# name
Determinants and trends in health facility-based deliveries and
                caesarean sections among married adolescent girls in Bangladesh

# metadata.dc.description.abstract[].value
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.

# metadata.dc.relation.isformatof[].value
Reproducció del document publicat a:
                http://dx.doi.org/10.1136/bmjopen-2016-012424

# metadata.dc.source[].value
Articles publicats en revistes (ISGlobal)

# metadata.dc.title[].value
Determinants and trends in health facility-based deliveries and
                caesarean sections among married adolescent girls in Bangladesh