Trends and determinants of increasing caesarean sections from 2010 to 2013 in a prospective population-based registry in eastern rural Maharashtra, India.

ABSTRACT:

Objective

Our objective was to describe trends in caesarean section (CS) rates, characteristics of women delivering by CS, reasons for CS and impact of CS on perinatal mortality, in a rural Indian population.

Design

Secondary data analysis using a prospective population-based registry.

Setting

Four districts in Eastern Maharashtra, India, 2010 to 2013.

Participants

39 026 pregnant women undergoing labour and delivery.

Main outcomes

CS, single most likely reason, perinatal mortality.

Results

Overall, 20% of the women delivered by CS. Rates increased from 17.4% in 2010 to 22.7% in 2013 (p<0.001) with an absolute risk increase from 1% to 5% during this time-period. Women aged 25+ years old, being nulliparous, having at least a secondary school educat

SUBMITTER: Patel A 

PROVIDER: S-EPMC6687025 | biostudies-literature | 2019 Aug

REPOSITORIES: biostudies-literature