Abstract

The type of last delivery of a mother is vital as it has a significant impact on mother and child health. The percentage of cesarean or C-section births has increased alarmingly in Bangladesh. Births through C-section have complicated and unsafe when compared to normal deliveries although sometimes it is unavoidable. This study assessed the current scenario of cesarean births and natural births in the region of Chittagong, Bangladesh. A total of 569 mothers’ data have been collected by schedule methods from the different areas of Chittagong from October to December 2018. Descriptive Statistics, chi-square (χ 2 ) test and binary logistic regression have been used to determine the performance of delivery status in Chittagong. Chi-square (χ 2 ) test reveals that a number of factors are significantly associated with the performance of the delivery type. Binary logistic regression shows that only two factors ‘Delivery place’ and ‘Cost of last delivery’ have a significant effect on delivery status in Chittagong. Keywords: Delivery type; C-section; Natural birth; Chittagong; Bangladesh DOI : 10.7176/JHMN/69-04 Publication date: December 31 st 2019

Highlights

  • A mother can deliver her baby either naturally or by surgical operation (C-section)

  • The percentage of C-section delivery is higher among the women who received ANC and ultrasonography services at least one time during their last pregnancy period

  • Cost of C-section delivery is five-fold higher than normal delivery

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Summary

Introduction

A mother can deliver her baby either naturally or by surgical operation (C-section). Both delivery procedures have some merits and demerits. Natural childbirth is a birth that happens with the help of a doctor or a skilled attended in a hospital, a midwife attended at home, or without any aid. It has natural progress and many other advantages other than C-section. The C-section rate varies from country to country and their urban and rural areas, socio-economic condition and different public and private services (Strom S.,2013). Both the developed and developing countries have become concerned about C-section (Feng, Akintayo et al, 2014, Adam I., 2014). Jisun and Kabir (2014) found that the vaginal delivery of uneducated women is about 85% and cesarean delivery has a secondary level of education is about 55%

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