Cesarean delivery in Nigeria: Prevalence and associated factors •a population-based cross-sectional study
Objective To investigate the prevalence and factors associated with caesarean delivery in Nigeria. Design This is a secondary analysis of the nationally representative 2013 Nigeria Demographic and Health Survey (NDHS) data. We carried out frequency tabulation, χ 2 test, simple logistic regression an...
| Main Authors: | , , , , |
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| Format: | Journal Article |
| Language: | English |
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BMJ PUBLISHING GROUP
2019
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| Subjects: | |
| Online Access: | http://hdl.handle.net/20.500.11937/97786 |
| _version_ | 1848766315727159296 |
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| author | Adewuyi, Emmanuel Auta, A. Khanal, V. Tapshak, S.J. Zhao, Yun |
| author_facet | Adewuyi, Emmanuel Auta, A. Khanal, V. Tapshak, S.J. Zhao, Yun |
| author_sort | Adewuyi, Emmanuel |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Objective To investigate the prevalence and factors associated with caesarean delivery in Nigeria. Design This is a secondary analysis of the nationally representative 2013 Nigeria Demographic and Health Survey (NDHS) data. We carried out frequency tabulation, χ 2 test, simple logistic regression and multivariable binary logistic regression analyses to achieve the study objective. Setting Nigeria. Participants A total of 31 171 most recent live deliveries for women aged 15-49 years (mother-child pair) in the 5 years preceding the 2013 NDHS was included in this study. Outcome measure Caesarean mode of delivery. Results The prevalence of caesarean section (CS) was 2.1% (95% CI 1.8 to 2.3) in Nigeria. At the region level, the South-West had the highest prevalence of 4.7%. Factors associated with increased odds of CS were urban residence (adjusted OR (AOR): 1.51, 95% CI 1.15 to 1.97), maternal age ≥35 years (AOR: 2.12, 95% CI 1.08 to 4.11), large birth size (AOR: 1.39, 95% CI 1.10 to 1.74) and multiple births (AOR: 4.96, 95% CI 2.84 to 8.62). Greater odds of CS were equally associated with maternal obesity (AOR: 3.16, 95% CI 2.30 to 4.32), Christianity (AOR: 2.06, 95% CI 1.58 to 2.68), birth order of one (AOR: 3.86, 95% CI 2.66 to 5.56), husband's secondary/higher education level (AOR: 2.07, 95% CI 1.29 to 3.33), health insurance coverage (AOR: 2.01, 95% CI 1.37 to 2.95) and ≥4 antenatal visits (AOR: 2.84, 95% CI 1.56 to 5.17). Conclusions The prevalence of CS was low, indicating unmet needs in the use of caesarean delivery in Nigeria. Rural-urban, regional and socioeconomic differences were observed, suggesting inequitable access to the obstetric surgery. Intervention efforts need to prioritise women living in rural areas, the North-East and the North-West regions, as well as women of the Islamic faith. |
| first_indexed | 2025-11-14T11:49:12Z |
| format | Journal Article |
| id | curtin-20.500.11937-97786 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-14T11:49:12Z |
| publishDate | 2019 |
| publisher | BMJ PUBLISHING GROUP |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-977862025-05-22T14:54:30Z Cesarean delivery in Nigeria: Prevalence and associated factors •a population-based cross-sectional study Adewuyi, Emmanuel Auta, A. Khanal, V. Tapshak, S.J. Zhao, Yun Science & Technology Life Sciences & Biomedicine Medicine, General & Internal General & Internal Medicine OBSTETRIC CARE SERVICES URBAN NIGERIA HEALTH MORTALITY STATEMENT COUNTRY ASIA Nigeria caesarean section epidemiology maternal health public health reproductivemedicine Adolescent Adult Cesarean Section Circumcision, Female Cross-Sectional Studies Female Health Services Accessibility Health Surveys Humans Middle Aged Nigeria Poverty Pregnancy Prevalence Rural Population Urban Population Young Adult Humans Circumcision, Female Cesarean Section Health Surveys Prevalence Cross-Sectional Studies Pregnancy Poverty Adolescent Adult Middle Aged Rural Population Urban Population Health Services Accessibility Nigeria Female Young Adult Objective To investigate the prevalence and factors associated with caesarean delivery in Nigeria. Design This is a secondary analysis of the nationally