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Article

An Uninformed Decision-Making Process for Cesarean Section: A Qualitative Exploratory Study among the Slum Residents of Dhaka City, Bangladesh

1
Infectious Diseases Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Mohakhali, Dhaka 1212, Bangladesh
2
BRAC James P Grant School of Public Health, BRAC University, Dhaka 1213, Bangladesh
3
International Health, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe St Suite E8527, Baltimore, MD 21205, USA
4
Maternal and Child Health Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Mohakhali, Dhaka 1212, Bangladesh
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Family Health International, Dhaka 1212, Bangladesh
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Falck Global Assistance, Gurugram 122015, India
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Bangladesh National Nutrition Council, Mohakhali, Dhaka 1212, Bangladesh
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Bangladesh Palliative and Supportive Care Foundation, Dhaka 1212, Bangladesh
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Health Systems Transformation Platform, New Delhi 110070, India
10
Health Systems Strengthening, Community Partners International, Yangon 11201, Myanmar
11
Sydney School of Public Health, The University of Sydney, Sydney, NSW 2006, Australia
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2022, 19(3), 1465; https://doi.org/10.3390/ijerph19031465
Received: 6 November 2021 / Revised: 6 January 2022 / Accepted: 22 January 2022 / Published: 27 January 2022
(This article belongs to the Collection Women's Reproductive and Maternal Health)
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. View Full-Text
Keywords: cesarean section; decision-making process; shared decision-making; information asymmetry; Bangladesh cesarean section; decision-making process; shared decision-making; information asymmetry; Bangladesh
MDPI and ACS Style

Sultana, J.; Sutradhar, I.; Rahman, M.J.; Khan, A.N.S.; Chowdhury, M.A.K.; Hasib, E.; Chhetri, C.; Mahmud, S.M.H.; Kashem, T.; Kumar, S.; Myint, Z.T.; Rahman, M.; Huda, T.M.N.; Arifeen, S.E.; Billah, S.M. An Uninformed Decision-Making Process for Cesarean Section: A Qualitative Exploratory Study among the Slum Residents of Dhaka City, Bangladesh. Int. J. Environ. Res. Public Health 2022, 19, 1465. https://doi.org/10.3390/ijerph19031465

AMA Style

Sultana J, Sutradhar I, Rahman MJ, Khan ANS, Chowdhury MAK, Hasib E, Chhetri C, Mahmud SMH, Kashem T, Kumar S, Myint ZT, Rahman M, Huda TMN, Arifeen SE, Billah SM. An Uninformed Decision-Making Process for Cesarean Section: A Qualitative Exploratory Study among the Slum Residents of Dhaka City, Bangladesh. International Journal of Environmental Research and Public Health. 2022; 19(3):1465. https://doi.org/10.3390/ijerph19031465

Chicago/Turabian Style

Sultana, Jesmin, Ipsita Sutradhar, Musarrat Jabeen Rahman, Abdullah Nurus Salam Khan, Mohiuddin Ahsanul Kabir Chowdhury, Enam Hasib, Charu Chhetri, S. M. Hasan Mahmud, Tahsin Kashem, Sanjeev Kumar, Zaw Toe Myint, Mahbubur Rahman, Tarique Md. Nurul Huda, Shams El Arifeen, and Sk Masum Billah. 2022. "An Uninformed Decision-Making Process for Cesarean Section: A Qualitative Exploratory Study among the Slum Residents of Dhaka City, Bangladesh" International Journal of Environmental Research and Public Health 19, no. 3: 1465. https://doi.org/10.3390/ijerph19031465

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