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Category: Volume 05 Issue 08 August 2017
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Title: Increasing Trend of Caesarean Rates in India: Evidence from NFHS-4

Authors: T.Radhakrishnan, K.P.Vasanthakumari, P.K. Babu

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i8.31

Abstract

Background: Caesarean section (CS) rate is increasing worldwide and India is also not excluded from this trend. We present the latest CS rates and trends over the last 23 years in India and its states.

Methods: The data for the present analysis comes from the four consecutive National Family Health Survey (NFHS).

Results: The changing trends in CS rates from 1992 to 2015 for India and different states along with calculating the average annual rate of increase (AARI) was also presented in the study. At all India level, the CS rate has increased from 2.9 percent of the childbirth in 1992-93 to 7.1 percent  in 1998-99 and further rise to 8.5 percent in 2005-06 and a steady rise to 17.2 percent in 2015-16 and an AAIR of 8 percent. According to the recent NFHS 4, the average rate of C-section in India is 17.2 percent ranging from 5.8 percent in Nagaland to 58.0 percent in Telangana. The difference in C-section delivery from NFHS-1 to NFHS-4 shows that 7 states has CS rate  that is more than 30%, eight states has CS rate in between 10 percent and 20 percent and nine states less than 10 percent.

Conclusions: There is an unprecedented level of rise in CS rates in India and interstate and regional variations in CS rates.

Keywords: Caesarean section rate, Trend, NFHS, India.

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Corresponding Author

Dr K P. Vasanthakumari MD

Associate Professor, Department of Obstetrics and Gynaecology,

Government Medical College, Thiruvananthapuram, Kerala, India Mob: 9447101075