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Reza Omani-Samani 1 Article
Factors Associated with Cesarean Section in Tehran, Iran using Multilevel Logistic Regression Model
Payam Amini, Maryam Mohammadi, Reza Omani-Samani, Amir Almasi-Hashiani, Saman Maroufizadeh
Osong Public Health Res Perspect. 2018;9(2):86-92.   Published online April 30, 2018
DOI: https://doi.org/10.24171/j.phrp.2018.9.2.08
  • 3,749 View
  • 58 Download
  • 9 Citations
AbstractAbstract PDF
Objectives

Over the past few decades, the prevalence of cesarean sections (CS) have risen dramatically worldwide, particularly in Iran. The aim of this study was to determine the prevalence of CS in Tehran, and to examine the associated risk factors.

Methods

A cross-sectional study of 4,308 pregnant women with singleton live-births in Tehran, Iran, between July 6–21, 2015 was performed. Multilevel logistic regression analysis was performed using demographic and obstetrical variables at the first level, and hospitals as a variable at the second level.

Results

The incidence of CS was 72.0%. Multivariate analysis showed a significant relationship between CS and the mother’s age, socioeconomic status, body mass index, parity, type of pregnancy, preeclampsia, infant height, and baby’s head circumference. The intra-class correlation using the second level variable, the hospital was 0.292, indicating approximately 29.2% of the total variation in the response variable accounted for by the hospital.

Conclusion

The incidence of CS was substantially higher than other countries. Therefore, educational and psychological interventions are necessary to reduce CS rates amongst pregnant Iranian women.

Citations

Citations to this article as recorded by  
  • The double burden of maternal overweight and short stature and the likelihood of cesarean deliveries in South Asia: An analysis of national datasets from Bangladesh, India, Maldives, Nepal, and Pakistan
    Mosiur Rahman, Syed Emdadul Haque, Md. Jahirul Islam, Nguyen Huu Chau, Izzeldin Fadl Adam, Md. Nuruzzaman Haque
    Birth.2022; 49(4): 661.     CrossRef
  • Geospatial analysis of cesarean section in Iran (2016–2020): exploring clustered patterns and measuring spatial interactions of available health services
    Alireza Mohammadi, Elahe Pishgar, Zahra Salari, Behzad Kiani
    BMC Pregnancy and Childbirth.2022;[Epub]     CrossRef
  • Factors associated with cesarean delivery in Bangladesh: A multilevel modeling
    Md. Akhtarul Islam, Mst. Tanmin Nahar, Md. Ashfikur Rahman, Sutapa Dey Barna, S.M. Farhad Ibn Anik
    Sexual & Reproductive Healthcare.2022; 34: 100792.     CrossRef
  • The Birth Satisfaction Scale-Revised Indicator (BSS-RI): a validation study in Iranian mothers
    Reza Omani-Samani, Caroline J. Hollins Martin, Colin R. Martin, Saman Maroufizadeh, Azadeh Ghaheri, Behnaz Navid
    The Journal of Maternal-Fetal & Neonatal Medicine.2021; 34(11): 1827.     CrossRef
  • The effect of familiarization with preoperative care on anxiety and vital signs in the patient’s cesarean section: A randomized controlled trial
    Mehrnush Mostafayi, Behzad Imani, Shirdel Zandi, Faeze Jongi
    European Journal of Midwifery.2021; 5(June): 1.     CrossRef
  • Dynamic prediction of liver cirrhosis risk in chronic hepatitis B patients using longitudinal clinical data
    Ying Wang, Xiang-Yong Li, Li-Li Wu, Xiao-Yan Zheng, Yu Deng, Meng-Jie Li, Xu You, Yu-Tian Chong, Yuan-Tao Hao
    European Journal of Gastroenterology & Hepatology.2020; 32(1): 120.     CrossRef
  • Factors Contributing to Iranian Pregnant Women’s Tendency to Choice Cesarean Section
    Soraya Nouraei Motlagh, Zahra Asadi-piri, Razyeh Bajoulvand, Fatemeh Seyed Mohseni, Katayoun Bakhtiar, Mehdi Birjandi, Maryam Mansouri
    Medical - Surgical Nursing Journal.2020;[Epub]     CrossRef
  • Trends and correlates of cesarean section rates over two decades in Nepal
    Aliza K. C. Bhandari, Bibha Dhungel, Mahbubur Rahman
    BMC Pregnancy and Childbirth.2020;[Epub]     CrossRef
  • Symptoms of Discomfort and Problems Associated with Mode of Delivery During the Puerperium: An Observational Study
    Martínez-Galiano, Delgado-Rodríguez, Rodríguez-Almagro, Hernández-Martínez
    International Journal of Environmental Research an.2019; 16(22): 4564.     CrossRef

PHRP : Osong Public Health and Research Perspectives