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An Uninformed Decision-Making Process for Cesarean Section

A Qualitative Exploratory Study among the Slum Residents of Dhaka City, Bangladesh

Bibliographic Data

ID15480819
AuthorsJesmin Sultana (0000-0003-4600-3568, International Centre for Diarrhoeal Disease Research, corresponding author), Ipsita Sutradhar (0000-0003-4747-7693, BRAC University), Musarrat Jabeen Rahman (0000-0002-9432-7164, Johns Hopkins University), Abdullah Nurus Salam Khan (0000-0002-8694-4349, International Centre for Diarrhoeal Disease Research), Mohiuddin Ahsanul Kabir Chowdhury (0000-0001-6551-5919, BRAC University), Enam Hasib (Family Health International, Dhaka 1212, Bangladesh), Charu Chhetri (0000-0003-2776-0547, Falck Global Assistance, Gurugram 122015, India), Sumiya Mahmud (0000-0002-4599-2192, Bangladesh Medical Research Council), S M Hasan Mahmud (Bangladesh National Nutrition Council, Mohakhali, Dhaka 1212, Bangladesh), Tahsin Kashem (Child Health Research Foundation), Sanjeev Kumar (0000-0002-9093-0185, Health Systems Transformation Platform, New Delhi 110070, India), Zaw Myint (Community Partners), Zaw Toe Myint (Health Systems Strengthening, Community Partners International, Yangon 11201, Myanmar), Mahbubur Rahman (0000-0003-0520-2683, Johns Hopkins University), Tarique Md Nurul Huda (0000-0002-9934-0739, International Centre for Diarrhoeal Disease Research), Shams El Arifeen (0000-0002-5372-5932, International Centre for Diarrhoeal Disease Research), Sk Masum Billah (0000-0002-8690-6932, The University of Sydney)
Year2022
Volume19
Issue3
Pages1465-1465
Publication date2022-01-27
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph19031465
PMID35162487
OpenAlexW4210713368
LanguageEN
Citations received1
References cited34

The decision-making process and the information flow from physicians to patients regarding deliveries through cesarean section (C-section) has not been adequately explored in Bangladeshi context. Here, we aimed to explore the extent of information received by mothers and their family members and their involvement in the decision-making process. We conducted a qualitative exploratory study in four urban slums of Dhaka city among purposively selected mothers ( n = 7), who had a cesarean birth within one-year preceding data collection, and their family members ( n = 12). In most cases, physicians were the primary decision-makers for C-sections. At the household level, pregnant women were excluded from some crucial steps of the decision-making process and information asymmetry was prevalent. All interviewed pregnant women attended at least one antenatal care visit; however, they neither received detailed information regarding C-sections nor attended any counseling session regarding decisions around delivery type. In some cases, pregnant women and their family members did not ask health care providers for detailed information about C-sections. Most seemed to perceive C-sections as risk-free procedures. Future research could explore the best ways to provide C-section-related information to pregnant women during the antenatal period and develop interventions to promote shared decision-making for C-sections in urban Bangladeshi slums

Context (archaeology · Environmental health · Exploratory research · Family medicine · Geography · Population · Psychological intervention · Qualitative research · Slum · Sociology · Global Maternal and Child Health · Maternal and Perinatal Health Interventions · Medicine · Nursing · Patient Satisfaction in Healthcare · Psychology

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  • Trends and projections of caesarean section rates

    Open Access•Ana Pilar Betran, Jiangfeng Ye et al.•BMJ Global Health•2021

  • Socio-demographic, health and institutional determinants of caesarean section among the poorest segment of the urban population

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Unique citing works1
Citations per year1
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 1

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