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Delivery complications and determinants of caesarean section rates in India: An analysis of national family health surveys, 1992-93

Author

Listed:
  • U.S. Mishra

    (Centre for Development Studies)

  • Mala Ramanathan

    (Centre for Development Studies)

Abstract

Caesarean section rates have been increasing world-wide raising the question of the appropriateness of the selection of cases for the procedure.This paper examines the levels and correlates of delivery related complications and caesarean section deliveries in eighteen selected states of India in terms of specific maternal and institutional factors, using data from the National Family Health Surveys,1992-93.Goa (15.3 per cent)and Kerala (13.7 per cent)were the two states with relatively higher caesarean section rates.There is reason to believe that the current caesarean section rates are part of a rising trend.This can not be attributed entirely to the rise in institutional deliveries alone because of the strong association between caesarean sections and private sector institutions. Apart from the fact that the states of Kerala and Goa are having relatively high caesarean section rates, in Andhra Pradesh, Bihar, Gujarat, Karnataka, Punjab and Uttar Pradesh the risk of undergoing caesarean section in the private sector institutions is four or more times that in the public sector.It is possible that this extremely useful surgical procedure is being misused for profit purposes in the private sector in several states. There is therefore a need to examine this phenomenon using dis-aggregated data by the nature of caesarean sections,i.e. whether it was an elective or an emergency c-section along with the reasons for the choice.

Suggested Citation

  • U.S. Mishra & Mala Ramanathan, 2001. "Delivery complications and determinants of caesarean section rates in India: An analysis of national family health surveys, 1992-93," Centre for Development Studies, Trivendrum Working Papers 314, Centre for Development Studies, Trivendrum, India.
    • Handle: RePEc:ind:cdswpp:314
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    References listed on IDEAS

    as
    1. Padmadas, Sabu S. & Kumar S., Suresh & Nair, Sajini B. & Kumari K.R., Anitha, 2000. "Caesarean section delivery in Kerala, India: evidence from a National Family Health Survey," Social Science & Medicine, Elsevier, vol. 51(4), pages 511-521, August.
    Full references (including those not matched with items on IDEAS)

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    More about this item

    Keywords

    Caesarean section; institutional deliveries; delivery complications; medical intervention;
    All these keywords.

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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