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Table 3 Simple binary logistic regression of socio-demographics and pregnancy-related variables associated with caesarean deliveries

From: Trends of caesarean section deliveries in Pakistan: secondary data analysis from Demographic and Health Surveys, 1990–2018

 

PDHS 1990–91

(n = 4029)

PDHS 2006–07

(n = 5721)

PDHS 2012–13

(n = 7461)

PDHS 2017–18

(n = 8287)

OR

95% CI

p-value

OR

95% CI

p-value

OR

95% CI

p-value

OR

95% CI

p-value

Socio-demographics

Mother’s age at birth (in years)

 Less than 18

1

  

1

  

1

  

1

  

 18–20

1.07

0.62–1.84

0.822

1.80

1.30–2.50

< 0.001

1.66

1.31–2.10

< 0.001

1.77

1.46–2.14

< 0.001

 21–24

1.96

1.26–3.02

< 0.001

2.08

1.40–3.08

< 0.001

2.74

2.23–3.37

< 0.001

2.72

2.29–3.23

< 0.001

 More than 24

1.78

1.05–3.04

< 0.001

2.60

1.91–3.55

< 0.001

5.00

4.04–6.19

< 0.001

5.10

4.28–6.07

< 0.001

Children birth order

 1

5.38

2.94–9.83

< 0.001

0.46

0.30–0.71

< 0.001

5.06

3.95–6.48

< 0.001

5.00

3.97–6.29

< 0.001

 2–3

3.04

1.68–5.51

< 0.001

2.58

1.83–3.66

< 0.001

3.43

2.71–4.33

< 0.001

4.24

3.41–5.27

< 0.001

 4–5

2.68

1.44–4.98

< 0.001

1.82

1.31–2.54

< 0.001

1.56

1.19–2.04

< 0.001

2.80

2.18–3.60

< 0.001

 More than 6

1

  

1

  

1

  

1

  

Mother’s education

 No education

1

  

1

  

1

  

1

  

 Primary

3.78

2.18–6.56

< 0.001

2.85

2.15–3.77

< 0.001

2.66

2.15–3.29

< 0.001

2.23

1.85–2.69

< 0.001

 Middle

3.52

2.74–4.52

< 0.001

 Secondary

8.46

5.60–12.78

< 0.001

4.81

3.74–6.19

< 0.001

5.22

4.26–6.40

< 0.001

4.05

3.49–4.69

< 0.001

 Higher

14.19

6.94–29.01

< 0.001

8.31

6.23–11.09

< 0.001

7.86

6.51–9.49

< 0.001

7.51

6.45–8.76

< 0.001

Mother’s occupation

 Not working

1

  

1

  

1

  

1

  

 Unskilled

0.47

0.07–3.43

0.457

0.55

0.27–1.14

< 0.001

0.76

0.60–0.96

< 0.001

0.75

0.33–1.67

0.479

 Skilled

0.69

0.37–1.29

0.241

0.44

0.03–0.59

< 0.001

0.36

0.25–0.51

< 0.001

0.79

0.65–0.97

< 0.001

 Professional/Technical/Managerial

3.81

1.47–9.84

< 0.001

2.92

1.81–4.69

< 0.001

2.15

1.53–3.02

< 0.001

2.72

2.10–3.53

< 0.001

Wealth index

 Poorest

1

  

1

  

1

  

 Poorer

1.22

0.71–2.09

0.475

2.66

2.15–3.29

< 0.001

1.67

1.31–2.13

< 0.001

 Middle

3.02

1.89–4.84

< 0.001

3.52

2.74–4.52

< 0.001

3.51

2.79–4.41

< 0.001

 Richer

6.43

4.14–9.97

< 0.001

5.22

4.26–6.40

< 0.001

6.25

5.01–7.80

< 0.001

 Richest

13.14

8.60–20.08

< 0.001

7.86

6.51–9.49

< 0.001

10.30

8.29–12.80

< 0.001

Type of residence

 Rural

1

  

1

  

1

  

1

  

 Urban

4.50

2.88–7.06

< 0.001

0.37

0.30–0.45

< 0.001

2.43

2.12–2.78

< 0.001

0.48

0.43–0.54

< 0.001

Region

 Baluchistan

1

  

1

  

1

  

1

  

 Islamabad Capital Territory

   

0.06

0.04–0.10

< 0.001

0.31

0.23–0.40

< 0.001

 Punjab

0.15

0.05–0.41

< 0.001

0.62

0.49–0.78

< 0.001

0.71

0.56–0.89

< 0.001

0.82

0.71–0.96

< 0.001

 Sindh

0.73

0.49–1.11

0.140

0.36

0.26–0.49

< 0.001

0.66

0.52–0.83

< 0.001

0.25

0.20–0.30

< 0.001

 Khyber Pakhtunkhwa

0.43

0.23–0.71

0.001

0.18

0.10–0.30

< 0.001

0.20

0.15–0.27

< 0.001

0.14

0.10–0.18

< 0.001

 Gilgit Baltistan

0.16

0.11–0.23

< 0.001

1.03

0.84–1.27

0.761

 AJK

0.76

0.63–0.91

< 0.001

 FATA

0.09

0.06–0.13

< 0.001

Pregnancy-related variables

Pregnancy complication

 No

1

  

1

  

 Yes

2.20

1.78–2.72

< 0.001

1.68

1.45–1.94

< 0.001

Number of antenatal care visits

 None

1

  

1

  

1

  

1

  

 1–3

5.08

2.97–9.68

< 0.001

3.05

2.17–4.28

< 0.001

6.21

4.15–9.31

< 0.001

6.31

4.15–9.61

< 0.001

 4 and above

9.70

6.01–15.72

< 0.001

5.76

4.63–7.15

< 0.001

25.40

17.22–37.47

< 0.001

23.36

15.52–35.18

< 0.001

Place of delivery

 Public

1

  

1

  

1

  

1

  

 Private

0.92

0.61–1.39

0.696

1.01

0.81–1.26

0.938

1.33

1.14–1.54

< 0.001

1.85

1.64–2.09

< 0.001

Size of the baby at birth

 Below average

1

  

1

  

1

  

1

  

 Normal

1.08

0.38–3.07

0.888

0.81

0.63–0.99

< 0.001

1.29

0.95–1.75

0.103

1.10

1.26

0.180

Number of children

 1–2

0.34

0.21–0.53

< 0.001

0.21

0.15–0.27

< 0.001

0.24

0.20–0.29

< 0.001

0.27

0.23–0.32

< 0.001

 3–4

0.72

0.48–1.09

0.116

0.60

0.48–0.75

< 0.001

0.60

0.52–0.70

< 0.001

0.72

0.64–0.82

< 0.001

 5 and above

1

  

1

  

1

  

1

  

Pregnancy ever terminated

 No

1

  

1

  

1

  

 Yes

1.12

0.90–1.40

0.310

1.11

0.97–1.28

0.136

1.06

0.80–1.41

0.675