Prevalence and determinants of caesarean section in an urban slum
Journal Title: Medpulse International Journal of Community Medicine - Year 2017, Vol 2, Issue 1
Abstract
Background: World Health Organization (WHO) stated: "There is no justification for any region to have caesarean section rates higher than 15%”. Caesarean sections have become increasingly common in both developed and developing countries for a variety of reasons. This study aims to assess prevalence and determinants of caesarean section as a mode of delivery. Method: The present study was community based cross sectional study, carried out in an urban slum area of a Metropolitan city during 2013 – 2015. Study population comprises of women who have delivered a child in last five years in an urban slum of metropolitan city. 400 women were interviewed using structured questionnaire. Results: In the current study the prevalence of caesarean section was 24.5%. Elective caesarean sections deliveries were 41.83% and 58.87% were emergency caesarean sections deliveries. Previous caesarean section was an indication of current caesarean section in 25.5% of total caesarean section cases. Caesarean sections were found to be more common in women < 20 years age and women > 30 years .Independent significant risk factors after Logistic regression were, maternal age at delivery between 21 years to 30 years, education of mothers of secondary as well as higher secondary and above level, education of father of secondary level and maternal height. Place of delivery (i.e. public/privet hospital) was not significantly associated with higher rates of caesarean section as mode of delivery. Conclusion: This study found higher rate of caesarean section due to various medical as well as socioeconomic reason
Authors and Affiliations
Sanjay N Sid, Ranjit Mankeshwar
Keywords
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