representative 2013 Nigeria Demographic and Health Survey (NDHS) data. We carried out frequency tabulation, χ 2 test, simple logistic regression and multivariable binary logistic regression analyses to achieve the study objective. Setting Nigeria. Participants A total of 31 171 most recent live deliveries for women aged 15-49 years (mother-child pair) in the 5 years preceding the 2013 NDHS was included in this study. Outcome measure Caesarean mode of delivery. Results The prevalence of caesarean section (CS) was 2.1% (95% CI 1.8 to 2.3) in Nigeria. At the region level, the South-West had the highest prevalence of 4.7%. Factors associated with increased odds of CS were urban residence (adjusted OR (AOR): 1.51, 95% CI 1.15 to 1.97), maternal age ≥35 years (AOR: 2.12, 95% CI 1.08 to 4.11), large birth size (AOR: 1.39, 95% CI 1.10 to 1.74) and multiple births (AOR: 4.96, 95% CI 2.84 to 8.62). Greater odds of CS were equally associated with maternal obesity (AOR: 3.16, 95% CI 2.30 to 4.32), Christianity (AOR: 2.06, 95% CI 1.58 to 2.68), birth order of one (AOR: 3.86, 95% CI 2.66 to 5.56), husband's secondary/higher education level (AOR: 2.07, 95% CI 1.29 to 3.33), health insurance coverage (AOR: 2.01, 95% CI 1.37 to 2.95) and ≥4 antenatal visits (AOR: 2.84, 95% CI 1.56 to 5.17). Conclusions The prevalence of CS was low, indicating unmet needs in the use of caesarean delivery in Nigeria. Rural-urban, regional and socioeconomic differences were observed, suggesting inequitable access to the obstetric surgery. Intervention efforts need to prioritise women living in rural areas, the North-East and the North-West regions, as well as women of the Islamic faith. 2019 Journal Article http://hdl.handle.net/20.500.11937/97786 10.1136/bmjopen-2018-027273 English BMJ PUBLISHING GROUP unknown |
| spellingShingle | Science & Technology Life Sciences & Biomedicine Medicine, General & Internal General & Internal Medicine OBSTETRIC CARE SERVICES URBAN NIGERIA HEALTH MORTALITY STATEMENT COUNTRY ASIA Nigeria caesarean section epidemiology maternal health public health reproductivemedicine Adolescent Adult Cesarean Section Circumcision, Female Cross-Sectional Studies Female Health Services Accessibility Health Surveys Humans Middle Aged Nigeria Poverty Pregnancy Prevalence Rural Population Urban Population Young Adult Humans Circumcision, Female Cesarean Section Health Surveys Prevalence Cross-Sectional Studies Pregnancy Poverty Adolescent Adult Middle Aged Rural Population Urban Population Health Services Accessibility Nigeria Female Young Adult Adewuyi, Emmanuel Auta, A. Khanal, V. Tapshak, S.J. Zhao, Yun Cesarean delivery in Nigeria: Prevalence and associated factors •a population-based cross-sectional study |
| title | Cesarean delivery in Nigeria: Prevalence and associated factors •a population-based cross-sectional study |
| title_full | Cesarean delivery in Nigeria: Prevalence and associated factors •a population-based cross-sectional study |
| title_fullStr | Cesarean delivery in Nigeria: Prevalence and associated factors •a population-based cross-sectional study |
| title_full_unstemmed | Cesarean delivery in Nigeria: Prevalence and associated factors •a population-based cross-sectional study |
| title_short | Cesarean delivery in Nigeria: Prevalence and associated factors •a population-based cross-sectional study |
| title_sort | cesarean delivery in nigeria: prevalence and associated factors •a population-based cross-sectional study |
| topic | Science & Technology Life Sciences & Biomedicine Medicine, General & Internal General & Internal Medicine OBSTETRIC CARE SERVICES URBAN NIGERIA HEALTH MORTALITY STATEMENT COUNTRY ASIA Nigeria caesarean section epidemiology maternal health public health reproductivemedicine Adolescent Adult Cesarean Section Circumcision, Female Cross-Sectional Studies Female Health Services Accessibility Health Surveys Humans Middle Aged Nigeria Poverty Pregnancy Prevalence Rural Population Urban Population Young Adult Humans Circumcision, Female Cesarean Section Health Surveys Prevalence Cross-Sectional Studies Pregnancy Poverty Adolescent Adult Middle Aged Rural Population Urban Population Health Services Accessibility Nigeria Female Young Adult |
| url | http://hdl.handle.net/20.500.11937/97786 |