Work

Obstetric and pregnancy-related factors associated with caesarean delivery in Bangladesh: a survey in Rajshahi district

Year: 2025

Type: article

Abstract: 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: 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.

Source: BMJ Open

DOI: 10.1136/bmjopen-2024-087668

Authors: Md Aslam Hossain, Abu Sayed Md Al Mamun, Md Abdul Awal, Jarin Sazzad, Md Reazul Karim, Md Golam Hossain

Institutions: University of Rajshahi, Varendra University, Rajshahi Medical College

Language: English

Topic: Maternal and Perinatal Health Interventions

Subfield: Obstetrics and Gynecology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,839