Cesarean section deliveries in the occupied Palestinian territory (oPt): an analysis of the 2006 Palestinian Family Health Survey.
OBJECTIVE
Against the backdrop of a rise in cesarean section deliveries from 6.0% in 1996 to 14.8% in 2006, the objective of this study was to investigate socio-demographic, clinical and service-related factors associated with cesarean sections in the occupied Palestinian territory.


METHODS
Data from the Palestinian Family Health Survey 2006 were used to examine last births in the 5 years preceding the survey to women aged 15-49 years. Bivariate and multivariate associations between type of delivery (dependent variable) and selected factors were analyzed using logistic regression. Selected maternal outcomes were also investigated with type of delivery as the independent variable.


RESULTS
Cesarean section deliveries were significantly associated with maternal age (35+ years), primiparity, low birth weight and residence area in the West Bank and Gaza. There was no significant difference in the prevalence of cesarean deliveries by sector in the West Bank, but in Gaza, they were significantly more common in the governmental sector.


CONCLUSIONS
There is a need for detailed audits of cesarean section deliveries, nationally and at the facility level, in order to avoid unnecessary interventions in the context of high fertility, rising poverty and fragmented health services. Variations by governorate should be studied further for focused interventions.
Abdul-Rahim
Hanan F
HF
International Affairs Program, Qatar University, P.O. Box 2713, Doha, Qatar. arahim.hanan@gmail.com
Abu-Rmeileh
Niveen Mohammad Elias
NM
Wick
Laura
L
D000293:Adolescent; D000328:Adult; D018912:Arabs; D002585:Cesarean Section / Q000706:statistics & numerical data*; D003695:Delivery of Health Care; D005260:Female; D006306:Health Surveys; D006801:Humans; D007557:Israel; D008875:Middle Aged; D008877:Middle East; D011247:Pregnancy; D055815:Young Adult
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