Caesarean section rate in Nigeria between 2013 and 2018 by obstetric risk and socio‐economic status

Berglundh, Sofia; Beňová, Lenka; Olisaekee, Gladys; Hanson, Claudia

doi:10.1111/tmi.13579

Cited by 12 publications

(14 citation statements)

References 43 publications

(59 reference statements)

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“…Aside from the limited access to caesarean deliveries in SSA, there are vast within-country disparities in the use of caesarean deliveries, largely due to socio-economic and demographic inequalities [ 1 , 9 ] Factors such as maternal age, education, wealth, parity, number of antenatal care visits, religion, ethnicity, health insurance coverage, employment status, reproductive history, and place of residence contribute significantly to the use of caesarean deliveries in SSA [ 1 , 13 , 14 ] In Nigeria, for example, higher odds for caesarean delivery were observed among women with a higher number of antenatal care visits, higher educational attainment, multiple pregnancies, higher household wealth, and among Christians [ 14 ]. In Burundi, higher rates of caesarean deliveries were observed among wealthy women, those with higher educational levels, and those living in urban areas [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

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Rural–urban disparities in caesarean deliveries in sub-Saharan Africa: a multivariate non-linear decomposition modelling of Demographic and Health Survey data

Aboagye

Seidu

Okyere

et al. 2022

BMC Pregnancy Childbirth

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Introduction Globally, the rate of caesarean deliveries increased from approximately 16.0 million in 2000 to 29.7 million in 2015. In this study, we decomposed the rural–urban disparities in caesarean deliveries in sub-Saharan Africa. Methods Data for the study were extracted from the most recent Demographic and Health Surveys of twenty-eight countries in sub-Saharan Africa. We included 160,502 women who had delivered in health facilities within the five years preceding the survey. A multivariate non-linear decomposition model was employed to decompose the rural–urban disparities in caesarean deliveries. The results were presented using coefficients and percentages. Results The pooled prevalence of caesarean deliveries in the 28 countries considered in the study was 6.04% (95% CI = 5.21–6.88). Caesarean deliveries' prevalence was highest in Namibia (16.05%; 95% CI = 14.06–18.04) and lowest in Chad (1.32%; 95% CI = 0.91–1.73). For rural-urban disparities in caesarean delivery, the pooled prevalence of caesarean delivery was higher in urban areas (10.37%; 95% CI = 8.99–11.75) than rural areas (3.78%; 95% CI = 3.17-4.39) across the 28 countries. Approximately 81% of the rural–urban disparities in caesarean deliveries were attributable to the differences in child and maternal characteristics. Hence, if the child and maternal characteristics were levelled, more than half of the rural–urban inequality in caesarean deliveries would be reduced. Wealth index (39.2%), antenatal care attendance (13.4%), parity (12.8%), mother’s educational level (3.5%), and health insurance subscription (3.1%) explained approximately 72% of the rural–urban disparities in caesarean deliveries. Conclusion This study shows significant rural–urban disparities in caesarean deliveries, with the disparities being attributable to the differences in child and maternal characteristics: wealth index, parity, antenatal care attendance, mother’s educational level, and health insurance subscription. Policymakers in the included countries could focus and work on improving the socioeconomic status of rural-dwelling women as well as encouraging antenatal care attendance, women's education, health insurance subscription, and family planning, particularly in rural areas.

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Section: Introductionmentioning

confidence: 99%

“…Although previous studies have investigated rural–urban differences in the use of caesarean deliveries in SSA [ 3 , 4 , 10 , 14 ], most of these studies were conducted at the individual country level. Thus, there are limited multi-country analyses of rural–urban disparities in the use of caesarean deliveries in SSA.…”

Section: Introductionmentioning

confidence: 99%

Rural–urban disparities in caesarean deliveries in sub-Saharan Africa: a multivariate non-linear decomposition modelling of Demographic and Health Survey data

Aboagye

Seidu

Okyere

et al. 2022

BMC Pregnancy Childbirth

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“…We derived the CS rates in health facilities by dividing the overall CS rate by the percentage of deliveries in health facilities extracted from the 2006 and 2014 MICS [ 21 , 28 ]. Following Boerma et al method, we computed the average annual rates of increase (AARI) in CS rates, health facility deliveries, and CS deliveries in health facilities as ln (value in 2014/value in 2006)/8 years [ 3 ].…”

