A Study on Factors Associated with Caesarean Section Delivery at Tangail District of Bangladesh

Khan Md. Murtaja Reza Linkon; Marjina Akter; Amina Akther Urmi; Md. Jahidul Islam; Md. Faridul Islam; Mahfujul Alam; Rehnova Mostafa Nitu; Md. Abdul Alim

doi:doi:10.11648/j.jher.20220801.14

A Study on Factors Associated with Caesarean Section Delivery at Tangail District of Bangladesh

Khan Md. Murtaja Reza Linkon, Marjina Akter, Amina Akther Urmi, Md. Jahidul Islam, Md. Faridul Islam, Mahfujul Alam, Rehnova Mostafa Nitu, Md. Abdul Alim

Published in Journal of Health and Environmental Research (Volume 8, Issue 1)

Received: 29 December 2021 Accepted: 19 January 2022 Published: 5 February 2022

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Abstract

Background and Objectives: Caesarean section or C-section is a major obstetric life-saving intervention that has a substantial effect on maternal and neonatal health. This study sought to explore factors associated with increasing C-section rate at Tangail district in Bangladesh. Materials and Methods: A cross-sectional survey was conducted using a structured questionnaire at different hospitals and clinics in Tangail among 200 women who underwent cesarean. For analyzing the factors of C-section, the explanatory variables were demographic and anthropometric data, pre-pregnancy history, pregnancy period and delivery information. Results: The common medical indicators for C-section were prolonged labor (21%), fetal distress (19%), previous C-section (13%), amniotic rupture (12.5%), abnormal presentation of the baby (12%), uterine rupture (8.5%), failed labor induction (7.5%) and eclampsia/hypertension (3%). The majority (49.5%) of C-section was performed because of maternal request, 34% were emergency and 16.5% were elective. Majority of the respondents showed neutral (46%) to negative (51%) mindset towards C-section. C-section decision making influences included family pressure (25%), afraid of labor pain (11.5%), mother’s health risk (15%), baby’s health risk (38.5%), both mother and baby’s health risk (19.5%), presence of medical complications (62%), respondent’s choice (23%), doctor’s preference (5%), other related reasons (10%). Conclusions: It is concluded that a combination of both medical and non-medical factors is associated with C-section delivery.

Published in	Journal of Health and Environmental Research (Volume 8, Issue 1)
DOI	10.11648/j.jher.20220801.14
Page(s)	22-28
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

C-section Delivery, Pregnancy, Maternal Health, Health Risk

References

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[2]	Abebe, F. E., Gebeyehu, A. W., Kidane, A. N., Eyassu, G. A. (2016). Factors leading to cesarean section delivery at Felegehiwot referral hospital, Northwest Ethiopia: a retrospective record review. Reproductive health, 13 (6). https://doi.org/10.1186/s12978-015-0114-8.
[3]	Islam, M. M., Alam, M. Z., Bidisha. S. H., Abdullah. S. M. (2021). Why C-section deliveries on the rise? The Financial Express. https://thefinancialexpress.com.bd/views/why-c-section-deliveries-on-the-rise-614954892.
[4]	WHO (2017). Robson Classification: Implementation Manual, World Health Organization, Geneva. https://www.who.int/reproductivehealth/publications/maternal_perinatal_health/robson-classification/en/.
[5]	Ji, H., Jiang, H., Yang, L., Qian, X., Tang, S. (2015). Factors contributing to the rapid rise of caesarean section: a prospective study of primiparous Chinese women in Shanghai. BMJ open, 5 (11). https://doi.org/10.1136/bmjopen-2015-008994.
[6]	Verma, V., Vishwakarma, R. K., Nath, D. C., Khan, H. T. A., Prakash, R., Abid, O. (2020). Prevalence and determinants of caesarean section in South and South-East Asian women. PloS one, 15 (3). https://doi.org/10.1371/journal.pone.0229906.
[7]	Schantz, C., Sim, K. L., Petit, V., Rany, H., & Goyet, S. (2016). Factors associated with caesarean sections in Phnom Penh, Cambodia. Reproductive health matters, 24 (48), 111–121. https://doi.org/10.1016/j.rhm.2016.11.009.
[8]	Rahman, M. M., Haider, M. R., Moinuddin, M., Rahman, A. E., Ahmed, S., Khan, M. M. (2018). Determinants of caesarean section in Bangladesh: Cross-sectional analysis of Bangladesh Demographic and Health Survey 2014 Data. PLoS ONE, 13 (9). https://doi.org/10.1371/journal.pone.0202879.
[9]	Karim, D. R. M. (2012). A Study on the Causes and Consequences of High Caesarean Section (C-section) Incidence Rate in Public, Private and NGO Health Facilities in Bangladesh. https://bea-bd.org/site/images/pdf/062.pdf.
[10]	WHO (2015). Alliance for Health Policy and Systems Research. Success Factors for Women’s and Children’s Health, Bangladesh. http://www.who.int/pmnch/knowledge/publications/bangladesh_country_report.pdf?ua=1.
[11]	Manyeh, A. K., Amu, A., Akpakli, D. E., Williams, J., Gyapong, M. (2018). Socioeconomic and demographic factors associated with caesarean section delivery in Southern Ghana: evidence from INDEPTH Network member site. BMC pregnancy and childbirth, 18 (1): 1-9. https://doi.org/10.1186/s12884-018-2039-z.
[12]	Hasan, F., Alam, M. M., Hossain, M. G. (2019). Associated factors and their individual contributions to caesarean delivery among married women in Bangladesh: analysis of Bangladesh demographic and health survey data. BMC pregnancy and childbirth, 19 (1), 1-9.
[13]	Abenhaim, H. A., & Benjamin, A. (2011). Higher caesarean section rates in women with higher body mass index: are we managing labour differently? Journal of obstetrics and gynaecology Canada: JOGC=Journal d'obstetrique et gynecologie du Canada: JOGC, 33 (5), 443–448. https://doi.org/10.1016/S1701-2163(16)34876-9.
[14]	Begum, T., Rahman, A., Nababan, H., Hoque, D., Khan, A. F., Ali, T., & Anwar, I. (2017). Indications and determinants of caesarean section delivery: Evidence from a population-based study in Matlab, Bangladesh. PloS one, 12 (11), e0188074. https://doi.org/10.1371/journal.pone.0188074.
[15]	Rajabi, A., Maharlouei, N., Rezaianzadeh, A., Rajaeefard, A., & Gholami, A. (2015). Risk factors for C-section delivery and population attributable risk for C-section risk factors in Southwest of Iran: a prospective cohort study. Medical journal of the Islamic Republic of Iran, 29, 294.

