ArticlePloS one2026
Caesarean deliveries and their impact on financial burden and quality of life among post-partum mothers in Tamil Nadu, India.
Article in PloS one, 2026. 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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Abstract
introductionCaesarean section (C-section) deliveries are on the rise globally, often with significant health and economic consequences. This study investigates the prevalence and factors associated with C-section deliveries, and their association with out-of-pocket expenditures (OOPE) and health-related quality of life (HRQL) among post-partum mothers in Tamil Nadu, India.
methodsA cross sectional study among 475 randomly selected post-partum mothers was conducted during April-June 2023. Data on demographic and obstetric characteristics and OOPE were collected using a structured survey questionnaire. HRQL was assessed using the 12-Item Short Form Survey (SF-12). Binary logistic regression analysis was used to compute Adjusted Odds Ratios (AOR) to identify the factors associated with C-section deliveries, and identify the association between C-section deliveries with OOPE and HRQL.
resultsC-section deliveries accounted for 52.60% of all births. High-risk pregnancies (AOR = 17.21, 95% CI = 7.57-39.13, p < 0.001), and private healthcare facilities (AOR = 3.02, 95% CI = 1.62-5.65, p = 0.001) were associated with C-sections. C-section delivery was significantly associated with higher OOPE (AOR = 2.05, 95% CI = 1.22-3.47, p = 0.007) and poor physical HRQL (AOR = 0.31, 95%CI = 0.18-0.55, p < 0.001).
conclusionsOne in two deliveries in Tamil Nadu are C-section deliveries and were associated with higher financial burden and poorer quality of life among post-partum mothers. Strategies targeted at reducing unwarranted C-sections are needed.
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