Caesarean Section rate in a rural community in the Kumaon Region

Dr. Sneha Mittal; Dr. Chandramohan Singh Rawat; Dr. Rajesh Kumar Singh; Dr. Sadhana Awasthi; Dr. Hariom Kumar Solanki

Volume : IX, Issue : IV, April - 2019

Caesarean Section rate in a rural community in the Kumaon Region

Dr. Sneha Mittal, Dr. Chandramohan Singh Rawat, Dr. Rajesh Kumar Singh, Dr. Sadhana Awasthi, Dr. Hariom Kumar Solanki

Abstract :

Background: Maternal and child health is usually accorded a high priority as this has implications for healthy and productive workforce. Institutional delivery as well as caesarean section (CS) delivery has significantly increased in the last two–three decades in India. This study aimed to determine prevalence and major determinants of CS delivery in women residing in the Kumaon region of Uttarakhand, India and having experienced childbirth within the last two years. Methods: A population based cross sectional data collection regarding the mode of delivery and indication of caesarean section if so, was done as part of a larger follow up study to determine the incidence of acute effects following immunization (AEFI). Mothers with babies less than two years and getting their child vaccinated on fixed immunization sessions from eight randomly selected subcentres in the Haldwani block of Nainital district (Uttarakhand, India) were interviewed to collect data. Pre–tested semi–structured questionnaire was used for data collection. Results: A total of 255 women were interviewed. About 89% deliveries were institutional deliveries and 37.3% of all the deliveries were through caesarean section. Almost three fourth (74.3%) of the deliveries at private health facility wereCS deliveriescompared to only 26.1% at government health facilities. Factors significantly associated with CS delivery included type of facility where delivery was conducted and increasing age, socio–economic status and educationl status of the study participants. Conclusions: We conclude that the CS delivery rate is high in general in our study population and is especially so when the delivery is being conducted at private health facilities