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APA Style

Khan Md. Murtaja Reza Linkon, Marjina Akter, Amina Akther Urmi, Md. Jahidul Islam, Md. Faridul Islam, et al. (2022). A Study on Factors Associated with Caesarean Section Delivery at Tangail District of Bangladesh. Journal of Health and Environmental Research, 8(1), 22-28. https://doi.org/10.11648/j.jher.20220801.14

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ACS Style

Khan Md. Murtaja Reza Linkon; Marjina Akter; Amina Akther Urmi; Md. Jahidul Islam; Md. Faridul Islam, et al. A Study on Factors Associated with Caesarean Section Delivery at Tangail District of Bangladesh. J. Health Environ. Res. 2022, 8(1), 22-28. doi: 10.11648/j.jher.20220801.14

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AMA Style

Khan Md. Murtaja Reza Linkon, Marjina Akter, Amina Akther Urmi, Md. Jahidul Islam, Md. Faridul Islam, et al. A Study on Factors Associated with Caesarean Section Delivery at Tangail District of Bangladesh. J Health Environ Res. 2022;8(1):22-28. doi: 10.11648/j.jher.20220801.14

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@article{10.11648/j.jher.20220801.14,
  author = {Khan Md. Murtaja Reza Linkon and Marjina Akter and Amina Akther Urmi and Md. Jahidul Islam and Md. Faridul Islam and Mahfujul Alam and Rehnova Mostafa Nitu and Md. Abdul Alim},
  title = {A Study on Factors Associated with Caesarean Section Delivery at Tangail District of Bangladesh},
  journal = {Journal of Health and Environmental Research},
  volume = {8},
  number = {1},
  pages = {22-28},
  doi = {10.11648/j.jher.20220801.14},
  url = {https://doi.org/10.11648/j.jher.20220801.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jher.20220801.14},
  abstract = {Background and Objectives: Caesarean section or C-section is a major obstetric life-saving intervention that has a substantial effect on maternal and neonatal health. This study sought to explore factors associated with increasing C-section rate at Tangail district in Bangladesh. Materials and Methods: A cross-sectional survey was conducted using a structured questionnaire at different hospitals and clinics in Tangail among 200 women who underwent cesarean. For analyzing the factors of C-section, the explanatory variables were demographic and anthropometric data, pre-pregnancy history, pregnancy period and delivery information. Results: The common medical indicators for C-section were prolonged labor (21%), fetal distress (19%), previous C-section (13%), amniotic rupture (12.5%), abnormal presentation of the baby (12%), uterine rupture (8.5%), failed labor induction (7.5%) and eclampsia/hypertension (3%). The majority (49.5%) of C-section was performed because of maternal request, 34% were emergency and 16.5% were elective. Majority of the respondents showed neutral (46%) to negative (51%) mindset towards C-section. C-section decision making influences included family pressure (25%), afraid of labor pain (11.5%), mother’s health risk (15%), baby’s health risk (38.5%), both mother and baby’s health risk (19.5%), presence of medical complications (62%), respondent’s choice (23%), doctor’s preference (5%), other related reasons (10%). Conclusions: It is concluded that a combination of both medical and non-medical factors is associated with C-section delivery.},
 year = {2022}
}

