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- Title
Socio-demographic factors of cesarean births in Nha Trang city, Vietnam: a community-based survey.
- Authors
Takegata, Mizuki; Ronsmans, Carine; Nguyen, Hien Anh T.; Kitamura, Noriko; Iwasaki, Chihiro; Toizumi, Michiko; Moriuchi, Hiroyuki; Dang, Duc Anh; Yoshida, Lay-Myint
- Abstract
Background: The cesarean section rate in Vietnam has been increasing especially in urban area. However, limited evidence identified regarding socio-demographic factors of the cesarean section birth. The objective of this study was to determine the current cesarean birth rate and the associated socio-demographic factors among mothers in Nha Trang city, south-central Vietnam. Methods: A community-based cross-sectional study was conducted between October and November in 2016 as part of a Streptococcus pneumoniae carriage survey conducted in 27 communes of Nha Trang city. From each commune, 120 mothers and their children less than 2 years old were randomly selected. Mothers were asked to answer standardized questions regarding socio-demographic information and mode of birth. Multivariate logistic regression was adopted to examine associations between socio-demographic variables and mode of birth. Results: Of 3148 participants, the number of cesarean births was 1396 (44.3 %). Older maternal age (≥ 30 years old), having another child going to school or kindergarten, monthly income more than 644 USD, gestational weeks at birth over 42 weeks, and low (< 2500 g) or high (≥ 3500 g) birth weight were associated with higher likelihood of cesarean births. Conclusion: The CS rate obtained in this study was more than twice of what is recommended by the World Health Organization, which is consistent with the previous nation-wide study in Viet Nam. Further monitoring is suggested to examine the non-medical reason for the increased CS rate.
- Subjects
VIETNAM; SOCIODEMOGRAPHIC factors; KINDERGARTEN children; MATERNAL age; MOTHER-child relationship; CESAREAN section
- Publication
Tropical Medicine & Health, 2020, Vol 48, Issue 1, p1
- ISSN
1348-8945
- Publication type
Article
- DOI
10.1186/s41182-020-00239-2