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Table 5 Place of delivery-stratified multivariate logistic regression for the association between institutional-based c-section delivery as dependent variable and measured characteristics, by the survey round

From: Trend of caesarean deliveries in Egypt and its associated factors: evidence from national surveys, 2005–2014

 

EDHS-2005

EDHS-2008

EDHS-2014

Public

Private

Public

Private

Public

Private

aOR (95% CI)

aOR (95% CI)

aOR (95% CI)

Socio-demographic

Age at last birth (Ref: ≥35 yrs)

 30–34

0.23 (0.09–0.62)**

0.59 (0.41–0.87)**

0.70 (0.43–1.15)

0.93 (0.63–1.36)

0.75 (0.51–1.10)

0.79 (0.61–1.07)

 25–29

0.33 (0.19–0.54)***

0.40 (0.28–0.56)***

0.89 (0.57–1.40)

0.66 (0.46–0.93)*

0.52 (0.36–0.74)***

0.56 (0.44–0.72)***

 19–24

0.71 (0.44–1.14)

0.31 (0.21–0.45)***

0.37 (0.23–0.61)***

0.44 (0.30–0.64)***

0.39 (0.27–0.57)***

0.43 (0.33–0.56)***

  ≤ 18

1.23 (0.77–1.98)

0.28 (0.15–0.53)***

0.27 (0.11–0.67)**

0.43 (0.24–0.79)**

0.16 (0.07–0.35)***

0.40 (0.26–0.63)***

Socioeconomic status (Ref: low)

 Medium

1.31 (0.76–2.27)

1.71 (1.04–2.83)*

1.23 (0.74–2.06)

0.59 (0.39–0.88)**

0.86 (0.60–1.22)

1.07 (0.83–1.38)

 High

1.51 (0.90–2.55)

2.04 (1.26–3.29)**

1.25 (0.76–2.05)

0.61 (0.42–0.88)**

1.11 (0.78–1.59)

0.97 (0.76–1.25)

Lifetime parity (Ref: ≥4)

 2–3

1.54 (1.05–2.26)*

1.04 (0.76–1.41)

1.41 (0.95–2.07)

2.20 (1.60–3.03)***

1.41 (1.05–1.89)*

1.82 (1.51–2.21)***

 Primigravidas

2.21 (1.37–3.58)**

1.62 (1.12–2.34)*

1.50 (0.92–2.44)

3.73 (2.56–5.42)***

1.72 (1.18–2.50)**

3.76 (2.94–4.80)***

FGMa (Ref: no)

 Yes

0.77 (0.41–1.45)

0.68 (0.48–0.97)*

0.51 (0.24–1.06)

0.62 (0.43–0.89)*

0.81 (0.55–1.20)

0.95 (0.75–1.20)

BMI (Ref: normal 18.5–24.9)

 High risk (<18.5, ≥25)

1.14 (0.78–1.67)

1.34 (1.01–1.77)*

1.24 (0.88–1.76)

1.52 (1.19–1.92)**

1.78 (1.32–2.40)***

1.33 (1.11–1.60)**

Spatial

Residence (Ref: urban)

 Rural

0.82 (0.60–10.9)

0.70 (0.01–36.73)

0.95 (0.10–8.69)

0.52 (0.04–7.05)

0.56 (0.08–4.04)

1.0 (0.14–6.96)

Region (Ref: urban governorates)

 Urban-Lower Egypt

1.14 (0.73–1.79)

0.91 (0.66–1.24)

0.95 (0.57–1.62)

1.13 (0.79–1.60)

1.04 (0.69–1.56)

1.19 (0.88–1.60)

 Rural-Lower Egypt

1.06 (0.08–14.7)

1.07 (0.02–56.6)

1.29 (0.14–12.19)

1.56 (0.11–21.4)

1.55 (0.21–11.4)

0.74 (0.11–5.14)

 Urban-Upper Egypt

0.34 (0.19–0.58)***

0.61 (0.43–0.86)**

0.96 (0.59–1.54)

0.89 (0.64–1.24)

0.62 (0.42–0.91)*

0.60 (0.45–0.80)**

 Rural-Upper Egypt

0.67 (0.05–9.46)

1.18 (0.02–63.2)

1.27 (0.14–11.9)

1.32 (0.09–18.2)

1.04 (0.14–7.67)

0.51 (0.07–3.54)

 Frontier governorates

0.81 (0.24–2.71)

0.25 (0.05–1.23)

0.56 (0.18–1.77)

0.62 (0.19–1.91)

0.72 (0.19–2.75)

0.68 (0.27–1.73)

Newborn characteristics

Birth weight (Ref: high risk <2,500, ≥4,000)

 Normal (2,500–3,999)

0.63 (0.47–0.84)**

0.79 (0.62–0.99)*

0.46 (0.34–0.62)***

0.81 (0.64–1.04)

0.83 (0.66–1.05)

0.83 (0.65–1.04)

Birth multiplicity (Ref: multiple)

 Singleton

0.39 (0.20–0.75)**

0.46 (0.28–0.77)**

1.0 (0.47–0.2.11)

0.33 (0.18–0.60)***

0.57 (0.32–1.03)

0.41 (0.26–0.66)***

Previous birth C-sectionb (Ref: no)

 Yes

53.6 (25.8–120.4)***

263.3 (82.2–843)***

66.5 (25.1–176)***

236.5 (73.1–765)***

95.4 (41.7–218)***

145.3 (71.0–297)***

 Primigravidas

2.61 (1.81–3.70)***

2.85 (2.19–3.72)***

1.84 (1.27–2.70)**

3.56 (2.76–4.60)***

2.48 (1.86–3.32)***

4.52 (3.75–5.45)***

Institutional

ANC (Ref: no visits)

 1–3

0.92 (0.46–1.84)

2.33 (1.27–4.28)**

0.72 (0.30–1.74)

1.33 (0.77–2.29)

1.04 (0.58–1.84)

0.78 (0.49–1.24)

  ≥ 4

1.59 (1.03–2.44)*

1.71 (1.11–2.63)*

1.89 (1.29–2.77)**

1.29 (0.91–1.81)

1.44 (0.98–2.10)

1.21 (0.84–1.74)

  1. Number of cases included in multivariate models was only 12,894 (9236 children were not weighted and 64 mothers did not report on the ANC visits)
  2. OR: odds ratio, aOR: adjusted odds ratio (for all covariates under analysis), CI: confidence interval, ANC: antenatal care
  3. a female genital mutilation, b previous birth occurred within the past five years
  4. * P < 0.05, ** P = 0.001, *** P < 0.001