Socio-demographic Determinants of Caesarean Section Deliveries in India: Descriptive analysis of Cross-sectional data from National Family Health Survey

Authors

  • Pandurang Vithal Thatkar Postgraduate Institute, Yashwantrao Chavan Memorial Hospital, Pimpri, Pune, Maharashtra https://orcid.org/0000-0002-7838-8274
  • Mukesh Suresh Bawa Postgraduate Institute, Yashwantrao Chavan Memorial Hospital, Pimpri, Pune, Maharashtra https://orcid.org/0000-0001-7620-266X
  • Harshal Tukaram Pandve Postgraduate Institute
  • Atul Vilas Desale Postgraduate Institute, Yashwantrao Chavan Memorial Hospital, Pimpri, Pune, Maharashtra https://orcid.org/0000-0002-2571-8006
  • Rahul Bhagchand Chavan Postgraduate Institute, Yashwantrao Chavan Memorial Hospital, Pimpri, Pune, Maharashtra https://orcid.org/0000-0003-2388-8762

DOI:

https://doi.org/10.47203/IJCH.2024.v36i03.022

Keywords:

Caesarean Delivery, Socio Demographic Determinants, , India, NFHS

Abstract

Background: Increase in global rate of Caesarean deliveries poses significant public health concerns as it is associated with high costs and risks for maternal, new born health. In India understanding determinants of Caesarean deliveries is of paramount importance in order to prevent maternal and child health morbidity and mortality. Aims and Objective: To investigate the socio-demographic determinants of Caesarean deliveries in India using cross-sectional data from National Family Health Survey. Methodology: The present study is a cross-sectional record based study using data from National Family Health Survey conducted in India between 2019 and 2021. The primary outcome variable is Caesarean delivery, while predictors are socio-demographic and obstetric factors. Frequency analysis used for socio-demographic variables and binary logistic regression was used to determine the determinants of Caesarean deliveries among women in the reproductive age group. The analysis was done using IBM SPSS Statistics 26.0 Software. Results: The socio-demographic and obstetric factors like maternal age, residence, education, employment, BMI, Birth order, number of Antenatal visits, place of delivery, wealth index, and media exposure are associated with Caesarean delivery. Conclusions: The study provides insights into the factors influencing Caesarean deliveries rates among women in India.

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References

Tsegaye H, Desalegne B, Wassihun B, Bante A, fikadu kassahun, Debalkie M, et al. Prevalence and associated factors of caesarean section in Addis Ababa hospitals, Ethiopia. Pan Afr Med J. 2019 Nov 7;34:136.

World Health Organization. World Health Organization. Rates of caesarean section: analysis of global, regional and national estimates. Paediatr Perinat Epidemiol. 2007;21(2):98–113.

Rahman MM, Haider MR, Moinuddin M, Rahman AE, Ahmed S, Khan MM. Determinants of caesarean section in Bangladesh: Cross-sectional analysis of Bangladesh Demographic and Health Survey 2014 Data. PLOS ONE. 2018;13(9):e0202879.

Campbell OMR, Graham WJ, Lancet Maternal Survival Series steering group. Strategies for reducing maternal mortality: getting on with what works. Lancet Lond Engl. 2006;368(9543):1284–99.

Lumbiganon P, Laopaiboon M, Gülmezoglu AM, Souza JP, Taneepanichskul S, Ruyan P, et al. Method of delivery and pregnancy outcomes in Asia: the WHO global survey on maternal and perinatal health 2007–08. The Lancet. 2010;375(9713):490–9.

Mishra US, Ramanathan M. Delivery-related complications and determinants of caesarean section rates in India. Health Policy Plan. 2002;17(1):90–8.

Hobbs AJ, Mannion CA, McDonald SW, Brockway M, Tough SC. The impact of caesarean section on breastfeeding initiation, duration and difficulties in the first four months postpartum. BMC Pregnancy Childbirth. 2016;16(1):90.

World Health Organization Human Reproduction Programme, 10 April 2015. WHO Statement on caesarean section rates. Reprod Health Matters. 2015;23(45):149–50.

Christilaw JE. Cesarean section by choice: constructing a reproductive rights framework for the debate. Int J Gynaecol Obstet Off Organ Int Fed Gynaecol Obstet. 2006;94(3):262–8.

Main EK, Morton CH, Melsop K, Hopkins D, Giuliani G, Gould JB. Creating a public agenda for maternity safety and quality in cesarean delivery. Obstet Gynecol. 2012;120(5):1194–8.

Boerma T, Ronsmans C, Melesse DY, Barros AJD, Barros FC, Juan L, et al. Global epidemiology of use of and disparities in caesarean sections. Lancet Lond Engl. 2018;392(10155):1341–8.

Appendix C.pdf (Internet). (cited 2024 Jun 25). Available from: http://rchiips.org/Nfhs/NFHS-3%20Data/VOL-2/Appendix%20C.pdf

National Family Health Survey (Internet). (cited 2024 Jun 25). Available from: http://rchiips.org/nfhs/

Mohan P, Kumar R. Strengthening primary care in rural India: Lessons from Indian and global evidence and experience. J Fam Med Prim Care. 2019;8(7):2169–72.

Reddy B V, Desu SS, Aravindakshan R, Marimuthu Y. Factors Contributing to Rapidly Increasing Rates of Caesarean Section in Andhra Pradesh, India: A Case-Control Study. Cureus. 15(4):e37026.

Roy A, Paul P, Chouhan P, Rahaman M, Kapasia N. Geographical variability and factors associated with caesarean section delivery in India: a comparative assessment of Bihar and Tamil Nadu. BMC Public Health. 2021;21(1):1715.

Sreevidya S, Sathiyasekaran BWC. High caesarean rates in Madras (India): a population-based cross sectional study. BJOG Int J Obstet Gynaecol. 2003;110(2):106–11.

Das P, Samad N, Sapkota A, Al-Banna H, Rahman NAA, Ahmad R, et al. Prevalence and Factors Associated With Caesarean Delivery in Nepal: Evidence From a Nationally Representative Sample. Cureus (Internet). 2021;13(12): e20326

Manyeh AK, Amu A, Akpakli DE, Williams J, Gyapong M. Socioeconomic and demographic factors associated with caesarean section delivery in Southern Ghana: evidence from INDEPTH Network member site. BMC Pregnancy Childbirth. 2018;18(1):405.

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Published

2024-06-30

How to Cite

1.
Thatkar PV, Bawa MS, Pandve HT, Desale AV, Chavan RB. Socio-demographic Determinants of Caesarean Section Deliveries in India: Descriptive analysis of Cross-sectional data from National Family Health Survey. Indian J Community Health [Internet]. 2024 Jun. 30 [cited 2024 Nov. 23];36(3):469-77. Available from: http://iapsmupuk.org/journal/index.php/IJCH/article/view/2837

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