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Cesarean section deliveries in the occupied Palestinian territory (oPt): An analysis of the 2006 Palestinian Family Health Survey

OBJECTIVE: Against the backdrop of a rise in cesarean section deliveries from 6.0% in 1996 to 14.8% in 2006, the objective of this study was to investigate socio-demographic, clinical and service-related factors associated with cesarean sections in the occupied Palestinian territory. METHODS: Data f...

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Detalles Bibliográficos
Autores principales: Abdul-Rahim, Hanan F., Abu-Rmeileh, Niveen “Mohammad Elias”, Wick, Laura
Formato: Texto
Lenguaje:English
Publicado: Elsevier Scientific Publishers 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2789246/
https://www.ncbi.nlm.nih.gov/pubmed/19674810
http://dx.doi.org/10.1016/j.healthpol.2009.07.006
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author Abdul-Rahim, Hanan F.
Abu-Rmeileh, Niveen “Mohammad Elias”
Wick, Laura
author_facet Abdul-Rahim, Hanan F.
Abu-Rmeileh, Niveen “Mohammad Elias”
Wick, Laura
author_sort Abdul-Rahim, Hanan F.
collection PubMed
description OBJECTIVE: Against the backdrop of a rise in cesarean section deliveries from 6.0% in 1996 to 14.8% in 2006, the objective of this study was to investigate socio-demographic, clinical and service-related factors associated with cesarean sections in the occupied Palestinian territory. METHODS: Data from the Palestinian Family Health Survey 2006 were used to examine last births in the 5 years preceding the survey to women aged 15–49 years. Bivariate and multivariate associations between type of delivery (dependent variable) and selected factors were analyzed using logistic regression. Selected maternal outcomes were also investigated with type of delivery as the independent variable. RESULTS: Cesarean section deliveries were significantly associated with maternal age (35+ years), primiparity, low birth weight and residence area in the West Bank and Gaza. There was no significant difference in the prevalence of cesarean deliveries by sector in the West Bank, but in Gaza, they were significantly more common in the governmental sector. CONCLUSIONS: There is a need for detailed audits of cesarean section deliveries, nationally and at the facility level, in order to avoid unnecessary interventions in the context of high fertility, rising poverty and fragmented health services. Variations by governorate should be studied further for focused interventions.
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spelling pubmed-27892462009-12-22 Cesarean section deliveries in the occupied Palestinian territory (oPt): An analysis of the 2006 Palestinian Family Health Survey Abdul-Rahim, Hanan F. Abu-Rmeileh, Niveen “Mohammad Elias” Wick, Laura Health Policy Article OBJECTIVE: Against the backdrop of a rise in cesarean section deliveries from 6.0% in 1996 to 14.8% in 2006, the objective of this study was to investigate socio-demographic, clinical and service-related factors associated with cesarean sections in the occupied Palestinian territory. METHODS: Data from the Palestinian Family Health Survey 2006 were used to examine last births in the 5 years preceding the survey to women aged 15–49 years. Bivariate and multivariate associations between type of delivery (dependent variable) and selected factors were analyzed using logistic regression. Selected maternal outcomes were also investigated with type of delivery as the independent variable. RESULTS: Cesarean section deliveries were significantly associated with maternal age (35+ years), primiparity, low birth weight and residence area in the West Bank and Gaza. There was no significant difference in the prevalence of cesarean deliveries by sector in the West Bank, but in Gaza, they were significantly more common in the governmental sector. CONCLUSIONS: There is a need for detailed audits of cesarean section deliveries, nationally and at the facility level, in order to avoid unnecessary interventions in the context of high fertility, rising poverty and fragmented health services. Variations by governorate should be studied further for focused interventions. Elsevier Scientific Publishers 2009-12 /pmc/articles/PMC2789246/ /pubmed/19674810 http://dx.doi.org/10.1016/j.healthpol.2009.07.006 Text en © 2009 Elsevier Ireland Ltd. https://creativecommons.org/licenses/by/3.0/ Open Access under CC BY 3.0 (https://creativecommons.org/licenses/by/3.0/) license
spellingShingle Article
Abdul-Rahim, Hanan F.
Abu-Rmeileh, Niveen “Mohammad Elias”
Wick, Laura
Cesarean section deliveries in the occupied Palestinian territory (oPt): An analysis of the 2006 Palestinian Family Health Survey
title Cesarean section deliveries in the occupied Palestinian territory (oPt): An analysis of the 2006 Palestinian Family Health Survey
title_full Cesarean section deliveries in the occupied Palestinian territory (oPt): An analysis of the 2006 Palestinian Family Health Survey
title_fullStr Cesarean section deliveries in the occupied Palestinian territory (oPt): An analysis of the 2006 Palestinian Family Health Survey
title_full_unstemmed Cesarean section deliveries in the occupied Palestinian territory (oPt): An analysis of the 2006 Palestinian Family Health Survey
title_short Cesarean section deliveries in the occupied Palestinian territory (oPt): An analysis of the 2006 Palestinian Family Health Survey
title_sort cesarean section deliveries in the occupied palestinian territory (opt): an analysis of the 2006 palestinian family health survey
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2789246/
https://www.ncbi.nlm.nih.gov/pubmed/19674810
http://dx.doi.org/10.1016/j.healthpol.2009.07.006
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