Factors Associated with Cesarean Section among Primiparous Women in Georgia: A Registry-based Study

Authors

Ingvild Hersoug Nedberg^{1, *,} , Charlotta Rylander^1, , Finn Egil Skjeldestad^1, , Ellen Blix^2, , Tamar Ugulava³, Erik Eik Anda^1,

¹Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway

²Department of Nursing and Health Promotion, Faculty of Health Sciences, OsloMet – Oslo Metropolitan University, Oslo, Norway

³United Nations Children’s Fund (UNICEF), Tbilisi, Georgia

^*Corresponding author. Email: ingvild.h.nedberg@uit.no

DOI

10.2991/jegh.k.200813.001How to use a DOI?

Keywords

Cesarean section; maternal health; maternal health services; registries; primiparity; gestational age; Georgia (Republic)

Abstract

Cesarean section rates remain high in Georgia. As a cesarean section in the first pregnancy generally lead to a cesarean section in subsequent pregnancies, primiparous women should be targeted for prevention strategies. The aim of the study was to assess factors associated with cesarean section among primiparous women. The study comprised 17,065 primiparous women with singleton, cephalic deliveries at 37–43 weeks of gestation registered in the Georgian Birth Registry in 2017. The main outcome was cesarean section. Descriptive statistics and logistic regression analysis were used to identify factors associated with cesarean section. The proportion of cesarean section was 37.1% with regional variations from 14.2% to 57.4%. Increased maternal age, obesity and having a baby weighing ≥4000 g were all associated with higher odds of cesarean section. Of serious concern for newborn well-being is the high proportion of cesarean section at 37–38 weeks of gestation. Further research should focus on organizational and economical aspects of maternity care to uncover the underlying causes of the high cesarean section rate in Georgia.

Copyright

© 2020 The Authors. Published by Atlantis Press International B.V.

Open Access

This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).

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TY  - JOUR
AU  - Ingvild Hersoug Nedberg
AU  - Charlotta Rylander
AU  - Finn Egil Skjeldestad
AU  - Ellen Blix
AU  - Tamar Ugulava
AU  - Erik Eik Anda
PY  - 2020
DA  - 2020/08/21
TI  - Factors Associated with Cesarean Section among Primiparous Women in Georgia: A Registry-based Study
JO  - Journal of Epidemiology and Global Health
SP  - 337
EP  - 343
VL  - 10
IS  - 4
SN  - 2210-6014
UR  - https://doi.org/10.2991/jegh.k.200813.001
DO  - 10.2991/jegh.k.200813.001
ID  - Nedberg2020
ER  -