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The Journal of Health, Population and Nutrition
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ISSN: 1606-0997 EISSN: 1606-0997
Vol. 31, No. 1, 2013, pp. 78-85
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Bioline Code: hn13012
Full paper language: English
Document type: Research Article
Document available free of charge
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The Journal of Health, Population and Nutrition, Vol. 31, No. 1, 2013, pp. 78-85
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Preference for Institutional Delivery and Caesarean Sections in Bangladesh
Kamal, S.M. Mostafa
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.
Keywords
Caesarean sections; Delivery settings; Logistic regression; Pregnancy; Bangladesh
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