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Socio-demographic factors of cesarean births in Nha Trang city, Vietnam: a community-based survey


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Title: Socio-demographic factors of cesarean births in Nha Trang city, Vietnam: a community-based survey
Authors: Takegata, Mizuki / Ronsmans, Carine / Nguyen, Hien Anh T. / Kitamura, Noriko / Iwasaki, Chihiro / Toizumi, Michiko / Moriuchi, Hiroyuki / Dang, Duc Anh / Yoshida, Lay-Myint
Issue Date: 10-Jul-2020
Publisher: BioMed Central Ltd.
Citation: Tropical Medicine and Health, 48(1), art.no.57; 2020
Abstract: Background: The cesarean section rate in Vietnam has been increasing especially in urban area. However, limited evidence identified regarding socio-demographic factors of the cesarean section birth. The objective of this study was to determine the current cesarean birth rate and the associated socio-demographic factors among mothers in Nha Trang city, south-central Vietnam. Methods: A community-based cross-sectional study was conducted between October and November in 2016 as part of a Streptococcus pneumoniae carriage survey conducted in 27 communes of Nha Trang city. From each commune, 120 mothers and their children less than 2 years old were randomly selected. Mothers were asked to answer standardized questions regarding socio-demographic information and mode of birth. Multivariate logistic regression was adopted to examine associations between socio-demographic variables and mode of birth. Results: Of 3148 participants, the number of cesarean births was 1396 (44.3 %). Older maternal age (≥ 30 years old), having another child going to school or kindergarten, monthly income more than 644 USD, gestational weeks at birth over 42 weeks, and low (< 2500 g) or high (≥ 3500 g) birth weight were associated with higher likelihood of cesarean births. Conclusion: The CS rate obtained in this study was more than twice of what is recommended by the World Health Organization, which is consistent with the previous nation-wide study in Viet Nam. Further monitoring is suggested to examine the non-medical reason for the increased CS rate.
Keywords: Cesarean birth rate / Community-based mothers / Socio-demographic factors / Urban city / Vietnam
URI: http://hdl.handle.net/10069/40161
ISSN: 13488945
DOI: 10.1186/s41182-020-00239-2
Rights: © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License,which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use,you will need to obtain permission directly from the copyright holder. To view a copy of this licence,visit http://creativecommons.org/licenses/by/4.0/.
Type: Journal Article
Text Version: publisher
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/40161

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