University of Asia Pacific, Farmgate, Dhaka, Bangladesh.
State University of Bangladesh, Dhanmondi, Dhaka, Bangladesh.
Inquiry. 2022 Jan-Dec;59:469580221116004. doi: 10.1177/00469580221116004.
In Bangladesh, 3.6 million babies are born each year. But the country is now facing a quickly rising rate of cesarean section (C-section) utilization. Here about 50% of total deliveries are institutional. Among them, two-thirds are in private care facilities, where the rate of C-sections is very high (83%). The present C-section rate is 2.5 times higher than in the previous decades. In Bangladesh, many physicians from private facilities are recommending C-section regardless of the mother's physical condition and the position of the fetus. Therefore, mothers are more likely to choose C-section delivery who receive antenatal care from a private facility. Moreover, several socio-economic and demographic factors might be responsible for these increased C-section deliveries. Also, many private hospitals prefer C-section delivery due to their profit-making tendency. The unnecessary C-section delivery causes risk to both mother and baby Also, the high prevalence of C-section in Bangladesh is putting women's health at risk. Therefore, the government healthcare authorities should ensure proper utilization of C-section facilities and encourage people for normal births at any health facility. Also, they can develop a national guideline for the use of C-sections and normal delivery depending on the physical condition of the mother and fetus.
在孟加拉国，每年有 360 万婴儿出生。但该国现在正面临着剖宫产率（C -section）快速上升的问题。目前，该国约有 50%的分娩是在医疗机构进行的，其中三分之二是在私立医疗机构，这些机构的剖宫产率非常高（83%）。目前的剖宫产率比前几十年高出 2.5 倍。在孟加拉国，许多来自私立机构的医生不顾产妇的身体状况和胎儿的位置，推荐进行剖宫产。因此，在私立医疗机构接受产前护理的产妇更有可能选择剖宫产分娩。此外，一些社会经济和人口因素可能是导致剖宫产率增加的原因。此外，许多私立医院由于盈利倾向，更喜欢剖宫产分娩。不必要的剖宫产分娩会给母婴带来风险。因此，政府医疗保健当局应确保剖宫产设施的合理利用，并鼓励人们在任何医疗设施进行正常分娩。此外，他们可以根据母婴的身体状况制定国家剖宫产和正常分娩指南。
