Factors associated with cesarean delivery in Bangladesh: A multilevel modeling

Abstract

Background: In recent decades, the number of C-section deliveries has increased over the world, including Bangladesh. The study aimed to identify individual- and community-level factors associated with C-section childbirth in Bangladesh and investigate the annual average increase rate of C-section childbirth. C-section.

Methods: Data were derived from four waves of the Bangladesh Demographic and Health Survey (BDHS) conducted between 2007 and 2017-18. Chi-square test of association was run to check the bivariate association between dependent and independent factors. For the individual- and community-level factors deliveries among Bangladeshi married women, a multilevel logistic regression model was carried out.

Result: Over the last ten years, the average annual increase of C-section rates during delivery was 13.09% in Bangladesh, while this rate was 33.25%according to 2017-18 BDHS.C-section 33.25% of women have access to C-section birth. Women who had four or more than four ANC visits, women and their husbands with secondary and above education, middle and rich-wealth households, and community-level factors such as high media access, secondary and above educational experience women used C-sectionC-section delivery compared to their respective counterpart.

Conclusion: The findings of the study revealed the association of some individual and community-level factors that need to be taken into account to minimize the rising rate of C-section deliveries in Bangladesh, which has increased drastically over the survey years.

Keywords: Bangladesh; C-section delivery; Multilevel modeling; Risk factors; Women.