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CONFERENCE PROCEEDING
A cross-sectional study on women’s Attitude toward the preference for Caesarean section deliveries in Andhra Pradesh, India
1
UNICEF, Maternal and Child Health, Mangalagiri, India
2
SRM Institute of Science and Technology, Public Health, Kattankulanthur- Tamilnadu India, India
3
Commissioner of Health and Family Welfare, Maternal and Child Health, Mangalagiri- Guntur- Andhra Pradesh, India
4
SRMIST- Kattakalantur, Public Health, Chennai, India
Eur J Midwifery 2026;10(Supplement 1):A517
ABSTRACT
BACKGROUND:
Caesarean section (CS) rates have been rising steadily worldwide, including India, due to several factors affecting women's preference.
OBJECTIVES:
The present study aimed to identify women's attitudes towards the preference of C-section births in Andhra Pradesh.
METHODS:
The study carried out cross-sectional survey among 553 postnatal women in four districts of Andhra Pradesh. Data were collected using the questionnaire developed based on the Attitude Toward Birth Method Selection (ATBMS) scale from June 20 to August 16, 2024. The study used descriptive statistics, including the Chi-squared test, Exploratory Factor Analysis (EFA), and multivariate logistic regression for the statistical analysis.
RESULTS:
Of the 564 post-natal women approached, 98% participated in the study. The study found that the proportion of C-sections increases with age. Mothers aged 16-20 had the lowest C-section rate at 26.6%, while mothers aged 21-25 and above 25 had C-section rates of 39.6% and 41.1% respectively (p=0.020). The more children, the lower the C-section rate (p=0.001). In addition, those who had a history of C-section had a much higher probability of having another C-section (92.7%) compared to those with a history of normal vaginal delivery (4.63%) (p=0.000). The Chi-square analysis revealed notable associations between socio-demographic variables such as increasing age, previous history of C-sections, higher income, and private healthcare facilities associated with increased likelihood of CS.
CONCLUSIONS:
The study found that age, number of children, previous history of C-section, attitudinal aspects such as physical and sexual health concerns, convenience, healthcare support, and sociocultural norms affect the choice of current C-section. These findings underscore the complex association of factors influencing CS choices.
KEY MESSAGE:
Factor analysis shows that post-natal women's attitudes, such as ‘Sexual and physical attitude’ and ‘Fear of childbirth’, are prominent factors, followed by ‘Preference of convenience & trust in health providers’ in determining the mode of delivery and are significant predictors of CS choices. Poster session 1 (Group A)
Caesarean section (CS) rates have been rising steadily worldwide, including India, due to several factors affecting women's preference.
OBJECTIVES:
The present study aimed to identify women's attitudes towards the preference of C-section births in Andhra Pradesh.
METHODS:
The study carried out cross-sectional survey among 553 postnatal women in four districts of Andhra Pradesh. Data were collected using the questionnaire developed based on the Attitude Toward Birth Method Selection (ATBMS) scale from June 20 to August 16, 2024. The study used descriptive statistics, including the Chi-squared test, Exploratory Factor Analysis (EFA), and multivariate logistic regression for the statistical analysis.
RESULTS:
Of the 564 post-natal women approached, 98% participated in the study. The study found that the proportion of C-sections increases with age. Mothers aged 16-20 had the lowest C-section rate at 26.6%, while mothers aged 21-25 and above 25 had C-section rates of 39.6% and 41.1% respectively (p=0.020). The more children, the lower the C-section rate (p=0.001). In addition, those who had a history of C-section had a much higher probability of having another C-section (92.7%) compared to those with a history of normal vaginal delivery (4.63%) (p=0.000). The Chi-square analysis revealed notable associations between socio-demographic variables such as increasing age, previous history of C-sections, higher income, and private healthcare facilities associated with increased likelihood of CS.
CONCLUSIONS:
The study found that age, number of children, previous history of C-section, attitudinal aspects such as physical and sexual health concerns, convenience, healthcare support, and sociocultural norms affect the choice of current C-section. These findings underscore the complex association of factors influencing CS choices.
KEY MESSAGE:
Factor analysis shows that post-natal women's attitudes, such as ‘Sexual and physical attitude’ and ‘Fear of childbirth’, are prominent factors, followed by ‘Preference of convenience & trust in health providers’ in determining the mode of delivery and are significant predictors of CS choices. Poster session 1 (Group A)
| eISSN: | 2585-2906 |
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