Trends and determinants of increasing caesarean sections from 2010 to 2013 in a prospective population-based registry in eastern rural Maharashtra, India

What is it about?

A study of about 40,000 pregnant women undergoing labor and delivery in rural Eastern Maharashtra, India from 2010 and 2013 was conducted to look at changes in cesarean section rates and the most likely reason for cesarean sections over time, what kind of women are having cesarean sections and the effect of cesarean sections on perinatal mortality. The study authors found that rates of cesarean sections increased over time, exceeding WHO recommendations. Prolonged and obstructed labor as the reported reason for cesarean section also increased over time and perinatal mortality was higher among babies delivered vaginally. Further studies are necessary to ensure accuracy of reported reasons for cesarean sections and to explain why obstructed and prolonged labor leading to cesarean sections is increasing in this population.

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