Comparative Study on Caesarian and Normal Vaginal Delivery, Rajshahi Division, Bangladesh

Background: One of the most important public health concerns is the marked rise in the number of caesarean sections (CS). The World Health Organization advises against CS rates that are more than 10% and lower than 5% since both of these ranges have the potential to negatively impact the health of expectant mothers and newborns. Objective: The study aimed to investigate influencing factors for selective CS among pregnant mothers and to determine the association for selective CSamong mothers with selected socio-economic characteristics in Rajshahi Division, Bangladesh. Methodology: It was a cross-sectional study was conducted. In this study, data were collected July 2024. A semi structured questionnaire was used for collecting data, a total number of 393 delivery mothers were participated in Rajshahi Division, Bangladesh. A descriptive analysis, the chi-square test, and binary logistic regression model were utilized in the present study. Results: The prevalence of lower educated mothers with normal vigilant delivery (NVD) and CS delivery was 59% and 41%, respectively, and Naogaon district mothers delivered their child by cesarian section compared to other districts in Bangladesh. The women ≥30 years old (AOR = 74.934; 95% CI: 12.831-437.613) were more likely to have preferred CS delivery compared to younger women, and these factors were statistically significant (p<0.01). The educated subjects (AOR = 83.469; 95% CI: 2.554–2727.394) were more likely to have preferred CS delivery compared to their lower educated counterparts, and these factors were statistically significant (p<0.05). Conclusions: The study revealed that a large number of women preferred CS deliveryespecially higher educated women were mostly. The main reasons for choosing CS were to take advantage of certain socioeconomic and demographic variables, ensure the safety of both mothers and their infants. This study strongly recommended health education. sessions, especially in electronic and print media, about the disadvantages of CS delivery.