Preference for Institutional Delivery and Caesarean Sections in Bangladesh

Abstract

In Bangladesh, preference for place of delivery and socioeconomic factors associated with caesarean section are not well-understood. This paper examines the socioeconomic correlates of preference for institutional delivery and caesarean sections in Bangladesh. The study used data from the nationally-representative 2007 Bangladesh Demographic and Health Survey. Both bivariate and multivariate binary logistic regression models were constructed to assess the effect of sociodemographic factors on the use of medical facilities and caesarean section for childbirth. Overall, 15% of women underwent institutional delivery, and 8% deliveries were performed by caesarean sections. Both institutional deliveries and caesarean sections have increased in recent years. The bivariate and multivariate analyses both confirmed that place of residence, religion, birth order, frequent pregnancy, antenatal care-seeking, and wealth index were important predictors of the use of medical facilities and caesarean sections for childbirth. Women's education appeared as the most single significant determinant for the use of both services. The findings underlie the importance of monitoring caesarean section as well as professional attendance for safe motherhood. Programmes should aim to inform women highlighting the benefits of the use of skilled maternal healthcare services and demerits of home-delivery practices.

Factors associated with institutional delivery in Dangila district, North West Ethiopia: a cross-sectional study

“…Considering the last delivery a mother had, in this study, 18.3% of mothers gave birth at a health institution. This finding was consistent with study findings in Ethiopia 10-13 and Bangladesh 14 . On the other hand, this finding was lower than study findings elsewhere in Ethiopia 15,16 and other developing countries such as Zambia, Uganda, Tanzania and Nepal [17][18][19][20] .…”

Availability and Quality of Emergency Obstetric and Newborn Care in Bangladesh

“…Studies on signal functions for EmNC are relatively new, 23,24,68 and not as well established as studies on signal functions for EmOC. 61,63,[68][69][70][71] In addition, previous studies on signal functions were not based on national-level data. National-level data will allow policymakers to identify the focus areas where capacity building is needed and where priority for budget allocation should be given, which will serve as empirical evidence for public health policymaking.…”

Institutional Delivery Service Utilization and Associated Factors among Child Bearing Age Women in Goba Woreda, Ethiopia

“…Developing countries continue to account for 99% of the total maternal deaths. Of these estimated deaths, sub-Saharan Africa and South Asia accounted for 87% of the global maternal deaths [1,2]. Ethiopia was one of the six countries which account more than 50% of all maternal deaths in 2008 [3].…”

“…The safe motherhood initiative strongly emphasizes ensuring the availability and accessibility of skilled care during pregnancy and childbirth, of which institutional delivery is one element. Hence, an important component in the effort to reduce the health risks of mothers and children is to increase the proportion of babies delivered in a safe and clean environment and under the supervision of health professionals [2,5].…”