Increasing Trend of Caesarean Rates in India: Evidence from NFHS-4

Radhakrishnan, Aparna

doi:10.18535/jmscr/v5i8.31

Cited by 8 publications

(2 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Private institutions conduct more csections than public institutions. There is a greater chance of unnecessary cesarean being conducted by private institutions for their economic motives [4]. This statistical analysis is of concern and has predisposed several risks to the development and health of the child.…”

Section: Introductionmentioning

confidence: 99%

“…Many strains of E. faecalis produce bacteriocins called enterocins, a family of safe [16] and ribosomally synthesized antimicrobial peptides that inhibit pathogenic organisms [17]. There are many factors known to influence the composition of the microbial flora in infants during and after birth [1,2,4]. Several researchers have observed that preterm infants and csection-delivered infants exhibited a delayed intestinal colonization along with a smaller number of species variability and a higher rate of potentially pathogenic microorganisms [6,8,9,18].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Maternal-neonatal transmission of Enterococcus strains during delivery

Bhagwat

Annapure

2019

Beni-Suef Univ J Basic Appl Sci

View full text Add to dashboard Cite

Background: Cesarean delivery (c-section) is on the rise globally. C-section is generally preferred if complications prevail in a vaginal delivery. Some private institutions conduct it unnecessarily for economic gains. This has led to a severe risk to a child's health. The neonate's gut microbiota has been observed to be influenced by the mode of delivery. Lactobacilli and other bacteria are very vital for developing healthy gut flora. An attempt has been made to investigate the passage of lactic acid bacteria to the infant via delivery. The vaginal swabs of the mothers and fresh meconium samples of the newborns post-delivery were examined for the presence of lactobacilli through culture techniques. Results: The present investigation revealed that c-section-delivered infants lacked these bacteria in comparison with vaginally delivered infants. Biochemical tests and 16S rRNA sequencing showed similarity with groups 1, 2, 3, and 5 of Enterococcus genus. Phylogenetic analysis revealed more than 98% similarity with several Enterococcus species. E. canintestini, E.rivorum, and E. dispar were transferred frequently from mother to infants born via vaginal delivery. The strains were submitted to the NCBI GenBank database under accession numbers KX830968-KX830982. Conclusion: The study supports the hypothesis of maternal-neonatal transmission of bacteria during delivery and also possibilities of isolating newer strains for probiotic use.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Maternal-neonatal transmission of Enterococcus strains during delivery

Bhagwat

Annapure

2019

Beni-Suef Univ J Basic Appl Sci

View full text Add to dashboard Cite

show abstract

Individual and Community-Level Determinants of Institutional Delivery Services among Women in Bangladesh: A Cross-Sectional Study

Setu

Islam

Halim

2022

International Journal of Clinical Practice

View full text Add to dashboard Cite

Background. Improving maternal mortality attracts considerable interest with the critical invention through institutional delivery services (IDS) in reducing maternal death during delivery and ensuring safe childbirth. The influence of both individual and community-level factors is essential to using IDS. Problem Statement. Maternal death may occur at any time, but delivery without designated healthcare is by far the most dangerous time for both woman and her baby. Therefore, to combat the global burden of maternal mortality, it is necessary to ensure IDS worldwide. Objectives. This study explores the current knowledge of individual and community-level covariates and examines their extent of influence on the utilization of IDS in Bangladesh. Methods. Utilizing Bangladesh Demographic and Health Survey (BDHS) data, this study has used two-level random intercept binary logistic regression, together with the average annual rate of increase (AARI) in the utilization of IDS and related variables. Results. This study found appreciable changes in seeking IDS, increases from 3.4% in 2007 to 51.9% in 2017, and half of the total deliveries (51%) took place in healthcare. About 26% of the total variation in the utilization of IDS is owing to differences across communities. Further, covariates including communities with higher educated women, higher utilization of ANC and access to media and at individual level, religion, maternal and parental education, wealth index, and mother-level factors (i.e., age at birth, BMI, occupation, ANC visit, birth order, own health care decision, pregnancy intention, and exposure to media) showed significant association with the utilization of IDS. Conclusion. This study observed the association between individual and community-level factors and IDS uptake. Thus, any future strategies must address individual level and community-level challenges and undertake a multisectoral approach to enhance the uptake of IDS.

show abstract

Ever-Increasing Caesarean Section and Free Delivery Schemes in India: How Much the Households are Still Paying?

Bose¹,

Sarkar

Dutta³

2022

Arthaniti: Journal of Economic Theory and Practice

View full text Add to dashboard Cite

Aberrant rise in c-section deliveries and associated cost have raised concern to achieve the development goals. Given this, India has launched various schemes to directly serve the mother and newborn and to protect the households from financial hardship for childbirth. Using nationally representative unit level data, the article aims to explore the extent of c-section delivery in India and to capture the financial burden on the households due to c-section deliveries. It is observed that the c-section delivery has increased substantially in almost all Indian states. Both rural and urban sector of the states have reported alarmingly high c-section rates. Urban-India reports around 35% c-section cases and the figure for rural region is 19%. However, out-of-pocket expenditure has decreased marginally in the public facilities for c-section. Surprisingly, in many states poorest class pays much higher than the other expenditure classes even in the public facilities for c-section. Additionally, in the public sector, a considerable proportion of the households are spending substantially high share of their annual consumption expenditure to purchase medicine and diagnostic tests in the public facilities. Therefore, information asymmetry about the government schemes and related informal expenses needs to be addressed for better outcome. JEL: I14, I15, I18

show abstract

Increasing Trend of Caesarean Rates in India: Evidence from NFHS-4

Abstract: Background: Caesarean section (CS) rate is increasing worldwide and

Cited by 8 publications

References 12 publications

Maternal-neonatal transmission of Enterococcus strains during delivery

Maternal-neonatal transmission of Enterococcus strains during delivery

Individual and Community-Level Determinants of Institutional Delivery Services among Women in Bangladesh: A Cross-Sectional Study

Ever-Increasing Caesarean Section and Free Delivery Schemes in India: How Much the Households are Still Paying?

Contact Info

Product

Resources

About