Assessment of Variation in Cesarean Delivery Rates Between Public and Private Health Facilities in India From 2005 to 2016

Abstract

Key Points Question Are private vs public sector health care facilities associated with increases in cesarean delivery rates among pregnant women in India over time, and what is the avoidable burden of cesarean deliveries in private sector facilities? Findings In this cross-sectional study of 217 976 births at public and private sector institutions in India between 2005 and 2016, the likelihood of having a cesarean delivery in a private facility more than doubled over the period examined. A reduction in the percentage of cesarean deliveries in the private sector to the World Health Organization’s recommended threshold of 15% was associated with a potential cost savings of approximately $321 million. Meaning The study’s findings indicated that private sector facilities were associated with increases in the rate of cesarean deliveries; it is important that policy makers address the increasing number of avoidable cesarean deliveries in India.

Caesarean section in pregnancies conceived by assisted reproductive technology: a systematic review and meta-analysis

“…The rates of caesarean section differ among these countries, with high-income countries, showing increased rates during the past three decades [ 54 ]. The type of health care system (public, private) is also associated with caesarean section rates, with private health systems cited as the most important structural factor in increased caesarean delivery [ 55 , 56 ]. These same factors are associated with access to ART, with documented widespread disparities in access to ART between countries, and between private and public health care systems [ 57 ].…”

Routine haemoglobin assay after uncomplicated caesarean sections

“…The World Health Organization recommends that the CS rate should not exceed 10–15% of all deliveries in any country [ 23 ]. The CS rate in most Middle East countries is < 15%, and the highest CS rates are reported in Egypt (26%) and Sudan (20%) [ 22 ].…”

“…In Europe, the CS rate varies from 52.2% in Cyprus to 14.8% in Iceland, and 24.6% in England. In addition, an increase in the CS rate was observed in China, India, Nepal, and Bangladesh [ 23 ].…”

What's the right time for dressing in a cesarean wound? Early versus late dressing removal in cesarean wound

“…Cesarean delivery (CD) is one of the most common procedures performed in the India, accounting for 30% of all deliveries [1] . In India the overall rate of cesarean section has increased from 8.5% to 17.2% [2] . The cesarean section is complicated by various complications which lead to increased morbidity, prolonged hospital stay, return to operating theatre and readmission rates.…”