School of Medicine and Pharmacy, The University of Da Nang, Da Nang, Vietnam.
University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
PLoS One. 2022 Aug 29;17(8):e0273847. doi: 10.1371/journal.pone.0273847. eCollection 2022.
Caesarean section and associated factors require detailed investigation globally. This study aims to determine the rate and associated factors of caesarean deliveries in urban areas of Vietnam.
A cross-sectional study using questionnaire answered by women who had infants aged under 30 months was conducted from March to May 2021. Data were collected in 18 commune health centres in two cities during the day of routine immunization. Multivariable logistic regression was performed to assess factors associated with caesarean section.
The overall caesarean section rate was 49.6%. The caesarean section rate in private hospitals (57.8%) were significantly higher than in public hospitals (49.1%). Caesarean section rate in first-time mothers (47.1%) were as high as this rate among mothers who had given birth before (50.6%). Factors associated with higher rate of caesarean section include increasing in women's age, pre-pregnancy body mass index, gestational weight gain, and infant's birth weight; first-time mothers; mothers living in urban areas; and mothers giving birth in private hospitals.
This study revealed a high rate of caesarean deliveries in urban areas of Vietnam. Comprehensive investigations of both medical and non-medical reasons for caesarean deliveries in Vietnam are urgent needs to shape the prioritized interventions.
剖宫产及其相关因素在全球范围内需要详细调查。本研究旨在确定越南城市地区剖宫产率及相关因素。
采用横断面研究，于 2021 年 3 月至 5 月期间，由年龄在 30 个月以下婴儿的妇女回答问卷。在常规免疫日，在两个城市的 18 个社区卫生中心收集数据。采用多变量逻辑回归评估与剖宫产相关的因素。
总体剖宫产率为 49.6%。私立医院的剖宫产率（57.8%）明显高于公立医院（49.1%）。初产妇的剖宫产率（47.1%）与有过生育史的产妇（50.6%）一样高。与剖宫产率较高相关的因素包括妇女年龄增加、孕前体重指数、孕期体重增加和婴儿出生体重；初产妇；居住在城市地区的产妇；以及在私立医院分娩的产妇。
本研究揭示了越南城市地区剖宫产率较高。迫切需要对越南剖宫产的医疗和非医疗原因进行全面调查，以制定优先干预措施。
