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

Abstract

The increase rate of unnecessary cesarean section is one of the major problems in Bangladesh health system due to improved surgical procedure. Many women do their cesarean delivery because of doctor’s indicated causes in pregnancy, fear of unbearable pain during delivery, thinking about the safety of child etc. which leads to many unwanted complications. Although there are many researches has been done still a research gap remnant in this affair. The aim of this study 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 and analyzed by SPSS. The total number of the sample was 273 women with a mean age of 26.72 years. The prevalence of CS delivery was considered 23%. In this study the main reasons for the 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% women faced complications and 50.3% participants didn’t face any complication after CS delivery. The most frequent complications were pus 22% and obesity 13.9% among the participants and breakdown of membrane 28.2%, excess bleeding 19.4%, extreme pain 19% and prolonged labor 18.3% were found as the main causes by doctor’s indication for cesarean delivery. The prevalence of CS found much higher than the recommendation of WHO. The Causes of cesarean delivery lead to the complications with various factors which effects women 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.