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TY  - JOUR
T1  - A Study on Factors Associated with Caesarean Section Delivery at Tangail District of Bangladesh
AU  - Khan Md. Murtaja Reza Linkon
AU  - Marjina Akter
AU  - Amina Akther Urmi
AU  - Md. Jahidul Islam
AU  - Md. Faridul Islam
AU  - Mahfujul Alam
AU  - Rehnova Mostafa Nitu
AU  - Md. Abdul Alim
Y1  - 2022/02/05
PY  - 2022
N1  - https://doi.org/10.11648/j.jher.20220801.14
DO  - 10.11648/j.jher.20220801.14
T2  - Journal of Health and Environmental Research
JF  - Journal of Health and Environmental Research
JO  - Journal of Health and Environmental Research
SP  - 22
EP  - 28
PB  - Science Publishing Group
SN  - 2472-3592
UR  - https://doi.org/10.11648/j.jher.20220801.14
AB  - Background and Objectives: Caesarean section or C-section is a major obstetric life-saving intervention that has a substantial effect on maternal and neonatal health. This study sought to explore factors associated with increasing C-section rate at Tangail district in Bangladesh. Materials and Methods: A cross-sectional survey was conducted using a structured questionnaire at different hospitals and clinics in Tangail among 200 women who underwent cesarean. For analyzing the factors of C-section, the explanatory variables were demographic and anthropometric data, pre-pregnancy history, pregnancy period and delivery information. Results: The common medical indicators for C-section were prolonged labor (21%), fetal distress (19%), previous C-section (13%), amniotic rupture (12.5%), abnormal presentation of the baby (12%), uterine rupture (8.5%), failed labor induction (7.5%) and eclampsia/hypertension (3%). The majority (49.5%) of C-section was performed because of maternal request, 34% were emergency and 16.5% were elective. Majority of the respondents showed neutral (46%) to negative (51%) mindset towards C-section. C-section decision making influences included family pressure (25%), afraid of labor pain (11.5%), mother’s health risk (15%), baby’s health risk (38.5%), both mother and baby’s health risk (19.5%), presence of medical complications (62%), respondent’s choice (23%), doctor’s preference (5%), other related reasons (10%). Conclusions: It is concluded that a combination of both medical and non-medical factors is associated with C-section delivery.
VL  - 8
IS  - 1
ER  -

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Author Information

Khan Md. Murtaja Reza Linkon

Department of Food Technology and Nutritional Science, Mawlana Bhashani Science and Technology University, Tangail, Bangladesh
Marjina Akter

Department of Food Technology and Nutritional Science, Mawlana Bhashani Science and Technology University, Tangail, Bangladesh
Amina Akther Urmi

Department of Food Technology and Nutritional Science, Mawlana Bhashani Science and Technology University, Tangail, Bangladesh
Md. Jahidul Islam

Department of Food Technology and Nutritional Science, Mawlana Bhashani Science and Technology University, Tangail, Bangladesh
Md. Faridul Islam

Department of Food Technology and Nutritional Science, Mawlana Bhashani Science and Technology University, Tangail, Bangladesh
Mahfujul Alam

Department of Agro Product Processing Technology, Jashore University of Science and Technology, Jashore, Bangladesh
Rehnova Mostafa Nitu

Department of Food Technology and Nutritional Science, Mawlana Bhashani Science and Technology University, Tangail, Bangladesh
Md. Abdul Alim

Department of Food Technology and Nutritional Science, Mawlana Bhashani Science and Technology University, Tangail, Bangladesh

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APA Style

Khan Md. Murtaja Reza Linkon, Marjina Akter, Amina Akther Urmi, Md. Jahidul Islam, Md. Faridul Islam, et al. (2022). A Study on Factors Associated with Caesarean Section Delivery at Tangail District of Bangladesh. Journal of Health and Environmental Research, 8(1), 22-28. https://doi.org/10.11648/j.jher.20220801.14

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ACS Style

Khan Md. Murtaja Reza Linkon; Marjina Akter; Amina Akther Urmi; Md. Jahidul Islam; Md. Faridul Islam, et al. A Study on Factors Associated with Caesarean Section Delivery at Tangail District of Bangladesh. J. Health Environ. Res. 2022, 8(1), 22-28. doi: 10.11648/j.jher.20220801.14

