Cesarean delivery in Nigeria: prevalence and associated factors-a population-based cross-sectional study.
Adolescent
Adult
Cesarean Section
/ statistics & numerical data
Circumcision, Female
/ statistics & numerical data
Cross-Sectional Studies
Female
Health Services Accessibility
/ statistics & numerical data
Health Surveys
Humans
Middle Aged
Nigeria
/ epidemiology
Poverty
/ statistics & numerical data
Pregnancy
Prevalence
Rural Population
/ statistics & numerical data
Urban Population
/ statistics & numerical data
Young Adult
Nigeria
caesarean section
epidemiology
maternal health
public health
reproductivemedicine
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
17 06 2019
17 06 2019
Historique:
entrez:
20
6
2019
pubmed:
20
6
2019
medline:
9
6
2020
Statut:
epublish
Résumé
To investigate the prevalence and factors associated with caesarean delivery in Nigeria. This is a secondary analysis of the nationally representative 2013 Nigeria Demographic and Health Survey (NDHS) data. We carried out frequency tabulation, χ Nigeria. A total of 31 171 most recent live deliveries for women aged 15-49 years (mother-child pair) in the 5 years preceding the 2013 NDHS was included in this study. Caesarean mode of delivery. The prevalence of caesarean section (CS) was 2.1% (95% CI 1.8 to 2.3) in Nigeria. At the region level, the South-West had the highest prevalence of 4.7%. Factors associated with increased odds of CS were urban residence (adjusted OR (AOR): 1.51, 95% CI 1.15 to 1.97), maternal age ≥35 years (AOR: 2.12, 95% CI 1.08 to 4.11), large birth size (AOR: 1.39, 95% CI 1.10 to 1.74) and multiple births (AOR: 4.96, 95% CI 2.84 to 8.62). Greater odds of CS were equally associated with maternal obesity (AOR: 3.16, 95% CI 2.30 to 4.32), Christianity (AOR: 2.06, 95% CI 1.58 to 2.68), birth order of one (AOR: 3.86, 95% CI 2.66 to 5.56), husband's secondary/higher education level (AOR: 2.07, 95% CI 1.29 to 3.33), health insurance coverage (AOR: 2.01, 95% CI 1.37 to 2.95) and ≥4 antenatal visits (AOR: 2.84, 95% CI 1.56 to 5.17). The prevalence of CS was low, indicating unmet needs in the use of caesarean delivery in Nigeria. Rural-urban, regional and socioeconomic differences were observed, suggesting inequitable access to the obstetric surgery. Intervention efforts need to prioritise women living in rural areas, the North-East and the North-West regions, as well as women of the Islamic faith.
Identifiants
pubmed: 31213450
pii: bmjopen-2018-027273
doi: 10.1136/bmjopen-2018-027273
pmc: PMC6596937
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e027273Informations de copyright
© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
PLoS Med. 2007 Oct 16;4(10):e296
pubmed: 17941714
BMC Int Health Hum Rights. 2015 Apr 28;15:10
pubmed: 25928326
BMJ. 2018 Jan 24;360:k55
pubmed: 29367432
BJOG. 2007 Oct;114(10):1261-5
pubmed: 17877678
Niger J Clin Pract. 2016 Jan-Feb;19(1):18-24
pubmed: 26755213
Int J Health Serv. 2015;45(4):657-78
pubmed: 25995305
PLoS Med. 2018 Jan 23;15(1):e1002494
pubmed: 29360829
J Trauma Stress. 2008 Oct;21(5):440-7
pubmed: 18956450
BJOG. 2016 Apr;123(5):667-70
pubmed: 26681211
Scand J Public Health. 2017 Aug;45(6):675-682
pubmed: 28653565
Niger J Clin Pract. 2011 Jul-Sep;14(3):276-9
pubmed: 22037067
J Obstet Gynaecol. 2011;31(1):18-23
pubmed: 21280987
J Public Health Afr. 2011 Sep 05;2(2):e33
pubmed: 28299074
J Matern Fetal Neonatal Med. 2019 Jan;32(2):198-202
pubmed: 28866958
PLoS One. 2016 Feb 05;11(2):e0148343
pubmed: 26849801
Lancet. 1985 Aug 24;2(8452):436-7
pubmed: 2863457
Bull World Health Organ. 2010 Jul 1;88(7):500-8
pubmed: 20616969
Bull World Health Organ. 2012 Jan 1;90(1):30-9, 39A
pubmed: 22271962
Niger J Clin Pract. 2006 Dec;9(2):159-63
pubmed: 17319350
Int J Equity Health. 2014 Oct 16;13:87
pubmed: 25319518
J Health Popul Nutr. 2007 Mar;25(1):94-100
pubmed: 17615909
BMJ Open. 2014 Dec 30;4(12):e005982
pubmed: 25550293
Int Breastfeed J. 2013 Aug 08;8(1):9
pubmed: 23924230
BMJ Open. 2014 Nov 21;4(11):e006316
pubmed: 25416059
Int J Gynaecol Obstet. 2012 Apr;117(1):61-5
pubmed: 22265191
PLoS One. 2018 May 21;13(5):e0197324
pubmed: 29782511
Pediatr Int. 2017 Feb;59(2):190-200
pubmed: 27378178
Acta Obstet Gynecol Scand. 2002 Jun;81(6):502-7
pubmed: 12047302
Birth. 2009 Mar;36(1):26-33
pubmed: 19278380
Am J Obstet Gynecol. 2012 Apr;206(4):331.e1-19
pubmed: 22464076
Int J Chron Obstruct Pulmon Dis. 2017 Aug 21;12:2465-2475
pubmed: 28860741
Scand J Public Health. 2017 Jul;45(5):543-554
pubmed: 28355963
Int J Gynaecol Obstet. 2015 Mar;128(3):251-5
pubmed: 25497052
BMC Pregnancy Childbirth. 2014 Jun 30;14:217
pubmed: 24981086
Int Breastfeed J. 2017 Dec 29;12:51
pubmed: 29299048
Bull World Health Organ. 2013 Dec 1;91(12):914-922D
pubmed: 24347730