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Caesarean section rates in Mozambique.

Qian Long1,2, Taina Kempas3, Tavares Madede4

  • 1Global Health Research Centre, Duke Kunshan University, No. 8 Duke Avenue, 215316, Kunshan City, Jiangsu Province, P.R.China. qian.long@dku.edu.cn.

BMC Pregnancy and Childbirth
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PubMed
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Mozambique

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Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Health Services Research

Background:

  • Caesarean section (C-section) rates serve as a key indicator for assessing obstetric service availability and utilization.
  • Understanding trends in C-section rates is crucial for evaluating maternal healthcare quality.

Purpose of the Study:

  • To analyze changes in C-section rates in Mozambique from 1995 to 2011.
  • To investigate disparities in C-section rates based on geographical area, delivery location, and maternal socioeconomic factors.

Main Methods:

  • Utilized cross-sectional data from Mozambique Demographic and Health Surveys (1997, 2003, 2011).
  • Included women with a live birth within three years preceding each survey.
  • Employed descriptive statistics and logistic regression to identify factors associated with C-section delivery.

Main Results:

  • C-section rates showed fluctuations: a slight decrease from 2.5% (1995-1997) to 2.1% (2001-2003), followed by an increase to 4.7% (2009-2011).
  • In 2009-2011, significant regional and socioeconomic disparities were observed, with higher rates in urban (4.6%-12.2%) versus rural areas (1.6%-3.9%) and among the richest (12.3%) versus poorest women (1.7%).
  • The highest C-section rates were concentrated in public hospitals in urban southern regions, particularly among the wealthiest women (20.6% in 2009-2011).

Conclusions:

  • Findings suggest a potential underuse of C-sections among disadvantaged populations (poor, rural) in Mozambique.
  • Emerging evidence points towards potential overuse of C-sections among the most socioeconomically advantaged groups.
  • Addressing these disparities is critical for equitable access to essential obstetric care.