Causes and Complications of Cesarean Section Delivery among Women in Cox’s Bazaar, Bangladesh

Abstract

Unnecessary cesarean section (CS) delivery is a major problem in Bangladesh and it is draining resources from both supply and demand sides. Many women do their cesarean delivery because of indicated causes in pregnancy, fear of unbearable labor pain, thinking about the safety of the child, etc. which leads to many unwanted complications. The aim of this research was to investigate the causes and preferences of cesarean delivery and to characterize the outcomes after cesarean section delivery. This cross-sectional study was conducted by using a semi-structured questionnaire among women who delivered in selected hospitals in Cox’s Bazaar, Bangladesh. The total sample size number was 273 women with a mean age of 26.72 years. In this study, the key reasons found for doing CS delivery were mother’s age, occupation, higher education, previous cesarean, doctor’s recommendation, fear of normal delivery, and concern about baby’s health. Results showed that 48.7% of women faced complications and 50.3% of participants didn’t face any complications after CS delivery. The most frequent complications were pus, 22%, and obesity,13.9% among the participants and breakdown of the membrane, 28.2%, excess bleeding, 19.4% extreme pain, 19%, and prolonged labor, 18.3% were found as the main causes indicated by the doctors for cesarean delivery. The prevalence of CS found much higher than the anticipation of WHO. The Causes of cesarean delivery lead to complications with various factors that affect women's health directly and indirectly. It is necessary to reduce the rate by making the mothers aware of the risks of cesarean delivery and providing training workshops as well to overcome the fear of normal delivery.