Study of sociodemographic factors of women undergoing caesarean section in tertiary care centre of rural area of central India
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20195315Keywords:
Caesarean section, Central India, Rural area, Socio-demographic factorsAbstract
Background: Many studies have attempted to examine and evaluate the changes in population characteristics that may have contributed to the observed increase in CS rate. The aim of this study was to determine the caesarean section rate and demographic characteristics of women undergoing caesarean section in our rural tertiary health centre of central India.
Methods: This prospective study was conducted in department of obstetrics and gynecology. The study instrument comprised a pre-structured data collection proforma which had various sections; social demographic characteristics, obstetric history and gestation details.
Results: The overall caesarean section rate (CSR) was 36.88%. Maximum women (39.62%) who underwent Caesarean section were of age group 25-29 years. 58.05% from rural while 41.95% from urban area. CS was more in women of lower middle (22.80%) and upper lower (20.80%) class. Majority of women who had caesarean section were educated till higher school (31.87%) or were graduate (22.61%), 5.85% were illiterate. Majority of women (56.40%) were housewives. CSR was 70.83% in referred and 28.31% in booked. 52.86% women were nulliparous. Caesarean section was maximum (83%) in term, 16.92% preterm women and 0.08% post term women. 38.69% were referred from other health facilities. Maximum referrals 43.21% were from the district hospital.
Conclusions: It was noted that the preference for caesarean section is more in women of 25-29 years, lower middle and upper middle class, rural women, educated upto high school and housewives at our centre. This hospital also serves as referral centre from surrounding health facilities increasing the caesarean section rate of the institute.
References
Betrán AP, Gulmezoglu AM, Robson M, Merialdi M, Souza JP, Wojdyla D, et al. WHO global survey on maternal and perinatal health in Latin America: classifying caesarean sections. Repro Health. 2009;6(1):18.
Lauer JA, Betrán AP. Decision aids for women with a previous caesarean section. BMJ. 2007;334(7607):1281-2.
Arrieta A. Health reform and caesarean sections in the private sector: the experience of Peru. Health Policy. 2011:99.
Mukherjee S, Rising cesarean section rate. J Obstet Gynecol India. 2006;56(4):298-300.
Radhakrishnan T, Vasanthakumari KP, Babu PK. Increasing trend of caesarean rates in India: Evidence from NFHS-4. JMSCR. 2017;5(8):26167-76.
Betrán AP, Ye J, Moller AB, Zhang J, Gülmezoglu AM, Torloni MR. The increasing trend in caesarean section rates: global, regional and national estimates: 1990-2014. PloS one. 2016;11(2):e0148343.
Naeem M, Khan MZ, Abbas SH, Khan A, Adil M, Khan MU. Rate and indications of elective and emergency caesarean section; a study in a tertiary care hospital of Peshawar. J Ayub Med College Abbottabad. 2015;27(1):151-4.
Daniel S, Viswanathan M, Simi BN, Nazeema A. Comparison of fetal outcomes of emergency and elective caesarean sections in a teaching hospital in Kerala. Acad Med J India. 2014;2(1):32-6.
Parrish KM, Holt VL, Easterling TR, Connell FA, LoGerfo JP. Effect of changes in maternal age, parity, and birth weight distribution on primary cesarean delivery rates. JAMA. 1994;271(6):443-7.
Peipert JF, Bracken MB. Maternal age: an independent risk factor for cesarean delivery. Obstet Gynecol. 1993;81(2):200-5.
Ecker JL, Chen KT, Cohen AP, Riley LE, Lieberman ES. Increased risk of cesarean delivery with advancing maternal age: indications and associated factors in nulliparous women. Am J Obstet Gynecol. 2001;185(4):883-7.
Kozinszky Z, Orvos H, Zoboki T, Katona M, Wayda K, Pál A, et al. Risk factors for cesarean section of primiparous women aged over 35 years. Acta Obstet et Gynecol Scandinavica. 2002;81(4):313-6.
Hong X. Factors related to the high cesarean section rate and their effects on the" price transparency policy" in Beijing, China. The Tohoku J Exp Med. 2007;212(3):283-98.
Collin SM, Anwar I, Ronsmans C. A decade of inequality in maternity care: antenatal care, professional attendance at delivery, and caesarean section in Bangladesh (1991-2004). Int J Equity Health. 2007;6(1):9.
Kaur J, Singh S, Kaur K. Current trend of caesarean sections and vaginal births. Adv Applied Sci Res. 2013;4(4):196-202.
Leeb K, Baibergenova A, Wen E, Webster G, Zelmer J. Are there socio-economic differences in caesarean section rates in Canada?. Healthcare Policy. 2005;1(1):48.
Gupta A. Levels and socio-economic determinants of caesarean section delivery in Northeast and EAG States of India. In Selected Papers of Bhopal Seminar 2015. 2016:91.
Barbosa GP, Giffin K, Angulo-Tuesta A, Gama AD, Chor D, D’Orsi E, Reis AC. Parto cesáreo: quem o deseja? Em quais circunstâncias?. Cadernos de Saúde Pública. 2003;19:1611-20.
Kambo I, Bedi N, Dhillon BS, Saxena NC. A critical appraisal of cesarean section rates at teaching hospitals in India. Int J Gynecol Obstet. 2002;79(2):151-8.
Roberts CL, Algert CS, Ford JB, Todd AL, Morris JM. Pathways to a rising caesarean section rate: a population-based cohort study. BMJ open. 2012;2(5):e001725.