Trial reportReproductive health2016
Adverse obstetric symptoms and rural-urban difference in cesarean delivery in Rupandehi district, Western Nepal: a cohort study.
Trial report in Reproductive health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 45 citations in OpenAlex.
- Prevalence and associated factors of caesarean section delivery: analysis from the Nepal Demographic and Health Survey 2022.BMJ open · 2025Article
- Impact of normal vs. caesarean deliveries on child nutritional status and mortality in India: insights from NFHS-5 data.BMC pediatrics · 2024Article
- Exploring Cesarean Section Delivery Patterns in South India: A Bayesian Multilevel and Geospatial analysis of Population-Based Cross-Sectional Data.BMC public health · 2024Article
- Article
- Influence of breastfeeding education and support on predominant breastfeeding: Findings from a community-based prospective cohort study in Western Nepal.Health science reports · 2023Article
- Dissecting antenatal care inequalities in western Nepal: insights from a community-based cohort study.BMC pregnancy and childbirth · 2023Article
- Individual and community-level factors associated with caesarean section in Haiti: secondary analysis of data from the 2016-2017 Haitian Demographic and Health Survey.Tropical medicine and health · 2023Article
- Risk factors of caesarean deliveries in urban-rural areas of Bangladesh.Frontiers in reproductive health · 2023Article
- Effect of maternal height on the risk of caesarean section in singleton births: evidence from a large-scale survey in India.BMJ open · 2022Article
- Comparison of Different Blood Transfusion Methods in Patients Undergoing Cesarean Section.Frontiers in surgery · 2022Article
- Article
- Prevalence and Factors Associated With Caesarean Delivery in Nepal: Evidence From a Nationally Representative Sample.Cureus · 2021Article
- Hukou-based rural-urban disparities in maternal health service utilization and delivery modes in two Chinese cities in Guangdong Province.International journal for equity in health · 2021Article
- Trends in national and subnational wealth related inequalities in use of maternal health care services in Nepal: an analysis using demographic and health surveys (2001-2016).BMC public health · 2021Article
- Trend and Sociodemographic Correlates of Cesarean Section Utilization in Nepal: Evidence from Demographic and Health Surveys 2006-2016.BioMed research international · 2021Article
- Disclosing suboptimal indications for emergency caesarean sections due to fetal distress and prolonged labor: a multicenter cross-sectional study at 12 public hospitals in Nepal.Reproductive health · 2020Article
- Magnitude and correlates of caesarean section in urban and rural areas: A multivariate study in Vietnam.PloS one · 2019Article
- High prevalence of cesarean section births in private sector health facilities- analysis of district level household survey-4 (DLHS-4) of India.BMC public health · 2018Article
- Patterns of caesarean section in HIV infected and non-infected women in Malawi: is caesarean section used for PMTCT?BMC pregnancy and childbirth · 2018Article
- Rates, indications, and outcomes of caesarean section deliveries: A comparison of tribal and non-tribal women in Gujarat, India.PloS one · 2017Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe burden of maternal morbidity is high in developing countries including Nepal. This study investigated obstetric complications and rural-urban difference in cesarean delivery rate in Western Nepal.
methodsA community-based cohort study was conducted in the Rupandehi district of Western Nepal during January-October, 2014, by interviewing 735 mothers within one month postpartum. The prevalence of obstetric complications was reported via frequency distribution, while factors associated with cesarean delivery were assessed using logistic regression analysis.
resultsThe prevalence of adverse obstetric symptoms during antenatal, intranatal and postnatal periods were 19.7%, 27.8% and 21.6%, respectively. In total, 81 (11.0%) mothers reported having stillbirths. The cesarean delivery rate was 14.1% overall but was four times higher in the urban (23.0%) than in the rural areas (5.8%). Prolonged labor (19.0%) and heavy bleeding (16.7%) were common among rural women. Logistic regression analysis confirmed that cesarean section was more likely for mothers residing in urban areas than in rural areas (adjusted odds ratio 3.41; 95 % confidence interval 2.01 to 5.78).
conclusionsAbout one in five mothers reported some adverse obstetric symptoms. Obstetric problems were more common in the rural areas, whereas cesarean delivery rate was much higher in the urban areas. Further investigations are required to determine whether these cesarean sections are medically warranted or provider induced.
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