Prevalence and Predictors of Cesarean Section in Zanjan-Iran During ۲۰۱۴-۲۰۱۶

Background: The increased prevalence of cesarean section (C–section) is a global epidemic. Objectives: The aim of this study was to determine the prevalence and demographic, fertility, and childbirth-related factors of C–section in Zanjan province, Iran,-Zanjan province in the period sincefrom ۲۱ March ۲۰۱۴ through theto ۱۹ March ۲۰۱۶. Methods: This study was a descriptive analytic study, carried out in the ۲۰۱۴–۲۰۱۶, which gathered ۴۱, ۲۶۵ registered childbirth data in Zanjan province hospitals and, from country electronic childbirth register system. Data were analyzed using descriptive, univariate and multivariate logistic binominal regression. Results: according to the findings, Thethe prevalence of C–section was ۴۰.۱%. The odds of having C–section went up raised enhanced with increasing maternal age (OR=۱.۰۲۶), gravidity (OR=۰.۶۷۰), and gestational age (OR=۰.۰۹۳), while it decreased with an increased parity, end educational level up to high school graduate. decreased the odds of having C–section, while  In contrast, higher educational (OR=۳.۰۶۴) level increased the odds of having C–section. Living in the urban areas (OR=۱.۸۵۵) also increased the odds./degrees/rates/amouts of C–section. Diabetes (OR=۱.۹۹۰), preeclampsia or eclampsia  (OR=۲.۳۵۰), hypertension (OR=۱.۹۸۳), and thyroid disorders (OR=۲.۲۸۹) increased the odds of having C–section. Newborns with with low birth weight (OR=۱) and macrosomia (OR=۲.۶۶۳), and boys (OR=۱.۱۰۷) were delivered more by via C–section. f Among the interventions during labor, induction (OR=۱.۱۳۱) and stimulation of labor (OR=۰.۲۶۹) reduced the odds of C–section (P<۰.۰۵). Conclusion: C–section rate is very high in Iran and its association with different variables can be a basis for planning and policymaking in order to reduce the C–section rate, particularly in this Zanjan province.

Keywords:

cesarean section , prevalence , risk factors , Zanjan