dc.contributor.author |
Shahabuddin, A. S. M. |
dc.contributor.author |
Delvaux, Therese |
dc.contributor.author |
Utz, Bettina |
dc.contributor.author |
Bardají, Azucena |
dc.contributor.author |
Brouwere, Vincent De |
dc.date |
2016-10-07T13:47:10Z |
dc.date |
2016-10-07T13:47:10Z |
dc.date |
2016-09-15 |
dc.date |
2016-10-05T18:01:02Z |
dc.identifier.citation |
2044-6055 |
dc.identifier.uri |
http://hdl.handle.net/2445/102458 |
dc.format |
9 p. |
dc.format |
application/pdf |
dc.language.iso |
eng |
dc.publisher |
BMJ |
dc.relation |
Reproducció del document publicat a:
http://dx.doi.org/10.1136/bmjopen-2016-012424 |
dc.relation |
BMJ Open, 2016, vol. 6, num. 9, p. e012424 |
dc.relation |
http://dx.doi.org/10.1136/bmjopen-2016-012424 |
dc.rights |
cc by-nc (c) BMJ, 2016 |
dc.rights |
info:eu-repo/semantics/openAccess |
dc.rights |
http://creativecommons.org/licenses/by-nc/3.0/es/ |
dc.subject |
Cesària (Operació) |
dc.subject |
Adolescents |
dc.subject |
Cesarean section |
dc.subject |
Teenagers |
dc.title |
Determinants and trends in health facility-based deliveries and
caesarean sections among married adolescent girls in Bangladesh |
dc.type |
info:eu-repo/semantics/article |
dc.type |
info:eu-repo/semantics/publishedVersion |
dc.description.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. |