Factors Associated with Cesarean Section in Tehran, Iran using Multilevel Logistic Regression Model
Osong Public Health and Research Perspectives
;
(6): 86-92, 2018.
Artículo
en Inglés
| WPRIM
| ID: wpr-714230
ABSTRACT
OBJECTIVES:
Over the past few decades, the prevalence of cesarean sections (CS) have risen dramatically worldwide, particularly in Iran. The aim of this study was to determine the prevalence of CS in Tehran, and to examine the associated risk factors.METHODS:
A cross-sectional study of 4,308 pregnant women with singleton live-births in Tehran, Iran, between July 6–21, 2015 was performed. Multilevel logistic regression analysis was performed using demographic and obstetrical variables at the first level, and hospitals as a variable at the second level.RESULTS:
The incidence of CS was 72.0%. Multivariate analysis showed a significant relationship between CS and the mother's age, socioeconomic status, body mass index, parity, type of pregnancy, preeclampsia, infant height, and baby's head circumference. The intra-class correlation using the second level variable, the hospital was 0.292, indicating approximately 29.2% of the total variation in the response variable accounted for by the hospital.CONCLUSION:
The incidence of CS was substantially higher than other countries. Therefore, educational and psychological interventions are necessary to reduce CS rates amongst pregnant Iranian women.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Paridad
/
Preeclampsia
/
Clase Social
/
Índice de Masa Corporal
/
Modelos Logísticos
/
Cesárea
/
Incidencia
/
Prevalencia
/
Estudios Transversales
/
Análisis Multivariante
Tipo de estudio:
Estudio de etiología
/
Estudio de incidencia
/
Estudio observacional
/
Estudio de prevalencia
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Femenino
/
Humanos
/
Lactante
/
Embarazo
País/Región como asunto:
Asia
Idioma:
Inglés
Revista:
Osong Public Health and Research Perspectives
Año:
2018
Tipo del documento:
Artículo
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