Department of Community Medicine and Public Health, Faculty of Medicine, Mutah University, Jordan.
J Matern Fetal Neonatal Med. 2022 Dec;35(25):5168-5176. doi: 10.1080/14767058.2021.1875437. Epub 2021 Feb 28.
Cesarean sections (C-sections) are surgical procedures that save maternal and infant lives. In some cases, C-sections are done when they are not necessary, while in other cases, some women are unable to access this life-saving intervention. Sociodemographic characteristics are associated with an increased use of C-section. Disparities in socioeconomic status and other factors exist in the rates of C-sections across diverse populations worldwide. Although C-sections are common in Jordan, there is limited evidence about the characteristics associated with C-sections. We aim to assess the factors related to the use of C-sections and to examine the sociodemographic disparities of these deliveries in Jordan.
We analyzed data from the 2017-2018 Jordan Population and Family Health Survey, which is the seventh to be conducted in Jordan. The analysis included a total of 6525 women age 15-49 who delivered their most recent birth in a health facility in the 5 years before the survey. Statistical analyses used descriptive, bivariate, and logistic regression methods.
The results show that 27% of women were delivered by C-sections. C-section is significantly associated with older age groups, region, and place of delivery. No significant differences were found by wealth status, place of residence, educational level, employment, nationality, decision making on health, or health insurance. The odds ratio of C-section use for women over age 40 is 3.3 (CI 2.0-5.5), compared to women under age 20. The odds of having a C-section is 40% higher for women who delivered in a private hospital compared to women who delivered in a public hospital (CI 1.2-1.8). The odds of C-section are 60% lower for women in Aqaba compared to women in Amman (CI 0.3-0.6), and 60% higher for women in Madaba compared to the women in Amman (CI 1.2-2.1).
This study assessed factors related to C-section among Jordanian mothers. Our findings highlight the increased practice of C-section in the private sector and suggest the importance of developing national and subnational policies that include clear guidelines for performing C-sections, especially in the private sector.
剖宫产是一种拯救母婴生命的外科手术。在某些情况下，剖宫产是必要的，但在其他情况下，一些女性无法获得这种救命的干预措施。社会人口特征与剖宫产的使用增加有关。在全球不同人群中，社会经济地位和其他因素存在剖宫产率的差异。虽然剖宫产在约旦很常见，但关于与剖宫产相关的特征的证据有限。我们旨在评估与剖宫产使用相关的因素，并检查约旦这些分娩的社会人口差异。
我们分析了 2017-2018 年约旦人口和家庭健康调查的数据，这是约旦进行的第七次调查。该分析共包括 6525 名年龄在 15-49 岁之间的妇女，她们在调查前 5 年内在医疗机构分娩了最近一次分娩。统计分析采用描述性、双变量和逻辑回归方法。
结果表明，27%的妇女接受了剖宫产。剖宫产与年龄较大的年龄组、地区和分娩地点显著相关。财富状况、居住地、教育程度、就业、国籍、对健康的决策或医疗保险没有显著差异。与 20 岁以下的妇女相比，40 岁以上妇女剖宫产的比值比为 3.3（CI 2.0-5.5）。与在公立医院分娩的妇女相比，在私立医院分娩的妇女剖宫产的几率高出 40%（CI 1.2-1.8）。与在安曼的妇女相比，在亚喀巴的妇女剖宫产的几率低 60%（CI 0.3-0.6），与在安曼的妇女相比，在马德巴的妇女剖宫产的几率高 60%（CI 1.2-2.1）。
本研究评估了约旦母亲剖宫产相关的因素。我们的研究结果强调了私营部门剖宫产实践的增加，并建议制定国家和国家以下各级政策，包括执行剖宫产的明确准则，特别是在私营部门。
