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.
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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
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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
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