PMID- 35136786
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220501
IS  - 2249-4863 (Print)
IS  - 2278-7135 (Electronic)
IS  - 2249-4863 (Linking)
VI  - 10
IP  - 11
DP  - 2021 Nov
TI  - Changing scenario of C-section delivery in India: Understanding the maternal 
      health concern and its associated predictors.
PG  - 4182-4188
LID - 10.4103/jfmpc.jfmpc_585_21 [doi]
AB  - BACKGROUND: Caesarean section (C-section) delivery is a serious maternal health 
      concern in the long run. Notedly, there is a lack of studies dealing with 
      understanding the ways and reasons of C-section deliveries becoming a public 
      health issue in today's time in India and the measures to reduce the unnecessary 
      caesarean sections. We have conducted this study to study the changes in the 
      state-wise prevalence of C-section deliveries in India and understand C-section 
      delivery's socioeconomic and biomedical predictors. MATERIALS AND METHODS: The 
      study uses data from the fourth and fifth rounds of the National Family Health 
      Surveys (NFHS). The per cent differences in the C-section deliveries from NFHS-4 
      to NFHS-5 across the states were measured through relative changes. The 
      association between the C-section delivery and socioeconomic and biomedical 
      factors were assessed using multiple logistic regression. RESULTS: This study 
      revealed that the C-section deliveries are higher in the southern states than in 
      the other parts of India. Literacy plays a vital role in C-section deliveries. 
      The probabilities of C-section deliveries are more in 30-40 and 40 + years. The 
      women belonging to the median wealth index category were more likely (OR-CI, 1.62 
      [1.55-1.66]) to undergo the C-section followed by the women from wealthy 
      households (OR-CI, 1.46 [1.41-1.52]). CONCLUSION: The Government's health 
      policymakers should take the initiative to reduce the C-section section delivery 
      by means of building maternal health literacy and awareness among women and the 
      community so that its future implications can be minimised. It is crucial to 
      formulate a mandate and implement it in the states where C-sections are too high 
      through community health workers and primary care providers.
CI  - Copyright: (c) 2021 Journal of Family Medicine and Primary Care.
FAU - Roy, Nivedita
AU  - Roy N
AD  - Department of Implementation Research, Society for Applied Studies, 45, Vijay 
      Mandal Enclave, Kalu Sarai, New Delhi, India.
FAU - Mishra, Piyush Kumar
AU  - Mishra PK
AD  - Department of Community Medicine, Government Medical College, Khandwa, Madhya 
      Pradesh, India.
FAU - Mishra, Vijay Kumar
AU  - Mishra VK
AD  - Department of Research, Public Health Foundation of India, Plot. 47,Sector-44, 
      Institutional Area, Gurgaon, Haryana, India.
FAU - Chattu, Vijay Kumar
AU  - Chattu VK
AD  - Department of Medicine(University of Toronto, Canada) and Department of Public 
      Health (Saveetha University, India), Faculty of Medicine, University of Toronto, 
      ON, Canada.
FAU - Varandani, Souryakant
AU  - Varandani S
AD  - Department of Community Medicine, Government Medical College, Khandwa, Madhya 
      Pradesh, India.
FAU - Batham, Sonu Kumar
AU  - Batham SK
AD  - Department of Obstetrics & Gynaecology, Chhindwara Institute of Medical Sciences, 
      Chhindwara, Madhya Pradesh, India.
LA  - eng
PT  - Journal Article
DEP - 20211129
PL  - India
TA  - J Family Med Prim Care
JT  - Journal of family medicine and primary care
JID - 101610082
PMC - PMC8797113
OTO - NOTNLM
OT  - C-section
OT  - maternal health
OT  - multiple logistic regression
OT  - out-of-pocket expenditure
OT  - private health facility
OT  - socio-economic status
COIS- There are no conflicts of interest.
EDAT- 2022/02/10 06:00
MHDA- 2022/02/10 06:01
PMCR- 2021/11/01
CRDT- 2022/02/09 05:56
PHST- 2021/03/27 00:00 [received]
PHST- 2021/07/12 00:00 [revised]
PHST- 2021/07/16 00:00 [accepted]
PHST- 2022/02/09 05:56 [entrez]
PHST- 2022/02/10 06:00 [pubmed]
PHST- 2022/02/10 06:01 [medline]
PHST- 2021/11/01 00:00 [pmc-release]
AID - JFMPC-10-4182 [pii]
AID - 10.4103/jfmpc.jfmpc_585_21 [doi]
PST - ppublish
SO  - J Family Med Prim Care. 2021 Nov;10(11):4182-4188. doi: 
      10.4103/jfmpc.jfmpc_585_21. Epub 2021 Nov 29.