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Table 4 Association of socio-demographic, maternal, pregnancy and delivery related variables with Cesarean section deliveries using multiple logistic regression

From: High prevalence of cesarean section births in private sector health facilities- analysis of district level household survey-4 (DLHS-4) of India

Variables

Categories

Total

Delivered by C section

 
  

N = 17,934 (% of total)

n = 4160 (% of N)

Odds ratio (95% CI)

Socio-demographic and maternal

 Age of Mother

< = 19 Years

405 (2.26)

75 (1.80)

1.38 (0.76-2.50)

20 - 24 Years

6070 (33.85)

1196 (28.75)

1.19 (0.97-1.45)

> = 35 Years

1093 (6.09)

313 (7.52)

1.2 (0.81-1.76)

25 - 34 Years

10,366 (57.8)

2576 (61.92)

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 Residence

Urban

7288 (40.64)

2086 (50.14)

1.15 (1.00-1.35)

Rural

10,646 (59.36)

2074 (49.86)

1

 Wealth index

Fourth

3517 (19.62)

1538 (36.97)

1.19 (1.01-1.57)

Third

4455 (24.85)

1284 (30.87)

1.08 (0.83-1.42)

Second

4862 (27.12)

880 (21.15)

1.32 (1.01-1.73)

First quartile

5096 (28.42)

458 (11.01)

1

 Caste

Others

9895 (55.17)

2701 (64.93)

1.07 (0.90-1.26)

ST/SC

7083 (39.49)

1226 (29.47)

1

 Maternal education

Any Schooling

15,328 (85.47)

3832 (92.12)

1.01 (0.74-1.36)

No Schooling

2604 (14.52)

328 (7.88)

1

 Age at first delivery

> = 35 Years

94 (0.52)

50 (1.20)

5.51 (1.85-16.40)

25 - 34 Years

3529 (19.68)

1243 (29.88)

2.49 (1.87-3.32)

20 - 24 Years

9137 (50.95)

2084 (50.10)

1.43 (1.15-1.77)

< = 19 Years

5170 (28.83)

783 (18.82)

1

Antenatal care related

 4 + ANC

Yes

11,271 (62.85)

3035 (72.96)

1.23 (1.00-1.49)

No

4162 (23.21)

749 (18)

1

 Received abdomen check + BP check+ Blood Test + Urine Test at least once

No

1904 (10.62)

245 (5.89)

1.28 (0.68-2.39)

Yes

16,019 (89.32)

3913 (94.06)

1

 USG done

Yes

12,459 (69.47)

3360 (80.77)

1.37 (1.09-1.74)

No

5464 (30.47)

798 (19.18)

1

Complications during pregnancy

 Weak or no movement of foetus

Yes

377 (2.1)

104 (2.5)

1.01 (0.74-1.36)

No

17,555 (97.89)

4055 (97.48)

1

 Abnormal position of fetus

Yes

244 (1.36)

65 (1.56)

1.11 (0.75-1.66)

No

17,688 (98.63)

4094 (98.41)

1

 High BP

Yes

812 (4.53)

285 (6.85)

1.32 (1.06-1.65)

No

17,120 (95.46)

3874 (93.13)

1

 Bleeding

Yes

195 (1.09)

52 (26.67)

1.24 (0.83-1.87)

No

17,737 (98.9)

4107 (23.15)

1

Delivery complications

 Convulsion

Yes

600 (3.35)

230 (5.53)

1.15 (0.84-1.58)

No

17,330 (96.63)

3930 (94.47)

1

 Excessive bleeding

Yes

16,991 (94.74)

3939 (94.69)

1.55 (1.17-2.04)

No

939 (5.24)

221 (5.31)

1

 Prolonged labour

Yes

16,449 (91.72)

3764 (90.48)

1.05 (0.83-1.35)

No

1481 (8.26)

396 (9.52)

1

 Obstructed labour

Yes

16,141 (90)

3721 (89.45)

1.41 (1.11-1.78)

No

1789 (9.98)

439 (10.55)

1

 Breach presentation

Yes

435 (2.43)

192 (4.62)

2.37(1.63-3.43)

No

17,495 (97.55)

3968 (95.38)

 

Place of delivery

 Place of Delivery

Private

7054 (39.33)

2674 (64.28)

3.79 (3.06-4.72)

Public

10,880 (60.67)

1486 (35.72)

1