ArticlePloS one2021
Trends in cesarean section rates in private and public facilities in rural eastern Maharashtra, India from 2010-2017.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
7 citing papers in PubMed.
- Health system drivers of caesarean deliveries in south Asia: a scoping review.The Lancet regional health. Southeast Asia · 2025Review
- Preventing the preventable: Assessing the burden of incessant caesarean deliveries in select Indian states using NFHS-5.PloS one · 2025Article
- Cesarean Section Trends and Associated Factors at a Tertiary Care Center in India: A Retrospective Study.Cureus · 2024Article
- Birthweight trends and their explanatory factors in Hungary between 1999 and 2018: an analysis of the Hungarian Tauffer registry.Reproductive health · 2024Article
- Frequency of Caesarean Section Classified by Robson's Ten Group Classification System: A Scoping Review.Cureus · 2023Article
- Are cesarean deliveries equitable in India: assessment using benefit incidence analysis.BMC health services research · 2022Article
- Prevalence and Factors Associated With Caesarean Delivery in Nepal: Evidence From a Nationally Representative Sample.Cureus · 2021Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
introductionRates of cesarean sections (CS) have increased dramatically over the past two decades in India. This increase has been disproportionately high in private facilities, but little is known about the drivers of the CS rate increase and how they vary over time and geographically.
methodsWomen enrolled in the Nagpur, India site of the Global Network for Women's and Children's Health Research Maternal and Neonatal Health Registry, who delivered in a health facility with CS capability were included in this study. The trend in CS rates from 2010 to 2017 in public and private facilities were assessed and displayed by subdistrict. Multivariable generalized estimating equations models were used to assess the association of delivering in private versus public facilities with having a CS, adjusting for known risk factors.
resultsCS rates increased substantially between 2010 and 2017 at both public and private facilities. The odds of having a CS at a private facility were 40% higher than at a public facility after adjusting for other known risk factors. CS rates had unequal spatial distributions at the subdistrict level. DISCUSSION: Our study findings contribute to the knowledge of increasing CS rates in both public and private facilities in India. Maps of the spatial distribution of subdistrict-based CS rates are helpful in understanding patterns of CS deliveries, but more investigation as to why clusters of high CS rates have formed in warranted.
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