Factors Influencing Caesarian Section: A Case of Bangladesh

Question of the necessity of selecting caesarian section for child delivery has been given attention worldwide including Bangladesh, nevertheless the rates of this surgical procedure is growing at a faster rate. The present study sharply focuses on determining the factors influencing caesarian in Bangladesh on the basis of data of the last live birth obtained from BDHS 2014. It appears that decision of the doctors’ result in 71.5% of the caesarian cases and in more than 45% of the CS deliveries the decision was taken at the day of delivery. However, it is evident from a logistic regression analysis that the doctors’ decision alone does not attribute to the increased rate of CS. We observe positive association of CS with increasing age of respondents, urban residence, residing division with relatively modern facilities, higher educational status, delivery in private hospitals, antenatal care by a skilled person, wanted pregnancy at the time of last delivery, mother ever experienced a terminated pregnancy and larger size of child at last birth with the conduction of caesarian section. It is noteworthy that increasing number of home visits decrease CS rates whereas higher frequencies of antenatal visits increase CS deliveries. Besides, in 52.6% of the cases, women had a previous history of caesarian birth before her last live delivery. Therefore, it is extremely important now to have a closer look to all the determinants of CS births and come up with
some useful recommendations against the misuse and abuse of this process.