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Maternal Health, Neonatology and Perinatology

, 3:7

First Online: 21 March 2017Received: 23 September 2016Accepted: 04 March 2017DOI: 10.1186-s40748-017-0046-0

Cite this article as: Kibria, G.M.A., Ghosh, S., Hossen, S. et al. matern health, neonatol and perinatol 2017 3: 7. doi:10.1186-s40748-017-0046-0

Abstract

BackgroundThe presence of skilled birth attendants SBAs is crucial in childbirth to reduce the maternal mortality ratio MMR and to achieve the maternal mortality target of the United Nations’ Sustainable Development Goals SDGs. The aim of this study was to investigate the factors related to childbirths attended by SBAs in Bangladesh.

MethodsData from the Bangladesh Demographic and Health Survey 2014 BDHS were analyzed. Logistic regression was applied to calculate crude odds ratios CORs, adjusted odds ratios AORs, 95% confidence intervals CIs, and p-values.

ResultsIn Bangladesh, 35.9% of deliveries were attended by SBAs, and 44.2% of those women received at least one antenatal check-up by a skilled provider. The deliveries by SBAs were less than 50% of the total deliveries in all divisions, excluding Khulna. Known pregnancy complications AOR: 1.2; 95% CI: 1.1–1.4, higher level of education in both women AOR: 1.7; 95% CI: 1.2–2.3 and their husbands AOR: 1.8; 95% CI: 1.3–2.4, receiving antenatal care ANC by a skilled provider during the pregnancy period AOR: 1.5; 95% CI: 1.1–2.1, and higher wealth quintiles AOR: 3.4; 95% CI: 2.5–4.7 were all significantly associated with an increased likelihood of a delivery by SBAs p <0.05. In contrast, women living in rural areas AOR: 0.7; 95% CI: 0.6–0.8 and the Sylhet Division AOR: 0.4; 95% CI: 0.3–0.5 were less likely to be delivered by SBAs.

ConclusionsTo achieve the target of the Government of Bangladesh - 50% of deliveries to be attended by SBAs - it is important to increase ANC services and awareness programs in all seven divisions of Bangladesh. Special focus in rural areas is also required to meet this target. A new study should be conducted to explore the unexamined factors associated with the presence of SBAs during childbirth.

KeywordsMaternal mortality ratio Skilled birth attendants Factors Delivery Childbirth Bangladesh AbbreviationsANCAntenatal care

AORAdjusted odds ratio AOR

BBSBangladesh Bureau of Statistics

BDHSBangladesh Demographic and Health Survey

CIConfidence interval

CORCrude odds ratio COR

EAEnumeration areas

HPNSDPHealth, population and nutrition sector development program

MDGsMillennium development goals

MMRMaternal mortality ratio

MOHFWMinistry of Health and Family Welfare

OROdds ratio

SBASkilled birth attendant

SDGsSustainable development goals

WHOWorld Health Organization





Autor: Gulam Muhammed Al Kibria - Swagata Ghosh - Shakir Hossen - Rifath Ara Alam Barsha - Atia Sharmeen - S. M. Iftekhar Udd

Fuente: https://link.springer.com/







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