Skip to main content

Table 3 Prevalence and odds ratios of elective caesarean, intrapartum caesarean section and forceps or vacuum extraction by birthweight percentile

From: Searching for the definition of macrosomia through an outcome-based approach in low- and middle-income countries: a secondary analysis of the WHO Global Survey in Africa, Asia and Latin America

Birthweight percentile

 

Elective caesarean section

Intrapartum caesarean section

Forceps extraction or vacuum extraction

N

Prevalence (%)

Adjusted OR (95 % CI)a

p value

Prevalence (%)

Adjusted OR (95 % CI)a,

p value

Prevalence (%)

Adjusted OR (95 % CI)a,

p value

Africa

67546

         

 P50−P74

15747

1.8

1 · 00

5 · 5

1 · 00

1 · 9

1 · 00

 P75–P89

10150

2.3

1.31 (1.08, 1.59)

0.0067

6 · 5

1 · 23 (1 · 10, 1 · 38)

0 · 0002

1 · 8

1 · 18 (0 · 97, 1 · 44)

0 · 1032

 P90–P94

5247

2.5

1.36 (1.08, 1.72)

0.0093

6 · 0

1 · 25 (1 · 09, 1 · 44)

0 · 0019

1 · 8

1 · 39 (1 · 08, 1 · 78)

0 · 0106

 P95–P96

1820

3.6

1.91 (1.40, 2.60)

<0 · 0001

6 · 8

1 · 46 (1 · 18, 1 · 79)

0 · 0004

1 · 2

1 · 02 (0 · 64, 1 · 62)

0 · 9335

  ≥ P97

6851

3.8

2.00 (1.64, 2.44)

<0 · 0001

9 · 0

2 · 17 (1 · 92, 2 · 44)

<0 · 0001

1 · 7

1 · 86 (1 · 46, 2 · 37)

<0 · 0001

Asia

91595

         

 P50–P74

18066

12.3

1 · 00

12 · 5

1 · 00

2 · 6

1 · 00

 P75–P89

14694

12.1

1.08 (1.00, 1.18)

0.0611

12 · 8

1 · 11 (1 · 03, 1 · 19)

0 · 0056

2 · 5

1 · 08 (0 · 93, 1 · 25)

0 · 3198

 P90–P94

5955

16.1

1.22 (1.10, 1.36)

0.0002

14 · 9

1 · 37 (1 · 25, 1 · 51)

<0 · 0001

2 · 2

1 · 05 (0 · 86, 1 · 29)

0 · 6286

 P95–P96

3030

14.5

1.31 (1.14, 1.51)

0.0002

13 · 4

1 · 60 (1 · 41, 1 · 82)

<0 · 0001

3 · 2

1 · 67 (1 · 32, 2 · 11)

<0 · 0001

  ≥ P97

9574

18.1

1.65 (1.50, 1.81)

<0 · 0001

17 · 2

1 · 90 (1 · 75, 2 · 06)

<0 · 0001

3 · 0

1 · 55 (1 · 31, 1 · 83)

<0 · 0001

Latin America

87518

         

 P50–P74

20003

15.8

1 · 00

12 · 3

1 · 00

1 · 3

1 · 00

 P75–P89

12912

17.7

1.11 (1.03, 1.19)

0.0062

12 · 7

1 · 08 (1 · 01, 1 · 17)

0 · 0291

1 · 3

1 · 13 (0 · 91, 1 · 39)

0 · 2628

 P90–P94

5227

19.9

1.27 (1.16, 1.40)

<0 · 0001

13 · 8

1 · 33 (1 · 21, 1 · 47)

<0 · 0001

1 · 7

1 · 55 (1 · 20, 2 · 02)

0 · 0010

 P95–P96

2242

21.7

1.42 (1.24, 1.63)

<0 · 0001

15 · 0

1 · 45 (1 · 26, 1 · 66)

<0 · 0001

1 · 2

1 · 34 (0 · 88, 2 · 06)

0 · 1770

  ≥ P97

6284

25.2

1.65 (1.51, 1.80)

<0 · 0001

15 · 5

1 · 84 (1 · 68, 2 · 02)

<0 · 0001

1 · 2

1 · 34 (1 · 01, 1 · 78)

0 · 0402

  1. aAll estimates were based on two-level logistic regression models. Facilities represent units at level two and individuals within facilities are observations at level one. We adjusted for country, maternal age, marital status, education (total years of school attendance), obesity, diabetes, parity, infant sex and gestational age