Research Article
Volume 10 Issue 5 - 2021
Increasing Trends of Caesarean Deliveries in India: Does the Private Sector Contribute to it?
Dhananjay W Bansod1*, B Paswan2 and Hemkhothang Lhungdim1
1Professor, Department of Public Health and Mortality Studies International Institute for Population Sciences, Mumbai, India
2Professor, Department of Population Policies and Programmes International Institute for Population Sciences, Mumbai, India
*Corresponding Author: Dhananjay W Bansod, Professor, Department of Public Health and Mortality Studies, International Institute for Population Sciences, Mumbai, India.
Received: March 18, 2021; Published: April 12, 2021




Abstract

Background: Caesarean deliveries are increasing worldwide at a faster rate. Although Caesarean deliveries can save the lives of mothers and babies, the caesarean section is often performed without medical need, putting women and their babies at-risk of short and long-term health problems. Why are caesarean section deliveries increasing? Does the private health sector have a role to play in it? This paper tries to answer all these questions by examining the patterns and determinants of caesarean deliveries and seeks to understand the reasons for opting for caesarean deliveries in India.

Methods: National Family Health Survey-4 (NFHS-4) data collected from 29 states and six Union Territories (UTs) of India in 2015-16 was used to achieve this. Binary logistic regression models were used to understand the determinants of caesarean delivery and emergency caesarean deliveries in India.

Results: Caesarean section deliveries in India were found to have increased rapidly by more than five-fold, from 3 percent in NFHS-1 (1992-93), to 17 percent in NFHS-4 (2015-16). Mother’s age, mother’s schooling, religion, wealth quintile, Body Mass Index (BMI), size of the child at birth, pregnancy complications and place of delivery were statistically associated with caesarean section deliveries in India.

Conclusion: Undeniably, a majority of the caesarean section deliveries were performed in the private sector and have increased over the past ten years. This indicates that the private health sector played a significant role in the increasing number of caesarean deliveries in India. Undoubtedly, caesarean sections were effective means of saving the lives of mothers and infants at a very critical stage but should be undertaken only on sound advice for medical reasons.

 

Keywords: Caesarean Delivery; Emergency Caesarean Delivery; Private-Public Sector; NFHS; India

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Citation: Dhananjay W Bansod., et al. “Increasing Trends of Caesarean Deliveries in India: Does the Private Sector Contribute to it?”.Dhananjay W Bansod., et al. “Increasing Trends of Caesarean Deliveries in India: Does the Private Sector Contribute to it?”. EC Gynaecology 10.5 (2020): 44-62.

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