Title:
Factors affecting the increased rates of caesarean section in Bangladesh
Authors:
Rukhsana, Kaniz Fateema
Year:
2016
PAGE:
ix, 47
Language:
En
Subject:
Maternal Health – Lessons Learned
Keywords:
Caesarean section, medical indication, maternal complication, women’s preference, health facilities in Bangladesh
Abstract:
Background: Cesarean delivery rate in Bangladesh has been increased rapidly, from 4% in 2004 to 23% in 2014. Caesarean sections (CS) cause severe complications and bring about bad consequences in maternal and child health. However, the factors responsible for the increased CS rates in Bangladesh and how the decision of CSs are made is not well understood. Objective of study: To identify the factors associated with the increased CS rates in Bangladesh and to explore how the decisions of CSs are made. Methodology: The study is based on literature review using peer reviewed articles and other published/unpublished literatures. The study used the framework (adopted from Sancheeta Ghosh) to explore the factors associated with the high CS rate. Findings: A combination of private profit making tendency and demand from women with higher socio-economic status, particularly in urban areas contributed to the recent increased caesarean rate in Bangladesh. However, supplier induced demand and profit motive are playing the leading role in the decision of CS. Conclusions: Health system of Bangladesh is poorly regulated and there is lack of evidence-based guidelines for decision making about caesarean delivery that are contributing to the high CS rate. The decision to perform a CS must be chosen and monitor carefully and should not be profit oriented. Recommendations: Awareness raising about the negative consequences of CSs, doctor’s commitment to reduce the CS rate, government’s initiative to policy intervention and strict monitoring of the private health facilities might help to control the high CS rates.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institue)
Department:
Health
Country:
Bangladesh, People's Republic of
Region:
South Asia
Category:
Research
Right:
© 2016 Rukhsana
Document type:
Thesis/dissertation
File:
eh3RW9JKj7_20170504165052742.pdf