Determinants of C-sections
Bivariate logistic regression analysis showed women who were over 30
years old, received university and above education, were urban
residents, from a higher household wealth quintile, had only one child,
lived in the western region, and used public childbirth services were
more likely to give birth by C-section (Table 3).
When we adjusted for maternal age, parity, and survey year, the use of
C-section was significantly higher in the survey of 2017 than the survey
of 2002. Women who were older than 30 years and primiparous women were
more likely to give birth by C-section. We also found a positive
association between women’s educational attainment and household wealth
for the use of C-section after adjusting for maternal age, parity,
survey year, women’s education, and household wealth. After adjusting
for all explanatory variables, we found similar results of women’s
sociodemographic determinants on C-section. The difference between urban
and rural residences was not statistically significant (OR 0.97, 95%CI
0.90 – 1.04). Compared to women using private childbirth services,
women using public childbirth services had higher odds of C-section (OR
1.58, 95% CI 1.48-1.69) (Table 3).