Evidence map›Paper›PMID 41625637›Full record

ArticleJournal of education and health promotion2025

Community health providers' perceptions on the preference of caesarean section deliveries: A qualitative study in the state of Andhra Pradesh, India.

Nagendra Babu Gavvala, Janmejaya Samal, M Benson Thomas

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Article in Journal of education and health promotion, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Nagendra Babu GavvalaSchool of Public Health, SRM Institute of Science and Technology, SRM University, Kattankulathur, Chennai, Tamil Nadu, India.
Janmejaya SamalSchool of Public Health, SRM Institute of Science and Technology, SRM University, Kattankulathur, Chennai, Tamil Nadu, India.
M Benson ThomasSchool of Public Health, SRM Institute of Science and Technology, SRM University, Kattankulathur, Chennai, Tamil Nadu, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile Caesarean Sections (C-sections) can be life-saving in complicated deliveries, their overuse is linked to significant maternal and infant morbidity and mortality. This highlights the importance of understanding the factors that drive preferences for C-section deliveries. States like Andhra Pradesh exhibit an alarming trend of rising rates of C-section deliveries in India. This study aimed to explore community health providers' perceptions regarding the preference for caesarean delivery in Andhra Pradesh and to identify the major determinants of C-section preferences. MATERIALS AND

methodsThe study utilized a qualitative research design, with focus group discussions (FGDs) conducted among community health providers from four districts of Andhra Pradesh. Participants were purposively sampled to gather a variety of viewpoints. A validated semi-structured questionnaire was employed to collect data. Data were transcribed verbatim and analyzed thematically to extract key themes and sub-themes related to preferences for C-section deliveries.

resultsThe study identified a combination of medical, cultural, and systemic factors influencing C-section preferences. Community health providers underscored the advantages of normal deliveries but acknowledged the challenges they face due to family pressures and socio-cultural practices. Systemic issues, such as financial incentives in private healthcare and the increasing popularity of convenience-type elective C-sections or those that align with auspicious dates, also contributed to the preference for C-section deliveries.

conclusionThis study underscores the necessity for balanced, evidence-based practices to tackle the non-medical factors driving the rise in C-section deliveries. Promoting antenatal counselling, addressing maternal and familial concerns, and modifying institutional practices are critical for ensuring safe and well-informed delivery choices.

Indexed as

Caesarean sectiondeliveryhealth personnelnatural childbirthobstetric

Identifiers

PMID41625637
PMCPMC12854338

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.