The DOI matches its Crossref record; 14 of the 15 references it cites were found in a registry or an index.
Understanding The Reasons for High Rates of Caesarean Section Deliveries in Telangana, South India: An Explorative Study
Open accessAbstract
Background: Telangana continues to top the list of the highest number of caesarean section (C-section) deliveries in the country for the financial year 2019-2020. As per NFHS-5 it is about 60.7% deliveries out of the total number of all institutionalized childbirths. This study aims to address the crucial research gap by qualitatively exploring the reasons for the high rates of unnecessary C-section rates in the state of Telangana. Methodology: A purposive sampling was done across the health care facilities and geographies in the State & the districts were selected based on high, medium and low CS rates. A 360-degree stakeholder engagement approach was taken for a qualitative exploration to find out the reasons. Results: Medical, behavioural, cultural, and infrastructure including health system related factors have contributed to the rise of C-sections, particularly unnecessary elective C-sections. Limited trained personnel for doing normal deliveries in the public sector, infrastructure and safety issues for mother and child, and a preference for painless deliveries, and prior CS delivery stood out. Conclusions: As per the study's findings, it can be said that non-medical reasons account for a high percentage of C-sections in Telangana.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“Several studies have shown how perceptions of pregnant women, their families and obstetric health staff influence the decision of having C-section deliveries”
In the citing paper
“Few studies have explored both practitioner and patient perspectives regarding C-sections and the reasons thereof”
Citations
Cites
Shared decision making: A model for clinical practice
Elwyn, G., Frosch, D., Thomson, R., Joseph-Williams, N., Lloyd, A., Kinnersley, P., Cording, E., Tomson, D., Dodd, C., Rollnick, S., et al. (2012) · Journal of General Internal Medicine · doi:10.1007/s11606-012-2077-6 · Cited by 4,405
Vogel, J. P., Betrán, A. P., Vindevoghel, N., Souza, J. P., Torloni, M. R., Zhang, J., Tunçalp, Ö., Mori, R., Morisaki, N., Ortiz‐Panozo, E., et al. (2015) · The Lancet Global Health · doi:10.1016/s2214-109x(15)70094-x · Cited by 1,038
Keag, O. E., Norman, J. E., & Stock, S. J. (2018) · PLoS Medicine · doi:10.1371/journal.pmed.1002494 · Cited by 921
Indications Contributing to the Increasing Cesarean Delivery Rate
Barber, E. L., Lundsberg, L. S., Belanger, K. D., Pettker, C. M., Funai, E. F., & Illuzzi, J. L. (2011) · Obstetrics and Gynecology · doi:10.1097/aog.0b013e31821e5f65 · Cited by 694
Indications for and Risks of Elective Cesarean Section
Mylonas, I. G., & Friese, K. (2015) · Deutsches Ärzteblatt international · doi:10.3238/arztebl.2015.0489 · Cited by 389
Suwanrath, C., Chunuan, S., Matemanosak, P., & Pinjaroen, S. (2021) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-020-03525-3 · Cited by 79
Bhattacharyya, S., Issac, A., Rajbangshi, P. R., Srivastava, A., & Avan, B. I. (2015) · BMC Health Services Research · doi:10.1186/s12913-015-1077-8 · Cited by 78
Changing scenario of C-section delivery in India
Roy, N., Mishra, P. K., Mishra, V. K., Chattu, V. K., Varandani, S., & Batham, S. K. (2021) · Journal of Family Medicine and Primary Care · doi:10.4103/jfmpc.jfmpc_585_21 · Cited by 75
Contraceptive use and preferences of young married women in Kerala, India
Thulaseedharan, J. V. (2018) · Open Access Journal of Contraception · doi:10.2147/oajc.s152178 · Cited by 50
Defensive medicine among obstetricians and gynaecologists in Turkey
Küçük, M. (2017) · Journal of Obstetrics and Gynaecology · doi:10.1080/01443615.2017.1340933 · Cited by 36
Cited by
Sorted by citations
Sahoo, D. P., Soman, B., Agarwal, N., Patil, S., Roy, A., & Mitra, A. (2026) · PLOS Global Public Health · doi:10.1371/journal.pgph.0006070 · Cited by 1
Spencer, J., Rajan, S., Sawant, R., Patil, S., Pantvaidya, S., D’Souza, V., & Das, S. (2026) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-026-09160-8
“Few other studies have also related C-sections to primigravida women; however, these were mainly attributed to patient fear and risk perceptions [20, 44].”
Gavvala, N. B., Benson Thomas, M., Pandey, A. K., & Samal, J. (2025) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-025-08388-0 · Cited by 1
Raj, R. S. P., & Kodali, P. B. (2026) · PLoS ONE · doi:10.1371/journal.pone.0358778
Metadata
- Authors
- Jirra, K., Prasad M, S. D., & BR, S.
- Affiliations
- University of Hyderabad (IN)
- Venue
- National Journal of Community Medicine
- Publisher
- Medsci Publications
- Published
- 2023-11-01
- Volume
- 14
- Issue
- 11
- Pages
- 704-710
- ISSN
- 0976-3325 (ISSN-L)
- 2229-6816
- OpenAlex
- W4388231833
- Cited by
- 4
- References
- 15
- Citations by year
- 2026: 3 · 2025: 1
- FWCI
- 1.26
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- Locations
- National Journal of Community Medicine (publishedVersion, cc-by-sa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Keywords
- cesarean section, elective cesarean section, unnecessary cesarean section, Telangana, stakeholder perspectives, health system factors, cultural factors, skilled birth attendance
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
How to cite
Cite CoChat for the checks on this page, and the paper for its own findings.
- This page
- CoChat. (2026). Citation check: Understanding The Reasons for High Rates of Caesarean Section Deliveries in Telangana, South India: An Explorative Study. https://app.cochat.ai/papers/10.55489/njcm.141120233324
- The paper
- Jirra, K., Prasad M, S. D., & BR, S. (2023). Understanding The Reasons for High Rates of Caesarean Section Deliveries in Telangana, South India: An Explorative Study. National Journal of Community Medicine. https://doi.org/10.55489/njcm.141120233324
