Factors associated with the place of delivery among ever-married women in Bangladesh : A secondary analysis of the Bangladesh Demographic and Health Survey, 2014

Sammanfattning: Abstract Background: Although the maternal mortality ratio has dropped globally, the ratio is still unacceptably high in many low and lower-middle-income countries, like Bangladesh. Maternal deaths can occur from preventable complications due to pregnancy and childbirth. Delivery at a health institution was proven to be one of the key interventions to minimize maternal mortality. This study aimed at investigating the associations between the socio-demographic and healthcare-related factors, and the place of delivery among ever-married women of reproductive age in Bangladesh.  Methods: A population-based cross-sectional study was conducted with 4487 ever-married women, aged 15-49 years. Data were extracted from the 2014 Bangladesh Demographic and Health Survey. To investigate the associations, multivariate logistic regression was performed.   Results: Of the 4487 ever-married women, 1794 (40%) gave birth by institutional delivery. Multivariate logistic regression showed that wealthier women, attending secondary or above education levels, and whose husbands had primary or above education were more likely to deliver at health institutions. Women who received counselling about danger signs and attended at least one or more ANC visits during pregnancy had higher odds of institutional delivery. Women living in rural areas, following Islam religion, and who were currently working were less likely to deliver at health institutions. Conclusion: The current study revealed that the socio-demographic and healthcare-related factors were associated with the place of delivery among ever-married women of reproductive age in Bangladesh.