Abstract
Unnecessary cesarean section (CS) delivery is a major problem in Bangladesh and it is draining resources from both supply and demand sides. Many women do their cesarean delivery because of indicated causes in pregnancy, fear of unbearable labor pain, thinking about the safety of the child, etc. which leads to many unwanted complications. The aim of this research was to investigate the causes and preferences of cesarean delivery and to characterize the outcomes after cesarean section delivery. This cross-sectional study was conducted by using a semi-structured questionnaire among women who delivered in selected hospitals in Cox’s Bazaar, Bangladesh. The total sample size number was 273 women with a mean age of 26.72 years. In this study, the key reasons found for doing CS delivery were mother’s age, occupation, higher education, previous cesarean, doctor’s recommendation, fear of normal delivery, and concern about baby’s health. Results showed that 48.7% of women faced complications and 50.3% of participants didn’t face any complications after CS delivery. The most frequent complications were pus, 22%, and obesity,13.9% among the participants and breakdown of the membrane, 28.2%, excess bleeding, 19.4% extreme pain, 19%, and prolonged labor, 18.3% were found as the main causes indicated by the doctors for cesarean delivery. The prevalence of CS found much higher than the anticipation of WHO. The Causes of cesarean delivery lead to complications with various factors that affect women's health directly and indirectly. It is necessary to reduce the rate by making the mothers aware of the risks of cesarean delivery and providing training workshops as well to overcome the fear of normal delivery.
Highlights
Cesarean section delivery has become very common surgical procedure in the world including in Bangladesh
From the chi-square test we found the p-value which shows age, weight and education have no relation with types of complications but occupation influence the types of complications after cesarean section (CS) delivery
Complications were reported by 48.7% of the women which is much higher compared to the study conducted in 2014 by Bangladesh Demographic and Health Survey with 23% prevalence rate (NIPORT, 2016)
Summary
Cesarean section delivery has become very common surgical procedure in the world including in Bangladesh. Cesarean section is a surgical procedure, use for childbirth when vaginal delivery can’t be performed. It is suggested to save the life of mother and baby in case of maternal complications during pregnancy. Every day there are hundreds of maternal deaths reports due to complications of pregnancy (Carlo and Travers, 2016). The ratio was 322 in 1998 to 2001 and 194 in 2007 to 2010 by considered as annual average rate of 5.6% decrease. It dropped to 14.1% from 2010 to 13.1% in 2016 (Arifeen et al, 2015; Sabnom and Islam, 2013)
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