Department of Economics, George August University, Goettingen, Germany.
Department of Management Sciences, COMSATS University of Information Technology, Lahore Campus, Pakistan.
East Mediterr Health J. 2019 Jan 23;24(11):1058-1065. doi: 10.26719/2018.24.11.1058.
Caesarean section (C-section) is a life-saving obstetric procedure that reduces maternal mortality and improves reproductive health. Although, vaginal delivery is still an important safe and low-cost method of delivery, C-section is sometimes performed when it is not even required, which creates health challenges for pregnant women and their newborn infants.
To estimate the effect of a set of institutional, demographic, socioeconomic and spatial variables on C-section delivery (n = 2424) in Punjab, Pakistan.
We used data from the Multiple Indicator Cluster Survey Punjab 2014 and multiple logistic regression analysis. Analysis was carried out using STATA version 12.
Higher maternal age at first marriage, higher number of antenatal care visits, and higher wealth quintiles were associated with higher risk of C-section. Women in Punjab were more likely to deliver through C-section in private health facilities and there was no significant difference between urban and rural areas. There was a significant difference in the risk of C-section in different divisions of Punjab, for example, DG Khan and Rawalpindi showed the lowest risk compared with the reference division of Bahawalpur, which is partially explained by the developmental disparities and access to public healthcare facilities.
The government should facilitate access to healthcare facilities in areas that are easily accessible, especially, to rural women.
剖宫产是一种挽救生命的产科手术，可以降低产妇死亡率，改善生殖健康。尽管阴道分娩仍然是一种重要的安全且低成本的分娩方式，但有时即使不需要，也会进行剖宫产，这会给孕妇及其新生儿带来健康挑战。
估计一组机构、人口统计学、社会经济和空间变量对巴基斯坦旁遮普邦剖宫产（n=2424）的影响。
我们使用了 2014 年旁遮普邦多指标类集调查的数据和多项逻辑回归分析。使用 STATA 版本 12 进行分析。
初婚时母亲年龄较大、产前护理次数较多和较高的财富五分位数与剖宫产风险较高相关。旁遮普邦的妇女更有可能在私立医疗机构进行剖宫产，城乡之间没有显著差异。旁遮普邦不同地区的剖宫产风险存在显著差异，例如，与巴哈瓦尔布尔的参考地区相比，DG 汗和拉瓦尔品第的风险最低，这在一定程度上是由于发展差距和获得公共医疗保健设施的机会不同所致。
政府应促进在交通便利的地区获得医疗保健设施，特别是为农村妇女提供便利。
