PMID- 33652351
OWN - NLM
STAT- MEDLINE
DCOM- 20211028
LR  - 20211028
IS  - 1877-5764 (Electronic)
IS  - 1877-5756 (Linking)
VI  - 28
DP  - 2021 Jun
TI  - Increasing trend of C-section deliveries in India: A comparative analysis between 
      southern states and rest of India.
PG  - 100608
LID - S1877-5756(21)00015-X [pii]
LID - 10.1016/j.srhc.2021.100608 [doi]
AB  - OBJECTIVE: To examine the socio-demographic variations in overwhelming existence 
      of C-section deliveries in south India, with a comparison to rest of India. 
      METHODS: This study analyses data collected from 51,136 mothers under National 
      Family Health Survey (NFHS)-3 (2005-06) and 2,52,183 mothers under NFHS-4 
      (2015-16), those who have given births during last five years preceding the 
      survey. MAIN OUTCOME MEASURES: Descriptive statistics, bivariate analysis with 
      Chi-squared tests and binary logistic regression models with 95% confidence 
      intervals are used. RESULTS: In south India at least one out of four women 
      deliver through C-section and there was a notable rise in caesarean deliveries in 
      public facilities as well as among tribal population. In aggregate, number of 
      states exceeding 15% prevalence rate of C-section deliveries doubled to sixteen, 
      while nineteen states registered more than 100% rise. Rural-urban difference is 
      slim in south India, while likelihood for C-section deliveries for richest women 
      as compared to poorest has gone down from 2.76 to 1.88 in south India and 7.75 to 
      4.58 in other regions during 2005-06 to 2015-16. The odds ratio for C-section is 
      higher in private hospitals (3.26) of southern states with reference to public 
      institutions, while the odds are 3.90 times higher for private facilities in 
      other states. In south India, percentage of C-section deliveries were actually 
      lower among those who reported about pregnancy complications. CONCLUSIONS: 
      Despite, several maternal and child health related programs being launched in 
      India, their impact on improving the C-section scenario has remained microscopic, 
      or they have continued to contribute towards a rising prevalence of C-section, 
      especially in south India.
CI  - Copyright (c) 2021. Published by Elsevier B.V.
FAU - Sengupta, Angan
AU  - Sengupta A
AD  - Department of Management, Amrita Vishwa Vidyapeetham, Kasavanahalli, Off Sarjapur 
      Road, Bangalore 560035, Karnataka, India. Electronic address: 
      angan.and@gmail.com.
FAU - Sabastin Sagayam, Maria
AU  - Sabastin Sagayam M
AD  - Department of Management, Amrita Vishwa Vidyapeetham, Kasavanahalli, Off Sarjapur 
      Road, Bangalore 560035, Karnataka, India. Electronic address: 
      ssebastin@mites.amrita.edu.
FAU - Reja, Tamal
AU  - Reja T
AD  - Centre of Excellence on Public Health Nutrition, Department of Humanities and 
      Social Sciences, National Institute of Technology, Rourkela 769008, Odisha, 
      India.
LA  - eng
PT  - Journal Article
DEP - 20210224
PL  - Netherlands
TA  - Sex Reprod Healthc
JT  - Sexual & reproductive healthcare : official journal of the Swedish Association of 
      Midwives
JID - 101530546
SB  - IM
MH  - *Cesarean Section
MH  - Child
MH  - Female
MH  - *Hospitals, Private
MH  - Humans
MH  - India
MH  - Parturition
MH  - Pregnancy
MH  - Rural Population
OTO - NOTNLM
OT  - Caesarean section
OT  - India
OT  - Janani Suraksha Yojana
OT  - Private healthcare
OT  - Public facilities
EDAT- 2021/03/03 06:00
MHDA- 2021/10/29 06:00
CRDT- 2021/03/02 20:14
PHST- 2020/09/05 00:00 [received]
PHST- 2021/01/02 00:00 [revised]
PHST- 2021/02/18 00:00 [accepted]
PHST- 2021/03/03 06:00 [pubmed]
PHST- 2021/10/29 06:00 [medline]
PHST- 2021/03/02 20:14 [entrez]
AID - S1877-5756(21)00015-X [pii]
AID - 10.1016/j.srhc.2021.100608 [doi]
PST - ppublish
SO  - Sex Reprod Healthc. 2021 Jun;28:100608. doi: 10.1016/j.srhc.2021.100608. Epub 
      2021 Feb 24.