Evidence map›Paper›PMID 42174476›Full record

ArticleBMC pregnancy and childbirth2026

Beyond the scar: a qualitative study on the physical, psychosocial and economic impacts of caesarean section in Keonjhar District of Odisha.

Sameer Kumar Jena, Moatula Ao

Abstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Sameer Kumar JenaDepartment of Population Studies, Fakir Mohan University, Odisha, 756089, India. sameerkumarjena4@gmail.com.ORCID http://orcid.org/0000-0002-2662-9590
Moatula AoSchool of Economics, University of Hyderabad, Hyderabad, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccording to the World Health Organization, cesarean section rates are rising globally, with 21% of deliveries and an expected increase to 29% by 2030. While lifesaving, CS often brings physical, psychological, and financial challenges, especially in rural and tribal areas with limited healthcare access. This study examines these impacts in Keonjhar, Odisha, focusing on recovery, psychosocial well-being, and economic burden.

methodsThis qualitative study explored women's experiences after cesarean delivery in Keonjhar, Odisha. Thirty-five women, within two weeks post-CS, were purposively selected. Data were collected through face-to-face semi-structured interviews conducted at their homes during November to December 2024. Interviews covered physical, psychosocial, and economic aspects. Data were audio-recorded, transcribed, and analyzed using thematic content analysis with MaxQDA. Ethical approval and informed consent were obtained.

resultsThe findings identified three key dimensions of post-CS experiences: physical, psychosocial, and economic. Women reported prolonged recovery, pain, limited mobility, and inadequate care. Many experienced emotional distress, stigma, bonding difficulties, and signs of postpartum depression. Financially, CS led to high out-of-pocket expenses and debt, especially in private care. These challenges were further shaped by rural conditions, limited access to services, and socio-cultural factors.

conclusionsCesarean deliveries in Keonjhar pose significant physical, emotional, and economic challenges for women. The findings stress the need to strengthen postpartum care, include mental health support, and improve financial protection. Context-specific efforts such as community awareness, better follow-up care, and culturally sensitive services are important to improve maternal outcomes after CS.

Indexed as

Cesarean SectionCost of IllnessAdultCicatrixDepression, PostpartumFemaleHealth Services AccessibilityHumansIndiaPostpartum PeriodPregnancyQualitative ResearchSocial StigmaYoung AdultCesarean section (CS)Economic burdenPostpartum depressionPostpartum recoveryPsychosocial impacts

Identifiers

PMID42174476
PMCPMC13371019

What OpenQuestion holds

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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.