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All Journal Journal of Maternal and Child Health Health Dynamics
Hossain, Md. Altaf
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Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Rising Trends of Cesarean Section in Bangladesh: Associated Factors and Long-Term Complications on Health of Mother and Children Hossain, Md. Altaf; Jahan, Ishrat; Haque, Mohammad Mozibul; Sarwar, Nazmul; Yeasmin, Nilufa; Islam, Dilshad
Journal of Maternal and Child Health Vol. 7 No. 5 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (35.765 KB) | DOI: 10.26911/thejmch.2022.07.05.04

Abstract

Background: With taking into consideration of the high cesarean section (CS) rate, the objectives of this study were to ascertain factors associated with and point out metamorphose complications with high CS rates in Bangladesh. Subjects and Method: A cross-sectional study accounted for data collection from rural (196) and urban (241) women who gave birth to babies between 2005 and 2018 in Chattogram, Bangladesh. The study subjects were selected by using a systematic random sampling technique and the sample size was determined by using web-based Raosoft software. The delivery modes were dependent variables whereas influential factors and complications related to delivery were independent variables. The data were collected through face-to-face interviews using a pre-structured question­naire. The height and weight of the participants were measured by using a stadiometer and weighing machine respectively. Data analysis was done by using regression analysis. Results: The results divulged that mingling of relative influence and doctor’s profit-making tendency, obstetric factors, and demand from a family with higher socioeconomic status contributed to the recent increased cesarean rate in urban areas (41.5%). The distended abdomen in mothers (OR= 5.11, 95% CI= 2.98 to 8.76) was strongly associated with CS (p< 0.05), and back pain, and urinary incontinence were about one and half times higher in CS mothers. However, miscarriage and pelvic organ prolapse were associated with decreased risks of CS. Postnatal complications include cold fever (OR= 11.95, 95% CI= 7.02 to 20.35), and pneumonia (OR= 5.79; 95% CI= 2.71 to 12.36) were highly prevalent in children with cesarean delivery. Conclusion: Cesarean section has become alarmingly increased in urban rather than rural areas of Bangladesh in recent decays. Awareness-raising, doctor commitment, government policy, and strict monitoring of private health facilities are needed to control high rates of cesarean delivery. Keywords: cesarean delivery; vaginal delivery; demographic factors; obstetric factors; postpartum complications. Correspondence: Md. Altaf Hossain, Department of Animal Resources Science, Sunchon National University, Suncheon, Jeollanam-do, South Korea. Telephone: +8201098532108; Email: altaf@cvasu.ac.bd
Utilization of Pomegranate Peel Pectin as a Functional Ingredient for Nutritive Jelly Formulation: A Step Toward Healthier Processed Food Roy, Trishna; Yeasmin, Nilufa; Begum, Ayesha; Hossain, Md. Altaf; Haque, Mohammad Mozibul; Nishan, Kanij Fatema; Mamun, Md. Zia Uddin Al; Mahfuza, Anjum; Pomy, Sultana Jannat
Health Dynamics Vol 2, No 9 (2025): September 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20901

Abstract

Background: The growing prevalence of chronic diseases has increased interest in natural functional foods over synthetic alternative. Pomegranate peel pectin, a natural gelling agent with dietary fiber, bioactive substances that helps with better digestion, glycemic control and antioxidant defense. As a healthy substitute for commercial pectin, the current study aimed to extract pectin from pomegranate peel and assess its stability and functionality in jelly preparation. Methods: Pectin was extracted from pomegranate peel powder using citric acid. Fourier Transform Infrared (FT-IR) spectroscopy was used to investigate structural characteristics. Galacturonic acid, amidation, ash content, degree of methyl esterification, and water holding capacity of the extracted pectin were all measured. Pomegranate juice’s proximate composition was ascertained. Both commercial and extracted pectin were used to make the jellies, sweetened with sugar or honey and tested for proximate composition, fiber content, antioxidant activity, sensory quality, and microbiological safety while being stored. Results: The extracted pectin yield was 8.2%, with a high methoxyl content, 1.15% ash, and 235.25% water-holding capacity. Pomegranate juice contained 85.3% moisture, 10.5%, total sugars, 0.15g citric acid, 0.9g ascorbic acid, and 0.03g ash. Jellies made with extracted pectin showed similar sensory and proximate property to those made with commercial pectin. Fiber content increased in jellies with extracted pectin, particularly with honey. Microbial investigation found sugar-added jelly safe for two months and honey-added for three months when refrigerated. Conclusion: This study shows pomegranate peel pectin, a health promoting organic substitute for commercial pectin, can be effectively used in jelly formulation.
Co-Authors Begum, Ayesha Haque, Mohammad Mozibul Islam, Dilshad Jahan, Ishrat Mahfuza, Anjum Mamun, Md. Zia Uddin Al Nishan, Kanij Fatema Pomy, Sultana Jannat Roy, Trishna Sarwar, Nazmul Yeasmin, Nilufa