Prevalence and Predictors of Cesarean Section in Zanjan-Iran During 2014-2016

Background: The increased prevalence of cesarean section (C&ndash;section) is a global epidemic. Objectives: The aim of this study was to determine the prevalence and demographic, fertility, and childbirth-related factors of C&ndash;section in Zanjan province, Iran,-Zanjan province in the period sincefrom 21 March 2014 through theto 19 March 2016. Methods: This study was a descriptive analytic study, carried out in the 2014&ndash;2016, which gathered 41, 265 registered childbirth data in Zanjan province hospitals and, from country electronic childbirth register system. Data were analyzed using descriptive, univariate and multivariate logistic binominal regression. Results: according to the findings, Thethe prevalence of C&ndash;section was 40.1%. The odds of having C&ndash;section went up raised enhanced with increasing maternal age (OR=1.026), gravidity (OR=0.670), and gestational age (OR=0.093), while it decreased with an increased parity, end educational level up to high school graduate. decreased the odds of having C&ndash;section, while &nbsp;In contrast, higher educational (OR=3.064) level increased the odds of having C&ndash;section. Living in the urban areas (OR=1.855) also increased the odds./degrees/rates/amouts of C&ndash;section. Diabetes (OR=1.990), preeclampsia or eclampsia &nbsp;(OR=2.350), hypertension (OR=1.983), and thyroid disorders (OR=2.289) increased the odds of having C&ndash;section. Newborns with with low birth weight (OR=1) and macrosomia (OR=2.663), and boys (OR=1.107) were delivered more by via C&ndash;section. f Among the interventions during labor, induction (OR=1.131) and stimulation of labor (OR=0.269) reduced the odds of C&ndash;section (P<0.05). Conclusion: C&ndash;section rate is very high in Iran and its association with different variables can be a basis for planning and policymaking in order to reduce the C&ndash;section rate, particularly in this Zanjan province.