Abstract

Objective: To identify demographic and socioeconomic determinants of caesarean delivery in Egypt.Methods: A logistic regression model ascertained the association between cesarean delivery and 21 independent variables, including data of 7,916 women from the 2000 Demographic and Health Survey.Results: The log odds of cesarean delivery was significantly higher among women of younger age, with first and second order pregnancies, who received antenatal care during pregnancy, with previous experience of child death, who had ever terminated pregnancy and who resided in urban areas. Interestingly, maternal education, occupational status, current use of modern contraception and desire to have more children were not associated with cesarean delivery. Further, none of the socioeconomic variables or the women position indicators appeared to be significantly associated with cesarean delivery.Conclusion: Caesarean delivery might be overused or used for inappropriate indications in Egypt. The study proposes directions for action to rationalize cesarean delivery in Egypt.

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