Section: Methodsmentioning

confidence: 99%

“…A number of studies from other developing countries, showed the rural-urban divide in the CS rates as well as difference by geographical regions and wealth [20][21][22][23][24]. The present study aimed to document the CS rate in Sudan at the national level, and assess its changing patterns over time, across geographical regions, area of residence, and wealth.…”

Section: Introductionmentioning

confidence: 93%

Caesarean section in Sudan: findings from nationwide household surveys on rates, trends, and geographic and sociodemographic variability

Abdel-Rahman

Thalib

Rayis

2022

BMC Pregnancy Childbirth

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Background Medically unjustifiable caesarean section (CS) deliveries have been rising rapidly in many developed countries over the last three decades. While many developing countries show rates beyond optimal levels, few poorer countries appear to have sub-optimal obstetric care in relation to essential surgeries. The objective of this study is to document the rates of CS delivery, its time trend, and geographic and sociodemographic variability in Sudan. Methods We utilized a number of Multiple Indicator Cluster Surveys (MICS) conducted in 2014, 2010, and 2006 to quantify CS rates per 1000 live births. We also documented absolute changes in rates over three-time points and variation in CS rates across geographic regions and areas of residence. Results Over a decade, CS rates in Sudan increased steadily from 4.3% in 2006 to 6.7% in 2010 and 9.1% in 2014. During this period, CS rates varied considerably across regions showing higher rates in the Northern region (7–25%) and lower rates in Darfur (2–3%). Urban areas experienced rapidly increasing rates (6–14%), while rural areas showed negligible changes to absolute CS rates over time (5–7%). We also found geographic regions, maternal age, maternal education, receiving antenatal care, and birth order of the child were important determinants of CS in Sudan. Conclusion Sudan may be facing a double burden of problems associated with surgical interventions for childbirth. While the wealthier parts of Sudan are experiencing a rapid surge in CS, some poor parts of rural Sudan may not be getting the essential surgical intervention for birth when mandated. Urgent improvement to obstetric care and the development of appropriate public health interventions that focus on regional disparities are warranted.

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“…This is undesirable, given the attending high level of maternal mortality arising from preventable causes of death in society. 27 – 29 …”

Section: Introductionmentioning

confidence: 99%

Belief towards caesarean section: A community based study of male partners in Ebonyi State, Nigeria

et al. 2023

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Introduction: Caesarean section is a surgical procedure used in delivering a baby by incising the abdomen and uterus of the mother. In a typical Nigerian culture, it is seen as a method to deliver a baby when the mother is not strong. Based on this premise, most men show a very negative attitude towards the procedure. This negative attitude may translate to a belief which might not be wholesome. Objectives: To assess the belief of male partners towards caesarean section. Methods: A sample of 400 male partners was investigated. The instrument used for data collection was a 22-item valid and reliable (α = 0.98) questionnaire developed by the researchers. The questionnaire was administered to the participants on face-to-face approach. Data were analysed using percentages, mean, standard deviation, analysis of variance, t-test and multiple regression analysis. Results: Results data showed that the male partners studied had negative beliefs towards caesarean section. Significant differences existed in the belief of the respondents towards caesarean section as it relates to their age, level of education, occupation, religion and location of residence ( p < 0.05). Using a stepwise multiple regression model, all the socio-demographic variables studied played out to be significant ( p < 0.05) predictors of belief towards the subject matter. Conclusion: The male partners have negative belief towards caesarean section and the personal characteristics of the subjects predicted their belief towards the subject matter. The existing phenomenon can be changed through health campaigns and education using healthcare workers and health educators.

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Caesarean section rate in Nigeria between 2013 and 2018 by obstetric risk and socio‐economic status

Cited by 12 publications

References 43 publications

Rural–urban disparities in caesarean deliveries in sub-Saharan Africa: a multivariate non-linear decomposition modelling of Demographic and Health Survey data

Rural–urban disparities in caesarean deliveries in sub-Saharan Africa: a multivariate non-linear decomposition modelling of Demographic and Health Survey data

Caesarean section in Sudan: findings from nationwide household surveys on rates, trends, and geographic and sociodemographic variability

Belief towards caesarean section: A community based study of male partners in Ebonyi State, Nigeria

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