Prevalence and determinants of caesarean section in Jamaica

Abstract

The prevalence and determinants of primary caesarean section in Jamaica were estimated from a survey of women aged 14-49 years. Among 2328 women reporting 2395 live hospital births during the period January 1984 to May 1989, the prevalence of caesarean section was 4 1 % . Repeat caesarean sections accounted for 1-3% of the hospital births during that period. Of the medical complications studied, prolonged labour and/or cephalopelvic disproportion carried the highest risks of primary caesarean section, followed by breech presentation, maternal diabetes, a high birth-weight baby, maternal hypertension, and a low birth-weight baby. The risk of primary caesarean section increased with maternal age, decreased with parity, was higher for urban than for rural residents, and was higher for births in private versus government hospitals.

Determinants of caesarean section in Egypt: evidence from the demographic and health survey

“…This was analysed by using several independent variables. Previous research suggests that women with medical complications near delivery are more likely to undergo c-section in order to improve their survival prospects as well as that of their newborns [22]. Thus, our primary independent variables included: long labour (more than 12 h), excessive bleeding around delivery, high fever/bad smelling vaginal discharge, multiple births and birth weight.…”

“…Older mothers are more prone to undergo c-section [23,24] because of complications during pregnancy and delivery and their tendency to have bigger babies [21,22,25]. However, even in the absence of complications, studies have reported higher tendency for c-section deliveries among older, especially primiparous women [24].…”

“…Parity is an important determinant of c-section. Low birth order mothers have been found to undergo c-section, explained mostly by their greater risk of pregnancy and delivery-related complications [21,22,25].…”

“…Antenatal care uptake was used to indicate greater utilization of services and high-risk pregnancies [21,25] and was chosen as an institutional variable. Place of delivery, denoting the nature of delivering facility, was used because studies have reported a strong, positive association between delivering in private hospitals/clinics and c-section rate [21,22,25]. Possible reasons for this association are varied, including the presence of near birth complications, preference for better quality care, the availability of the necessary medical technology for this surgical intervention, profitability, or all of these factors.…”

A Model Base Approach to Study the Age at First Cesarean Delivery in Uttar Pradesh, India

“…In addition, this study suggests that the distribution of female in cesarean cases according to their age at marriage/first birth in Uttar Pradesh can be described suitably by the Type I extreme value distribution, indicating that the model age at cesarean birth is quite low, which is itself responsible for reproductive complications. Webster et al, (1992) concluded that women with obstetrics complications near delivery are more likely to undergo CD in order to improve the survival prospects of their newborns and selves. Gould et al, 1989;Signorelli et al, 1995;Cnattingius et al, 1998; suggest some maternal factors (clinical) such as long labour (≥12 hours), fetal distress, multiple births, abdominal operation, length or weight of babies and so on were considered as primary independent variables in their respective studies.…”