Journal of Asian and African Studies
1–10
© The Author(s) 2015
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DOI: 10.1177/0021909615577498
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J A A S
Correlates of Caesarean Section
among Delivery in Health
Institutions in India
Pralip Kumar Narzary
Fakir Mohan University, India
Mluleki Tsawe
University of the Western Cape, South Africa
A Sathiya Susuman
University of the Western Cape, South Africa
Abstract
Aim is to find out the disparities in cesarean sections among institutional deliveries across segments of
the society in the study area. The National Family Health Survey data 2005–06 were used. There were
14,808 women who were found to be relevant for this study. Bivariate results show that cesarean section is
highest among women older than 40 years, having the highest level of education, holding skilled jobs, from
the highest social hierarchy, who delivered in private health institutions, experienced cesarean section in
previous delivery, and had pregnancy complications. Performance of cesarean section may be necessary for
safety of both mother and infant.
Keywords
Caesarean section, institutional delivery, maternal health, pregnancy complications
Background
The safe delivery of a baby is a central issue of maternal and child health. Owing to various rea-
sons, not every women (and or baby) are fortunate enough to go through the natural process of
vaginal delivery. Sometimes medical intervention is necessary for safe delivery (for the safety of
the baby and or mother). Caesarean section is one of such medical interventions. It is the procedure
of removing or delivering the baby through open surgery. The World Health Organization (WHO)
suggests 10–15% caesarean section as the acceptable range (World Health Organization, 1985).
Corresponding author:
A Sathiya Susuman, Department of Statistics & Population Studies, University of the Western Cape, Cape Town, 7530,
South Africa.
Email: sappunni@uwc.ac.za
577498JAS 0 0 10.1177/0021909615577498Journal of Asian and African StudiesNarzary et al.
research-article 2015
Original Article