Please use this identifier to cite or link to this item:
http://hdl.handle.net/2445/102458
Title: | Determinants and trends in health facility-based deliveries and caesarean sections among married adolescent girls in Bangladesh |
Author: | Shahabuddin, A. S. M. Delvaux, Thérèse Utz, Bettina Bardají, Azucena Brouwere, Vincent De |
Keywords: | Cesària (Operació) Adolescents Cesarean section Teenagers |
Issue Date: | 15-Sep-2016 |
Publisher: | BMJ |
Abstract: | OBJECTIVE: To identify the determinants and measure the trends in health facility-based deliveries and caesarean sections among married adolescent girls in Bangladesh. METHODS: In order to measure the trends in health facility-based deliveries and caesarean sections, Bangladesh Demographic Health Survey (BDHS) data sets were analysed (BDHS; 1993-1994, 1996-1997, 1999-2000, 2004, 2007, 2011). The BDHS 2011 data sets were analysed to identify the determinants of health facility-based deliveries and caesarean sections. A total of 2813 adolescent girls (aged 10-19 years) were included for analysis. Bivariate and multivariate analyses were performed. RESULTS: Health facility-based deliveries have continuously increased among adolescents in Bangladesh over the past two decades from 3% in 1993-1994 to 24.5% in 2011. Rates of population-based and facility-based caesarean sections have increased linearly among all age groups of women including adolescents. Although the country's overall (population-based) caesarean section rate among adolescents was within acceptable range (11.6%), a rate of nearly 50% health facility level caesarean sections among adolescent girls is alarming. Among adolescent girls, use of antenatal care (ANC) appeared to be the most important predictor of health facility-based delivery (OR: 4.04; 95% CI 2.73 to 5.99), whereas the wealth index appeared as the most important predictor of caesarean sections (OR: 5.7; 95% CI 2.74 to 12.1). CONCLUSIONS: Maternal health-related interventions should be more targeted towards adolescent girls in order to encourage them to access ANC and promote health facility-based delivery. Rising trends of caesarean sections require further investigation on indication and provider-client-related determinants of these interventions among adolescent girls in Bangladesh. |
Note: | Reproducció del document publicat a: http://dx.doi.org/10.1136/bmjopen-2016-012424 |
It is part of: | BMJ Open, 2016, vol. 6, num. 9, p. e012424 |
URI: | http://hdl.handle.net/2445/102458 |
Related resource: | http://dx.doi.org/10.1136/bmjopen-2016-012424 |
ISSN: | 2044-6055 |
Appears in Collections: | Articles publicats en revistes (ISGlobal) |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
shahabuddin2016_2246.pdf | 1.16 MB | Adobe PDF | View/Open |
This item is licensed under a Creative Commons License