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).