K C Prakash1, Subas Neupane. 1. School of Health Sciences, University of Tampere, 33014, Tampere, Finland, prakash.kc@uta.fi.
Abstract
OBJECTIVES: To examine the most recent trends of cesarean delivery in Nepal and the association with socio-demographic characteristics of mothers. METHODS: Nationally representative cross-sectional data was used from three Demographic and Health Surveys conducted in Nepal in 2001 (N = 4,745), 2006 (N = 4,066) and 2011 (N = 4,148). Cesarean section delivery was measured in two categories with yes and no responses for the delivery in their latest pregnancy. Data on socio-demographic variables was obtained by interviewing the participants. The data was analysed using logistic regression models. RESULTS: The prevalence of cesarean section delivery was increased by more than 4 times from 2001 to 2011 both among rural and urban residents. After adjusting for mother's age, number of births in last 5 years and mother's education the prevalence of cesarean section delivery among all mothers was 1.71 times higher in 2006 (OR = 1.71, 95 % CI 1.23-2.37) and increased further in 2011 (OR = 2.42, 95 % CI 1.78-3.30) compared with year 2001. When adjusted for all the variables simultaneously, all variables except births in last 5 years remained significantly associated with cesarean section delivery of the mother. Older age, urban resident, being educated, having educated partners and being rich according to wealth index were associated with cesarean section delivery. CONCLUSIONS: The prevalence of cesarean section delivery continues to rise but still lower than the World Health Organization recommended rates. More studies are needed to examine the non-medical reason of increasing rates of cesarean section deliveries and their effect in maternal and infant morbidity and mortality in Nepal.
OBJECTIVES: To examine the most recent trends of cesarean delivery in Nepal and the association with socio-demographic characteristics of mothers. METHODS: Nationally representative cross-sectional data was used from three Demographic and Health Surveys conducted in Nepal in 2001 (N = 4,745), 2006 (N = 4,066) and 2011 (N = 4,148). Cesarean section delivery was measured in two categories with yes and no responses for the delivery in their latest pregnancy. Data on socio-demographic variables was obtained by interviewing the participants. The data was analysed using logistic regression models. RESULTS: The prevalence of cesarean section delivery was increased by more than 4 times from 2001 to 2011 both among rural and urban residents. After adjusting for mother's age, number of births in last 5 years and mother's education the prevalence of cesarean section delivery among all mothers was 1.71 times higher in 2006 (OR = 1.71, 95 % CI 1.23-2.37) and increased further in 2011 (OR = 2.42, 95 % CI 1.78-3.30) compared with year 2001. When adjusted for all the variables simultaneously, all variables except births in last 5 years remained significantly associated with cesarean section delivery of the mother. Older age, urban resident, being educated, having educated partners and being rich according to wealth index were associated with cesarean section delivery. CONCLUSIONS: The prevalence of cesarean section delivery continues to rise but still lower than the World Health Organization recommended rates. More studies are needed to examine the non-medical reason of increasing rates of cesarean section deliveries and their effect in maternal and infant morbidity and mortality in Nepal.
Authors: Mizuki Takegata; Carine Ronsmans; Hien Anh T Nguyen; Noriko Kitamura; Chihiro Iwasaki; Michiko Toizumi; Hiroyuki Moriuchi; Duc Anh Dang; Lay-Myint Yoshida Journal: Trop Med Health Date: 2020-07-10
Authors: Adeline Adwoa Boatin; Anne Schlotheuber; Ana Pilar Betran; Ann-Beth Moller; Aluisio J D Barros; Ties Boerma; Maria Regina Torloni; Cesar G Victora; Ahmad Reza Hosseinpoor Journal: BMJ Date: 2018-01-24