Socioeconomic Determinants of Cesarean Delivery Decisions: Evidence from Bangladesh

• In Event: 50260 - Section on Asia and Asian America Roundtables
  In Refereed Roundtable (90 minute): Table 4: Health and Mental Health Across Migrant and Asian Communities

Abstract

Cesarean delivery rates are rising globally, particularly in developing countries, raising concerns about overuse and associated risks. This study investigates socioeconomic factors influencing C-section decisions in Bangladesh using 2022 Demographic and Health Survey data. Logistic regression analysis of 5,186 births revealed that higher household income (p < 0.01) and urban residence (p < 0.05) significantly increase C-section likelihood. While maternal education was not significant, media exposure (newspapers, radio, television) strongly correlated with increased C-section likelihood (p < 0.01), suggesting its influence on childbirth perceptions. Prior C-section history was the strongest predictor (p < 0.001). These findings highlight the need for targeted health education, balanced media campaigns, and improved access to VBAC counseling. Addressing socioeconomic disparities and provider-driven factors is crucial for reducing unnecessary C-sections and improving maternal outcomes.

Authors

• Samira Rahman, University of Oklahoma

• Md Jabir Rahman, Oklahoma City University