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

• Published in: Journal of Epidemiology and Global Health
• Main Authors: Nedberg, Ingvild Hersoug, Rylander, Charlotta, Skjeldestad, Finn Egil, Blix, Ellen, Ugulava, Tamar, Anda, Erik Eik
• Format: Article in Journal/Newspaper
• Language: English
• Published: Atlantis Press 2021
• Subjects: Cesarean sections; Maternal health; Maternal health services; Registries; Primiparity; Gestational ages; Georgia; Arctic; Norway; Arctic University of Norway; UiT The Arctic University of Norway
• Online Access: https://hdl.handle.net/10642/9633; https://doi.org/10.2991/jegh.k.200813.001

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. The first author received a PhD grant from UiT The Arctic University of Norway to carry out the study. publishedVersion