Application of Binary Logistic Regression Model for Assessing the Caesarean Risk Factors in Bangladesh: A Case Study of Khulna and Gopalganj District

Authors

  • Biplab Biswas Department of Statistics, Faculty of Science, Bangabandhu Sheikh Mujibur Rahman Science & Technology University, Gopalganj-8100, Bangladesh
  • Md. Murad Hossain Department of Statistics, Faculty of Science, Bangabandhu Sheikh Mujibur Rahman Science & Technology University, Gopalganj-8100, Bangladesh
  • Mohammad Kamal Hossain Department of Statistics, Faculty of Science, Bangabandhu Sheikh Mujibur Rahman Science & Technology University, Gopalganj-8100, Bangladesh

Keywords:

Caesarean delivery, Fisher’s exact test, Chi-square test, Stepwise binary logistic regression.

Abstract

The main focus of this study is to investigate the caesarean risk factors in a particular area of Bangladesh. The caesarean delivery rate is increasing day by day in most developing countries like Bangladesh and number of caesarean births has almost doubled in the last eight years in Bangladesh largely due to maternal, socio-economic and demographic factors. Instead of many disadvantages, caesarean deliveries are most common among women but it is not clinically justified. For improving the maternal health status, it is essential to determine the risk factors of caesarean delivery. For this study some hospitals have selected from Khulna and Gopalganj district. Our population is the total number of pregnant women admitted for delivery in the hospitals and 600 respondents were taken as sample. After collecting data, information were arranged in tables and analyzed. For the analysis, chi-square test and fisher’s exact test were performed to identify the significant association between delivery type (caesarean/non-caesarean) and maternal, socio-demographic and socio-economic factor’s respectively. A stepwise binary logistic regression analysis was carried out to identify the most impact factors on caesarean delivery. We found that 14 risk factors were statistically associated with delivery type out of 21 risk factors. From this study, it is clear to us that above influential factors may affects the mother’s health status in Bangladesh as well as Khulna and Gopalganj district.

