ArticleScientific reports2021
A national assessment of elective cesarean sections in Bangladesh and the need for health literacy and accessibility.
Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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10 citing papers in PubMed, 18 citations in OpenAlex.
- From medical necessity to private-sector dominance: a two-decade evolution of caesarean section determinants in Bangladesh (2004-2022).Scientific reports · 2026Article
- Factors associated with normal childbirth in Bangladesh: insights from BDHS 2022.BMC public health · 2026Article
- Sociodemographic trends associated with caesarean delivery in rural subdistricts of Bangladesh: a cohort study, 2005-2019.BMJ global health · 2025Article
- Health system drivers of caesarean deliveries in south Asia: a scoping review.The Lancet regional health. Southeast Asia · 2025Review
- Association of facility-based normal delivery healthcare services access with health facility factors: evidence from linked population and health facility survey data in Bangladesh.BMC health services research · 2025Article
- Region-specific variation and determinants of caesarean delivery among ever-married women in Bangladesh.PloS one · 2025Article
- Trends and determinants of caesarean section in South Asian countries: Bangladesh, Nepal, and Pakistan.PloS one · 2024Article
- Factors Associated with Low Birthweight in Low-and-Middle Income Countries in South Asia.International journal of environmental research and public health · 2022Article
- Prevalence and predictors of elective and emergency caesarean delivery among reproductive-aged women in Bangladesh: evidence from demographic and health survey, 2017-18.BMC pregnancy and childbirth · 2022Article
- Cesarean delivery in Iran: a population-based analysis using the Robson classification system.BMC pregnancy and childbirth · 2022Article
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Authors and funding
5 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
There has been a gradual rise in the number of cesarean sections (CSs) in Bangladesh. The present study identified the cohort of women, who were more likely to opt for an elective CS based on their sociodemographic characteristics, pre-delivery care history, and media exposure, using the Bangladesh Multiple Indicator Cluster Survey-2019. The survey stratification adjusted logistic regression model and interpretable machine learning method of building classification trees were utilized to analyze a sample of 9202 women, alongside district-wise heat maps. One-in-five births (20%) were elective CSs in the 2 years prior to the survey. Women residing in affluent households with educated house-heads, who accessed antenatal care prior to delivery (AOR 4.12; 95% CI 3.06, 5.54) with regular access to media (AOR 1.31; 95% CI 1.10, 1.56) and who owned a mobile phone (AOR 1.25; 95% CI 1.04, 1.50) were more likely to opt for elective CSs, which suggests that health access and health literacy were crucial factors in women's mode of delivery. Spatial analyses revealed that women living in larger cities had more elective CS deliveries, pointing towards the availability of better health and access to multiple safe delivery options in peripheral areas.
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