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AMA Style

Khan Md. Murtaja Reza Linkon, Marjina Akter, Amina Akther Urmi, Md. Jahidul Islam, Md. Faridul Islam, et al. A Study on Factors Associated with Caesarean Section Delivery at Tangail District of Bangladesh. J Health Environ Res. 2022;8(1):22-28. doi: 10.11648/j.jher.20220801.14

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@article{10.11648/j.jher.20220801.14,
  author = {Khan Md. Murtaja Reza Linkon and Marjina Akter and Amina Akther Urmi and Md. Jahidul Islam and Md. Faridul Islam and Mahfujul Alam and Rehnova Mostafa Nitu and Md. Abdul Alim},
  title = {A Study on Factors Associated with Caesarean Section Delivery at Tangail District of Bangladesh},
  journal = {Journal of Health and Environmental Research},
  volume = {8},
  number = {1},
  pages = {22-28},
  doi = {10.11648/j.jher.20220801.14},
  url = {https://doi.org/10.11648/j.jher.20220801.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jher.20220801.14},
  abstract = {Background and Objectives: Caesarean section or C-section is a major obstetric life-saving intervention that has a substantial effect on maternal and neonatal health. This study sought to explore factors associated with increasing C-section rate at Tangail district in Bangladesh. Materials and Methods: A cross-sectional survey was conducted using a structured questionnaire at different hospitals and clinics in Tangail among 200 women who underwent cesarean. For analyzing the factors of C-section, the explanatory variables were demographic and anthropometric data, pre-pregnancy history, pregnancy period and delivery information. Results: The common medical indicators for C-section were prolonged labor (21%), fetal distress (19%), previous C-section (13%), amniotic rupture (12.5%), abnormal presentation of the baby (12%), uterine rupture (8.5%), failed labor induction (7.5%) and eclampsia/hypertension (3%). The majority (49.5%) of C-section was performed because of maternal request, 34% were emergency and 16.5% were elective. Majority of the respondents showed neutral (46%) to negative (51%) mindset towards C-section. C-section decision making influences included family pressure (25%), afraid of labor pain (11.5%), mother’s health risk (15%), baby’s health risk (38.5%), both mother and baby’s health risk (19.5%), presence of medical complications (62%), respondent’s choice (23%), doctor’s preference (5%), other related reasons (10%). Conclusions: It is concluded that a combination of both medical and non-medical factors is associated with C-section delivery.},
 year = {2022}
}

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TY  - JOUR
T1  - A Study on Factors Associated with Caesarean Section Delivery at Tangail District of Bangladesh
AU  - Khan Md. Murtaja Reza Linkon
AU  - Marjina Akter
AU  - Amina Akther Urmi
AU  - Md. Jahidul Islam
AU  - Md. Faridul Islam
AU  - Mahfujul Alam
AU  - Rehnova Mostafa Nitu
AU  - Md. Abdul Alim
Y1  - 2022/02/05
PY  - 2022
N1  - https://doi.org/10.11648/j.jher.20220801.14
DO  - 10.11648/j.jher.20220801.14
T2  - Journal of Health and Environmental Research
JF  - Journal of Health and Environmental Research
JO  - Journal of Health and Environmental Research
SP  - 22
EP  - 28
PB  - Science Publishing Group
SN  - 2472-3592
UR  - https://doi.org/10.11648/j.jher.20220801.14
AB  - Background and Objectives: Caesarean section or C-section is a major obstetric life-saving intervention that has a substantial effect on maternal and neonatal health. This study sought to explore factors associated with increasing C-section rate at Tangail district in Bangladesh. Materials and Methods: A cross-sectional survey was conducted using a structured questionnaire at different hospitals and clinics in Tangail among 200 women who underwent cesarean. For analyzing the factors of C-section, the explanatory variables were demographic and anthropometric data, pre-pregnancy history, pregnancy period and delivery information. Results: The common medical indicators for C-section were prolonged labor (21%), fetal distress (19%), previous C-section (13%), amniotic rupture (12.5%), abnormal presentation of the baby (12%), uterine rupture (8.5%), failed labor induction (7.5%) and eclampsia/hypertension (3%). The majority (49.5%) of C-section was performed because of maternal request, 34% were emergency and 16.5% were elective. Majority of the respondents showed neutral (46%) to negative (51%) mindset towards C-section. C-section decision making influences included family pressure (25%), afraid of labor pain (11.5%), mother’s health risk (15%), baby’s health risk (38.5%), both mother and baby’s health risk (19.5%), presence of medical complications (62%), respondent’s choice (23%), doctor’s preference (5%), other related reasons (10%). Conclusions: It is concluded that a combination of both medical and non-medical factors is associated with C-section delivery.
VL  - 8
IS  - 1
ER  -

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