A Comparative Study on the Preference for Delivery Process in Bangladesh

Jisun, Tahsin Farzana; Kabir, Rasel

doi:10.15590/abcjar/2014/v3i1/53472

Cited by 2 publications

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“…Further, affluent women may tend to have a higher likelihood of requesting CS delivery [4] because of perceived lower risk [72]. Contrary to the findings of a study by Hou et al [59], this research found no significant difference in the likelihood of CS delivery between women in the two lowest wealth quintiles.…”

Section: Discussionmentioning

confidence: 61%

Socioeconomic inequalities in the use of caesarean section delivery in Ghana: a cross-sectional study using nationally representative data

Dankwah

Kirychuk

Zeng

et al. 2019

Int J Equity Health

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BackgroundInappropriate use of Caesarean Section (CS) delivery is partly to blame for Ghana’s high maternal mortality rate. However, previous research offered mixed findings about factors associated with CS use. The goal of this study is to examine use of CS in Ghana and the socioeconomic factors associated with it.MethodsData from the nationally representative 2014 Ghana Demographic and Health Survey (GDHS) was used after permission from the Monitoring and Evaluation to Assess and Use Results (MEASURE) Demographic and Health Survey (DHS) program. Univariable and multivariable logistic regression models were fitted to examine the socioeconomic inequalities in CS use. The independent variables included maternal age, marital status, religion, ethnicity, education, place of residence, wealth quintile, and working status. Concentration index (CI) and rate-ratios were computed to ascertain the level of CS inequalities.ResultsOut of the 4294 women, 11.4% had CS delivery. However, the percentage of CS delivery ranged from 5% of women in the poorest quintile to 27.5% of women in the richest qunitle. Significant associations were detected between CS delivery and maternal age, parity, education, and wealth quintile .ConclusionsThis study revealed that first, even though Ghana has achieved an aggregate CS rate consistent with WHO recommendations, it still suffers from inequities in the use of CS. Second, both underuse of CS among poorer women in Ghana and overuse among rich and educated women are public health concerns that need to be addressed. Third, the results show in spite of Ghana’s free maternal care services policies, wealth status of women continues to be strongly and signtificantly associated with CS delivery, indicating that there are indirect health care costs and other reasons preventing poorer women from having access to CS which should be understood better and addressed with appropriate policies.

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Section: Discussionmentioning

confidence: 61%

Socioeconomic inequalities in the use of caesarean section delivery in Ghana: a cross-sectional study using nationally representative data

Dankwah

Kirychuk

Zeng

et al. 2019

Int J Equity Health

View full text Add to dashboard Cite

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“…Caesarean section is defined as the delivery of a fetus through surgical incisions made through the abdominal wall and the uterine wall. 1 It is performed on the basis of some medical indications for the safety of mother and new born in both public and private hospitals. A study in Brazil revealed that the prevalence of caesarean delivery was 29.9% in public sector and 86.2% in private sector.…”

Section: Introductionmentioning

confidence: 99%

Preference, Outcome and Cost of Caesarean Sections: Comparison Between Public and Private Tertiary Hospitals

Sabnam¹,

Islam

2021

JOPSOM

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Background: To compare preference, outcome and cost of caesarean sections between public and private tertiary hospitals. Methods: This comparative cross sectional study was conducted among 152 conveniently selected women who underwent CS. Data were collected by face to face interview and record reviewing by using semi-structured questionnaire and check list, ethical issues were maintained. Total cost was estimated by direct and indirect cost related to CS, analysis done by SPSS software. The study was conducted in Obstetrics and Gynaecology department of Dhaka Medical College & Hospital and Holy Family Red Crescent Medical College Hospital from January to December, 2018. Results: Mean monthly family income of women was Tk.19668.75 (±14115.02) in public and Tk. 55472.22 (±25044.17) in private hospital. Provider preference was higher in public (78.8%) while self-preference was higher in private (37.5%) hospital (p<0.05). Majority i.e. 70% and 72.2% of women in public and private hospital respectively were healthy. But majority i.e. 58.3% had complications of new born in private compared to public (31.3%) hospital (p<0.05). In private hospital, mean total cost (Tk.52776.07±15841.93), direct cost (Tk.50826±15321.92) and indirect cost (Tk. 2890.91±3752.38) of CS was significantly higher compared to mean total cost (Tk.10149.2±4298.46), direct cost (Tk.8320.45±4028.74) and indirect cost (Tk.1844.87±1154.80) in public hospital (t-test, p<0.01). By selfpreference, majority i.e. 17(63%) of women had highest cost (Tk. >5000) in private hospital (p<0.05) while majority i.e. 10 (58.8%) of women had lowest cost (Tk.4000-10000) in public hospital. Conclusion: In private hospital total cost was about five times higher compared to public hospital though maternal outcome was almost same and neonatal outcome was better in public hospital. Appropriate regulations need to reduce preference of CS and difference of total cost. JOPSOM 2020; 39(2): 59-69

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A Comparative Study on the Preference for Delivery Process in Bangladesh

Cited by 2 publications

References 0 publications

Socioeconomic inequalities in the use of caesarean section delivery in Ghana: a cross-sectional study using nationally representative data

Socioeconomic inequalities in the use of caesarean section delivery in Ghana: a cross-sectional study using nationally representative data

Preference, Outcome and Cost of Caesarean Sections: Comparison Between Public and Private Tertiary Hospitals

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