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Background <p>Caesarean section (CS) rates have been rising steadily worldwide, including in India, due to several factors affecting women's preferences. The present study aimed to identify socio-demographic and attitudinal factors associated with preference for CS among postnatal women.</p> Methods <p>The study used a cross-sectional design among 553 postnatal women in four districts of Andhra Pradesh. Data were collected using the questionnaire based on the Attitude Toward Birth Method Selection (ATBMS) scale from June 20 to August 16, 2024. The study employed descriptive and inferential analysis, which consists of Exploratory Factor Analysis (EFA) and multivariate logistic regression. The study considered the actual mode of delivery as the outcome variable alongside socio demographic variables such as women’s age, education, parity, occupation, nature of job, place of stay for delivery and variables such as decision-making power, financial autonomy, interactions of household income and type of delivery facility, and seven attitudinal factors as exposure variables for the regression analysis.</p> Results <p>Attitudinal factors such as 'convenience and health support' (AOR 1.94, &lt; 0.001) and 'Confidence in medical practitioners and their motivation' (AOR 1.66, p &lt; 0.001) along with socio-demographic factors such as increasing age (26 &amp; above AOR 2.63, p &lt; 0.05), being middle income household and went to private health facility (AOR 31.72, p &lt; 0.001), found as risk factors in increasing CS while higher parity of women (4 &amp; above, AOR 0.16, p &lt; 0.001), and factors such as belief disfavouring CS (AOR 0.62, p &lt; 0.001) and certain socio-cultural norms (AOR 0.41, p &lt; 0.001) were identified as protective factors.</p> Conclusion <p>This study emphasises the influence of attitudinal and socio-demographic factors on the increasing trend towards CS among post-natal women. To reverse these trends, there is a need to implement extensive childbirth education, provide counselling and encourage healthcare professionals to conduct vaginal birth after caesarean (VBAC), increase confidence in public health systems, and regulate private healthcare practices.</p>

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Preferences for caesarean sections among women in Andhra Pradesh, India

  • 期刊论文

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  • 发表日期：

    2026年5月18日

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  • Nagendra Babu Gavvala,
  • Benson Thomas M,
  • Janmejaya Samal,
  • H. Gladius Jennifer

摘要

Background

Caesarean section (CS) rates have been rising steadily worldwide, including in India, due to several factors affecting women's preferences. The present study aimed to identify socio-demographic and attitudinal factors associated with preference for CS among postnatal women.

Methods

The study used a cross-sectional design among 553 postnatal women in four districts of Andhra Pradesh. Data were collected using the questionnaire based on the Attitude Toward Birth Method Selection (ATBMS) scale from June 20 to August 16, 2024. The study employed descriptive and inferential analysis, which consists of Exploratory Factor Analysis (EFA) and multivariate logistic regression. The study considered the actual mode of delivery as the outcome variable alongside socio demographic variables such as women’s age, education, parity, occupation, nature of job, place of stay for delivery and variables such as decision-making power, financial autonomy, interactions of household income and type of delivery facility, and seven attitudinal factors as exposure variables for the regression analysis.

Results

Attitudinal factors such as 'convenience and health support' (AOR 1.94, < 0.001) and 'Confidence in medical practitioners and their motivation' (AOR 1.66, p < 0.001) along with socio-demographic factors such as increasing age (26 & above AOR 2.63, p < 0.05), being middle income household and went to private health facility (AOR 31.72, p < 0.001), found as risk factors in increasing CS while higher parity of women (4 & above, AOR 0.16, p < 0.001), and factors such as belief disfavouring CS (AOR 0.62, p < 0.001) and certain socio-cultural norms (AOR 0.41, p < 0.001) were identified as protective factors.

Conclusion

This study emphasises the influence of attitudinal and socio-demographic factors on the increasing trend towards CS among post-natal women. To reverse these trends, there is a need to implement extensive childbirth education, provide counselling and encourage healthcare professionals to conduct vaginal birth after caesarean (VBAC), increase confidence in public health systems, and regulate private healthcare practices.