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Table 3 Prevalence of elective and emergency c-section deliveries and estimates from multivariable logistic regression analysis by background characteristics in Bangladesh, 2017–18

From: Prevalence and predictors of elective and emergency caesarean delivery among reproductive-aged women in Bangladesh: evidence from demographic and health survey, 2017–18

Background characteristics

Elective c-section

Emergency c-section

%

AOR [95% CI]

%

AOR [95% CI]

Women’s age (in years)

 15–19

12.1

Ref

18.4

Ref

 20–24

19.4

1.23(0.87 -1.73)

15.1

1.04(0.74 -1.44)

 25–29

19.3

0.83(0.53 -1.28)

12.2

1.43(0.91 -2.23)

 30–49

22.4

0.89(0.53 -1.50)

11.1

1.65(0.95 -2.86)

Women’s educational level

 Not educated

7.8

Ref

8.7

Ref

 Primary

9.1

0.86(0.48 -1.56)

8.8

0.71(0.40 -1.27)

 Secondary

18.5

1.03(0.58 -1.83)

15.6

0.63(0.36 -1.11)

 Higher

39.1

1.44(0.78 -2.69)

20.6

0.44**(0.24 -0.83)

Women’s work status

 Not working

21.5

Ref

15.8

Ref

 Working

13.8

0.59***(0.50 -0.68)

11.2

0.70**(0.59 -0.83)

Women’s Mass media exposure

 No Exposure

7.5

Ref

9.6

Ref

 Exposure

24.7

1.32**(1.02 -1.72)

16.5

0.94(0.72 -1.22)

Women’s Body Mass Index

 Underweight

13.0

1.06(0.79 -1.41)

12.7

0.92(0.69 -1.24)

 Normal

16.4

Ref

12.8

Ref

 Overweight or Obese

31.8

1.21(0.97 -1.51)

18.5

1.05(0.83 -1.33)

Partner’s education

 No Education

8.1

Ref

10.1

Ref

 Primary

10.9

0.99(0.66 -1.48)

11.2

0.75(0.5 -1.11)

 Secondary

19.7

1.10(0.73 -1.67)

15.6

0.72(0.48 -1.07)

 Higher

40.0

1.46(0.92 -2.32)

20.0

0.60(0.38 -1.05)

Partner’s occupation

 Unemployed

18.5

Ref

13.5

Ref

 Professional/Technical/Managerial

39.7

0.89(0.43 -1.86)

22.6

1.38(0.65 -2.93)

 Sales

24.0

1.39(0.69 -2.81)

13.7

0.81(0.39 -1.66)

 Agricultural

10.9

1.20(0.58 -2.47)

9.9

1.09(0.53 -2.25)

 Services

17.9

1.16(0.57 -2.38)

17.0

1.34(0.65 -2.75)

 Skilled And Unskilled

15.9

1.01(0.51 -2.01)

13.6

1.17(0.59 -2.35)

Women’s age at first birth (in years)

  < 18

12.6

Ref

12.2

Ref

 18–20

18.1

1.14(0.88 -1.47)

13.7

0.90(0.69 -1.18)

 21–24

27.6

1.58***(1.14 -2.2)

17.9

0.77(0.54 -1.1)

  > 25

46.1

2.75***(1.67 -4.55)

21.4

0.53**(0.31 -0.92)

Birth order

 First

18.8

Ref

21.5

Ref

 2nd order

23.2

2.58***(1.94 -3.43)

11.2

0.39***(0.29 -0.54)

 3 or more

13.5

2.67***(1.75 -4.05)

7.3

0.29***(0.18 -0.45)

ANC visits

 No visit

3.4

Ref

2.6

Ref

 1–3 visits

12.8

1.23(0.54 -2.81)

10.9

1.57(0.65 -3.77)

 4 or more

27.3

1.51(0.66 -3.47)

19.6

1.78(0.74 -4.3)

Multiple births

    

 Single

18.2

Ref

14.2

Ref

 Multiple

40.9

1.55(0.74 -3.25)

9.2

0.84(0.35 -1.99)

Place of delivery

 Public

18.9

Ref

16.3

Ref

 Private

45.3

2.91***(2.31 -3.65)

33.3

3.23***(2.5 -4.17)

Wealth quintile

 Poorest

6.0

Ref

7.0

Ref

 Poorer

10.6

1.12(0.74 -1.7)

11.7

1.22(0.82 -1.81)

 Middle

14.7

1.05(0.69 -1.59)

16.2

1.33(0.89 -2)

 Richer

22.9

1.22(0.8 -1.85)

15.3

0.99(0.65 -1.51)

 Richest

40.5

1.64**(1.04 -2.6)

21.0

1.09(0.68 -1.73)

Place of residence

 Urban

27.0

0.92(0.74 -1.15)

16.9

0.90(0.71 -1.13)

 Rural

15.7

Ref

13.1

Ref

Division

 Barisal

14.3

Ref

10.2

Ref

 Chittagong

15.1

0.62**(0.41 -0.93)

11.0

0.98(0.63 -1.52)

 Dhaka

25.6

0.95(0.64 -1.42)

17.1

1.17(0.76 -1.81)

 Khulna

23.7

0.91(0.61 -1.38)

19.0

1.32(0.85 -2.04)

 Mymensingh

13.7

0.91(0.58 -1.4)

12.3

1.31(0.83 -2.09)

 Rajshahi

18.7

0.81(0.53 -1.23)

16.9

1.29(0.83 -2.02)

 Rangpur

15.7

0.67(0.44 -1.04)

12.2

0.94(0.59 -1.5)

 Sylhet

12.6

0.86(0.55 -1.34)

10.0

1.27(0.79 -2.04)

  1. C-section Caesarean section, AOR Adjusted Odds Ratio, CI Confidence Interval; ***p < 0.001; **p < 0.05; ANC Ante-natal care, Ref Reference the logistic regression estimates are controlled for all the background characteristics