References

[1] Van Ham MA, Van Dongen PW, Mulder J. “Maternal consequences of caesarean section. A retrospective study of intraoperative postoperative maternal complications of caesarean during a 10-year period.” European Journal of Obstetrics & Gynecology and Reproductive Biology, vol. 74 (1), pp. 1-6, Jul. 1997.
[2] Declerq ER, Sakala C, Corry MP. “Listening to Mothers: Report of the first national survey U.S. survey of women childbearing experience.” New York: Maternity Centre Association, Oct 2002.
[3] Gomes UA, Silva AA, Bettiol H, Barbieri MA. “Risk factors for the increasing caesarean section rate in Southeast Brazil: a comparison of two birth cohorts, 1978–1979 and 1994.” International Journal of Epidemiology, vol. 28 (4), pp. 687-694, 1999.
[4] Leung GM, Lam TH, Thach TQ, Wan S, Ho LM. “Rates of caesarean birth in Hong Kong: 1987-1999.” Birth Issues In Perinatal Care, Vol. 28, pp. 166-172, Sept. 2001.
[5] Caesarean births in Bangladesh up mostly on greed, The China Post 6th July, 2015.
[6] Betran AP, Merialdi M, Lauer JA, Shun WB, Thamas J, Look PV, Wagner M. “Rates of caesarean section: analysis of global, regional and national estimates.” Paediatric and Perinatal Epidemiology, vol. 21 (2), pp. 98-113, Mar. 2007.
[7] Leone T, Padmadas SS, Matthews Z. “Community factors affecting rising caesarean section rates in developing countries: an analysis of six countries.” Social Science & Medicine, Vol. 67 (8), 1236-1246, Oct. 2008.
[8] Ravindran J. “Rising caesarean section rates in public hospitals in Malaysia 2006.” Med J Malaysia, vol. 63 (5), pp. 434–435, Dec. 2008.
[9] BMMS. Bangladesh maternal mortality and health care survey 2010: summary of key findings and implications, Dhaka, Bangladesh 1-12, 2010.
[10] Savage W. The caesarean section epidemic. Journal of Obstetrics & Gynecology, vol. 20, pp. 223-225, 2000.
[11] World Health Organization. “Appropriate technology for birth.” Lancet, vol. 2, pp. 436-437, 1985.
[12] Parrish KM, Holt VL, Easterling TR, Connell FA, LoGerfo JP (1994). Effect of changes in maternal age, parity, and birth weight distribution on primary caesarean delivery rates. JAMA, vol. 271 (6), 443-447, Feb. 1994.
[13] Ecker JL, Chen KT, Cohen AP, Riley LE, Lieberman ES. “Increased risk of caesarean delivery with advancing maternal age: indications and associated factors in nulliparous women.” Am J Obstet Gynaecol, vol. 185, pp. 883-887, 2001.
[14] Kun H, Fangbiao T, Brian F, Joanna R, Rachel T, Shenglan T et al. “A mixed-method study of factors associated with differences in caesarean section rates at community level: the case of rural China.” Midwifery vol. 29(8), pp. 911-920, Aug. 2013.
[15] Mossialos E, Allin S, Karras K, Davaki K. “An investigation of caesarean section in three greek hospitals: the impact of financial incentives and convenience.” Eur J Public Health, vol. 15, pp. 288-295, Jun. 2005.
[16] Onwude JL, Rao S, Selo-Ojeme DO. “Large babies and unplanned caesarean delivery.” European Journal of Obstetrics & Gynecology and Reproductive Biology, vol.118 (1), pp. 36-39, 2005.
[17] Skalkidis Y, Petridou E, Papathoma E, Revinthi K, Tong D, Trichopoulos D. “Are operative delivery procedures in Greece socially conditioned?” Int J Qual Health Care, vol. 8, pp. 159-165, 1996.
[18] Taffel SM. “Caesarean delivery in the United States, 1990.” Vital Health Statistics”, vol. 51, pp. 1-24, May 1994.
[19] Tatar M, Gunalp S, Somunoglu S, Demirol A. “Women's perceptions of caesarean section: reflections from a Turkish teaching hospital.” Social Science & Medicine, vol. 50, pp. 1227-1233, 2000.
[20] Signorelli C, Cattaruzza MS, Osborn JF. “Risk factors for caesarean section in Italy: results of a multicentre study.” Public Health, vol.109, pp. 191–199, 1995.
[21] Spaans WA, Sluijs MB, Van Roosmalen J, Bleker O. “Risk factors at caesarean section and failure of subsequent trial of labour.” Journal of Obstetrics & Gynecology and Reproductive Biology, vol. 100, pp. 163–166, 2002.
[22] Lynch CM, Kearney R, Turner MJ. “Maternal morbidity after elective repeat caesarean section after two or more previous procedures.” Journal of Obstetrics & Gynecology and Reproductive Biology, vol. 4320, pp.1-4, 2002.
[23] Joshua LW, Fergal DM, Danielle E, Robert HB, David AN, Christine HC et al. “Obesity, obstetric complications and caesarean delivery rate–a population-based screening study.” Am J Obstet Gynaecol, vol. 190(4), pp. 1091-1097, 2004.
[24] Shearer EL. “Caesarean section: medical benefits and costs.” Social Science & Medicine, vol. 37, pp. 1223–1231, 1993.
[25] Rahman M, Shariff AA, Saaid R, Shafie A. “Age at marriage, maternal age and caesarean delivery of first birth in the northern region of Bangladesh: a study on curve estimation.” Man in India vol. 92(1), pp. 93-113, 2012.
[26] Cochran WG. Sampling techniques. 3rd ed. New York: John Wiley & Sons; 1977, pp. 72-76.
[27] Gibbons J D, Chakraborti S. Nonparametric Statistical Inference, New York: Chapman and Hall/CRC; 2010, ISBN-10: 1420077619.
[28] Hosmer DW, Lemeshow S. Applied Logistic Regression, New York: John Wiley & Sons; 2005, Print ISBN: 9780471356325.

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Published

2016-12-02

How to Cite

Biswas, B., Hossain, M. M., & Hossain, M. K. (2016). Application of Binary Logistic Regression Model for Assessing the Caesarean Risk Factors in Bangladesh: A Case Study of Khulna and Gopalganj District. American Scientific Research Journal for Engineering, Technology, and Sciences, 26(4), 1–16. Retrieved from https://asrjetsjournal.org/index.php/American_Scientific_Journal/article/view/2408

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