Factors associated with caesarean deliveries among child-bearing women in Pakistan: secondary analysis of data from the Demographic and Health Survey, 2012-13

Amjad A, Amjad U, Zakar R, Usman A, Zakar MZ, Fischer F (2018)
BMC Pregnancy and childbirth 18(18): 113.

Zeitschriftenaufsatz | Veröffentlicht | Englisch
 
Download
OA 572.25 KB
Autor*in
Amjad, Aaisha; Amjad, Uzair; Zakar, Rubeena; Usman, Ahmed; Zakar, Muhammad Zakria; Fischer, FlorianUniBi
Abstract / Bemerkung
Background: The increasing rate of caesarean deliveries has become a serious concern for public health experts globally. Various medical and non-medical factors, such as maternal socio-demographics, are found to be responsible for this upsurge. Like in other countries, the rate of caesarean sections has increased in Pakistan as well. Therefore, there is a need to investigate the factors behind this increase. This study aims to assess the determinants associated with caesarean deliveries among child-bearing women aged 15-49 years in Pakistan. Methods: Secondary data analysis was conducted on nationally representative cross-sectional survey data from the Pakistan Demographic and Health Survey, 2012-2013. The analysis was limited to mothers aged 15-49 years, who had given birth to at least one child during the 5 years immediately preceding the survey (n = 7461). Maternal socio-demographic characteristics and pregnancy-related variables, including antenatal care utilisation, place of delivery and pregnancy complications were considered as independent variables. The association between caesarean section deliveries (outcome variable) and its determinants was assessed by calculating unadjusted and adjusted odds ratios with 95% confidence intervals using a multivariable binary logistic regression. Results: Of the women who had given birth to at least one child during the previous 5 years, the percentage of mothers who delivered their babies through caesarean section was found to be 13.6%. The likelihood of caesarean deliveries was associated with mothers aged more than 24 years, women residing in Punjab province, women belonging to the richest class, women with higher education, women employed at professional/managerial/technical level, and women residing in an urban setting. Additionally, the women who had pregnancy complications, a high utilisation of antenatal care and delivered their babies in private hospitals were found to have higher chances of caesarean deliveries. Conclusions: The study revealed that there are a high percentage of women delivering babies through caesarean section in Pakistan. Therefore, strict measures need to be taken to deal with this concern. For example, detailed medical justifications by doctors for performing caesarean sections and awareness among women regarding the reduction of pregnancy complications can help to reduce the chances of malpractice related to caesarean deliveries.
Stichworte
Caesarean delivery; Vaginal delivery; Pregnancy complication; Antenatal; visit
Erscheinungsjahr
2018
Zeitschriftentitel
BMC Pregnancy and childbirth
Band
18
Ausgabe
18
Art.-Nr.
113
ISSN
1471-2393
Finanzierungs-Informationen
Open-Access-Publikationskosten wurden durch die Deutsche Forschungsgemeinschaft und die Universität Bielefeld gefördert.
Page URI
https://pub.uni-bielefeld.de/record/2920331

Zitieren

Amjad A, Amjad U, Zakar R, Usman A, Zakar MZ, Fischer F. Factors associated with caesarean deliveries among child-bearing women in Pakistan: secondary analysis of data from the Demographic and Health Survey, 2012-13. BMC Pregnancy and childbirth. 2018;18(18): 113.
Amjad, A., Amjad, U., Zakar, R., Usman, A., Zakar, M. Z., & Fischer, F. (2018). Factors associated with caesarean deliveries among child-bearing women in Pakistan: secondary analysis of data from the Demographic and Health Survey, 2012-13. BMC Pregnancy and childbirth, 18(18), 113. doi:10.1186/s12884-018-1743-z
Amjad, Aaisha, Amjad, Uzair, Zakar, Rubeena, Usman, Ahmed, Zakar, Muhammad Zakria, and Fischer, Florian. 2018. “Factors associated with caesarean deliveries among child-bearing women in Pakistan: secondary analysis of data from the Demographic and Health Survey, 2012-13”. BMC Pregnancy and childbirth 18 (18): 113.
Amjad, A., Amjad, U., Zakar, R., Usman, A., Zakar, M. Z., and Fischer, F. (2018). Factors associated with caesarean deliveries among child-bearing women in Pakistan: secondary analysis of data from the Demographic and Health Survey, 2012-13. BMC Pregnancy and childbirth 18:113.
Amjad, A., et al., 2018. Factors associated with caesarean deliveries among child-bearing women in Pakistan: secondary analysis of data from the Demographic and Health Survey, 2012-13. BMC Pregnancy and childbirth, 18(18): 113.
A. Amjad, et al., “Factors associated with caesarean deliveries among child-bearing women in Pakistan: secondary analysis of data from the Demographic and Health Survey, 2012-13”, BMC Pregnancy and childbirth, vol. 18, 2018, : 113.
Amjad, A., Amjad, U., Zakar, R., Usman, A., Zakar, M.Z., Fischer, F.: Factors associated with caesarean deliveries among child-bearing women in Pakistan: secondary analysis of data from the Demographic and Health Survey, 2012-13. BMC Pregnancy and childbirth. 18, : 113 (2018).
Amjad, Aaisha, Amjad, Uzair, Zakar, Rubeena, Usman, Ahmed, Zakar, Muhammad Zakria, and Fischer, Florian. “Factors associated with caesarean deliveries among child-bearing women in Pakistan: secondary analysis of data from the Demographic and Health Survey, 2012-13”. BMC Pregnancy and childbirth 18.18 (2018): 113.
Alle Dateien verfügbar unter der/den folgenden Lizenz(en):
Copyright Statement:
Dieses Objekt ist durch das Urheberrecht und/oder verwandte Schutzrechte geschützt. [...]
Volltext(e)
Access Level
OA Open Access
Zuletzt Hochgeladen
2019-09-06T09:18:59Z
MD5 Prüfsumme
6b2ca8afd1986e1177ae001e731516ee


