC9975760/ /pubmed/36874261 http://dx.doi.org/10.3389/frph.2023.1101400 Text en © 2023 Abdulla, Hossain, Rahman, Rahman and Rahman. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Reproductive Health
Abdulla, Faruq
Hossain, Md. Moyazzem
Rahman, Md. Mahabubur
Rahman, Md. Siddikur
Rahman, Azizur
Risk factors of caesarean deliveries in urban–rural areas of Bangladesh
title Risk factors of caesarean deliveries in urban–rural areas of Bangladesh
title_full Risk factors of caesarean deliveries in urban–rural areas of Bangladesh
title_fullStr Risk factors of caesarean deliveries in urban–rural areas of Bangladesh
title_full_unstemmed Risk factors of caesarean deliveries in urban–rural areas of Bangladesh
title_short Risk factors of caesarean deliveries in urban–rural areas of Bangladesh
title_sort risk factors of caesarean deliveries in urban–rural areas of bangladesh
topic Reproductive Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9975760/
https://www.ncbi.nlm.nih.gov/pubmed/36874261
http://dx.doi.org/10.3389/frph.2023.1101400
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