Analysis of socio-economic factors influencing caesarean section rates in Maharashtra, India

Rushikesh Premdas Khadse

doi:10.18203/2320-1770.ijrcog20240787

Authors

Rushikesh Premdas Khadse Department of Public Health and Mortality Studies, International Institute for Population Sciences, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20240787

Keywords:

C-section, Inequality, Regions, Maharashtra

Abstract

Background: The aim of the present study is to investigate the socio-demographic and economic determinants of caesarean (C-) section deliveries in Maharashtra. The paper also focuses to estimate inequalities in C-section deliveries in the state.

Methods: The fifth round of the National Family Health Survey (NFHS) 2019-21 was used to accomplish the objective. Univariate, bivariate and logistic regression were used to ascertain the determinants of C-section.

Results: The prevalence of C-section delivery in India rose from 2.9% during 1992-93 to 10.6% in 2005-06 and to 21.5% during 2019-21. The proportion of C-section delivery in Maharashtra during 2019-21 is observed to be 25.4%, with 18.3% of the deliveries occurring at public health facility, while 38.9% of the deliveries takes place in private health care settings. Women residing in urban areas, belonging to richer wealth asset index and having higher educational qualification are found to have greater chance of caesarean deliveries.

Conclusions: The study reveals that C-sections have increased dramatically in Maharashtra over the previous three decades. The hospital administration is encouraged to take effective actions to reduce the likelihood of needless C-sections while retaining medical justification for C-section births.

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References

Betran AP, Ye J, Moller AB, Souza JP, Zhang J. Trends and projections of caesarean section rates: Global and regional estimates. BMJ Glob Heal. 2021;6(6):1-8.

Sarngadharan RC, Vandana KR, Nandu KT. Rising Trend Of Caesarean Section : Review On The Determinants Of Cesarean Section Deliveries. Eur J Mol Clin Med. 2020;07(07):5904-9.

Mukherjee SN. Rising cesarean section rate. 2006;56(4):298-300.

Bhatia M, Dwivedi LK, Banerjee K, Dixit P. An epidemic of avoidable caesarean deliveries in the private sector in India: Is physician-induced demand at play? Soc Sci Med. 2020;265:113511.

Sahoo H, Jeermison RK. Repeated Caesarean Section delivery in India. Child Youth Serv Rev. 2020;116.

Vora KS, Koblinsky SA, Koblinsky MA. Predictors of maternal health services utilization by poor, rural women: a comparative study in Indian States of Gujarat and Tamil Nadu. J Health Popul Nutr. 2015;33:9.

Singh P, Hashmi G, Swain PK. High prevalence of cesarean section births in private sector health facilities- analysis of district level household survey-4 (DLHS-4) of India. BMC Public Health. 2018;18(1):613.

Bansod DW, Paswan B, Lhungdim H. Increasing trends of caesarean deliveries in india: does private sector contributes it? SSRN. 2018;1-19.

International Institute for Population Sciences. National Family Health Survey - 5 2019-21. Minist Heal Fam Welf Natl. 2020;361:2.

Verma V, Vishwakarma RK, Nath DC, Khan HTA, Prakash R, Abid O. Prevalence and determinants of caesarean section in South and South-East Asian women. PLoS One. 2020;15(3):1-15.

Yaya S, Uthman OA, Amouzou A, Bishwajit G. Disparities in caesarean section prevalence and determinants across sub-Saharan Africa countries. Glob Heal Res Policy. 2018;3(1):1-9.

Karim F, Ali NB, Khan ANS, Hassan A, Hasan MM, Hoque DME, et al. Prevalence and factors associated with caesarean section in four hard-to-reach areas of Bangladesh: Findings from a cross-sectional survey. PLoS One. 2020;15(6):1-16.

Simmons E, Lane K, Rao SR, Kurhe K, Patel A, Hibberd PL. Trends in cesarean section rates in private and public facilities in rural eastern Maharashtra, India from 2010-2017. PLoS One. 2021;16(8):1-12.

Singh SK, Vishwakarma D, Sharma SK. Prevalence and determinants of voluntary caesarean deliveries and socioeconomic inequalities in India: Evidence from National Family Health Survey (2015-16). Clin Epidemiol Glob Heal. 2020;8(2):335-42.

Mittal S, Pardeshi S, Mayadeo N, Mane J. Trends in Cesarean Delivery: Rate and Indications. J Obstet Gynecol India. 2014;64(4):251-4.

Srivastava S, Chaurasia H, Kumar Singh KJ, Chaudhary P. Exploring the spatial patterns of cesarean section delivery in India: Evidence from National Family Health Survey-4. Clin Epidemiol Glob Heal. 2020;8(2):414-22.

Meless MB, Geremew AB, Abebe SM. High prevalence of caesarean birth among mothers delivered at health facilities in Bahir Dar city, Amhara region, Ethiopia. A comparative study. PLoS One. 2020;15(4):1-15.