Zitationen in Europe PMC

Daten bereitgestellt von Europe PubMed Central.

34 References

Daten bereitgestellt von Europe PubMed Central.


AUTHOR UNKNOWN, 0

AUTHOR UNKNOWN, 0
Prevalence and determinants of caesarean section in private and public health facilities in underserved South Asian communities: cross-sectional analysis of data from Bangladesh, India and Nepal.
Neuman M, Alcock G, Azad K, Kuddus A, Osrin D, More NS, Nair N, Tripathy P, Sikorski C, Saville N, Sen A, Colbourn T, Houweling TA, Seward N, Manandhar DS, Shrestha BP, Costello A, Prost A., BMJ Open 4(12), 2014
PMID: 25550293

AUTHOR UNKNOWN, 0
Pregnant women view regarding cesarean section in Northwest Pakistan
Qazi Q, Akhtar Z, Khan K, Khan AH., 2013

AUTHOR UNKNOWN, 0
Delivery-related complications and determinants of caesarean section rates in India.
Mishra US, Ramanathan M., Health Policy Plan 17(1), 2002
PMID: 11861590
Frequency of vaginal birth after cesarean section at clinic of gynecology and obstetrics in sarajevo.
Abou El-Ardat M, Izetbegovic S, Mehmedbasic E, Duric M., Med Arch 67(6), 2013
PMID: 25568516
Trends in and socio-demographic factors associated with caesarean section at a Tanzanian referral hospital, 2000 to 2013.
Nilsen C, Ostbye T, Daltveit AK, Mmbaga BT, Sandoy IF., Int J Equity Health 13(), 2014
PMID: 25319518
Behind the myth--few women prefer caesarean section in the absence of medical or obstetrical factors.
Karlstrom A, Nystedt A, Johansson M, Hildingsson I., Midwifery 27(5), 2010
PMID: 20630634
Cultural perceptions and preferences of Iranian women regarding cesarean delivery
Latifnejad RR, Zakerihamidi M, Merghati KE, Kazemnejad A., 2014
Cultural childbirth practices, beliefs, and traditions in postconflict Liberia.
Lori JR, Boyle JS., Health Care Women Int 32(6), 2011
PMID: 21547801
Women's preference for caesarean section: a systematic review and meta-analysis of observational studies.
Mazzoni A, Althabe F, Liu NH, Bonotti AM, Gibbons L, Sanchez AJ, Belizan JM., BJOG 118(4), 2010
PMID: 21134103
What is the right number of caesarean sections?
Ash AK, Okoh D., Lancet 349(9064), 1997
PMID: 9167492

AUTHOR UNKNOWN, 0
Over-medicalisation of maternal care in developing countries
Buekens P., 2001
Has the medicalisation of childbirth gone too far?
Johanson R, Newburn M, Macfarlane A., BMJ 324(7342), 2002
PMID: 11950741
Unnecessary medical interventions: caesarean sections as a case study
Pai M., 2000

AUTHOR UNKNOWN, 0

AUTHOR UNKNOWN, 2008

AUTHOR UNKNOWN, 0

AUTHOR UNKNOWN, 2008
Prevalence and indications of caesarean section in a teaching hospital
Hafeez M, Yasin A, Badar N, Pasha MI, Akram N, Gulzar B., 2014
Evaluation of causes of increasing cesarean section rate in tertiary care hospital
Iftikhar T, Rizvi U, Ejaz L., 2010
Analysis of indications of cesarean sections
Jabeen J, Mansoor MH, Mansoor A., 2013

AUTHOR UNKNOWN, 0
Relationship between prenatal care and the outcome of pregnancy in low-risk pregnancies
Ashraf-Ganjoei T, Mirzaei F, Anari-Dokht F., 2011
Caesarean section delivery in Kerala, India: evidence from a National Family Health Survey.
Padmadas SS, Kumar S, Nair SB, Kumari A., Soc Sci Med 51(4), 2000
PMID: 10868667

AUTHOR UNKNOWN, 0
Export

Markieren/ Markierung löschen
Markierte Publikationen

Open Data PUB

Web of Science

Dieser Datensatz im Web of Science®
Quellen

PMID: 29685129
PubMed | Europe PMC

Suchen in

Google Scholar