• Dr. Shawrup Golder

The rising caesarean birth rates in Bangladesh are a disturbing trend, and it is fueled by intense fear of labour pains, CDMR, previous obstetric experience and ignorance. Approximately 3.1 million annual births occur in Bangladesh. Almost one in three deliveries was performed by C-section. Deliveries performed by C-section increased by more than 10 times between 2001 and 2016. (BDHS-2018). The private sector contributed the largest share of C-sections (83%) than Public sector (31%). (BDHS-2018). Bangladesh is facing a massive boom in the number of medically unnecessary C-sections - between 2016 and 2018 the number of operations increased by 51 per cent, new figures released by Save the Children reveal. However the present study has conducted to assess the factors affecting child birth, to compare the mode of child birth at public & private facilities and to socio-economic factors related to mode of child birth at facilities. A cross-sectional survey was conducted using a structured questionnaire, focusing on influencing factors on mode of child birth at Public and Private Health facilities. Both qualitative and quantitative research methods were followed in this study. This study will be conducted at public and private hospitals. Purposive sampling method was used for the study. Data were collected from Total 10 health facilities, five from public and five from private sector. Total 300 respondents were selected for the study. From private hospital 150 respondents and from public hospital 150 respondents were selected. Respondent group–Doctors, Nurses, FWVs, Midwives. Data were collected from primary and secondary sources. Primary Data were collected from the respondents of the study area. Secondary Data were collected from Books, Research Reports, Journals, Magazines, Annual Reports of Bangladesh Bureau of Statistics (BBS), Annual Reports of Bangladesh Medical Research Council, Websites of Ministry of Health and Family Planning Welfare of Peoples Republic of Bangladesh, Internet etc. Questionnaire was used for data collection. Primary Data were collected by face to face interview with the respondents. Secondary data were collected from reviewing of secondary sources. Mothers who were patients of child delivery and caesarean section due to pregnancy were included in this study. Patients except child delivery and caesarean section due to pregnancy were excluded in the study. Collected data were analyzed by using Computer Program Statistical Package for the Social Sciences (SPSS) version 16. Tables, graphs were made by using SPSS. The results of this study provide a better understanding of the prevalence and the factors influencing the choice of mode of delivery among childbearing women in Bangladesh. While age, level of education, and involvement in a health related profession influenced the decision made by the women in this study, the perceptions of the benefits and severity of the different modes of delivery were the most important considerations. There is also evidence that advice from health professionals plays an important role in the maternal decision on mode of birth. There is a need for comprehensive information on the benefits and severity of the different modes of delivery, instead of just the birth procedures. Women of childbearing age should have a right to receive comprehensive and unbiased information from health professionals so that they can make an informed choice on the mode of birth that is most suitable for them.

Child birth, Health Facilities, Caesarean section, vaginal delivery, postpartum haemorrhaging, Antenatal check up, Anemia status, Private Health facilities, Public Health facilities

"Factors Affecting mode of Child birth at Health Facilities in Bangladesh", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.10, Issue 5, page no.k36-k50, May-2023, Available :http://www.jetir.org/papers/JETIR2305A05.pdf

"Factors Affecting mode of Child birth at Health Facilities in Bangladesh", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.10, Issue 5, page no. ppk36-k50, May-2023, Available at : http://www.jetir.org/papers/JETIR2305A05.pdf