title: Effect of Social Factors on Cesarean Birth in Primiparous Women: A Cross Sectional Study (Social Factors and Cesarean Birth).
abstract: BACKGROUND
  P Cesarean delivery rates have been increasing throughout the world. Parallel to the developments in the world the cesarean rate in Turkey has risen to 48.1% in 2013. Some of the social factors were related with cesarean births. The purpose of this study was to determine cesarean birth rates and to find out social factors affecting the cesarean birth in primiparous women.
  
  
  METHODS
  This study was conducted in Burdur Province, Turkey between the dates of 1 Jan 2012-31 Dec 2012 on 223 primiparous women. The data was collected with data collection form prepared by the researchers by using face-to-face interview technique. In these analyses, chi-square and Backward Logistic regression analyses were used.
  
  
  RESULTS
  In multivariate analyses, the place of delivery (OR: 11.2 [2.9-42.46] in private hospital and OR: 6.1 [2.6-14.1] in university hospital); time of the birth (OR: 7.1 [3.1-16.0]); doctor's effect (OR: 4.0 [1.8-8.95]) and husband's employment status (OR: 2.23 [1.0-4.7]) have been identified as factors affecting the caesarean delivery in primiparous women.
  
  
  CONCLUSIONS
  Although the results do not show all of the factors affecting the caesarean delivery in primiparous women, they reveal that medical reasons are not the only reason in this increase trend. Health policy makers and health professionals are required to identify the causes of this increase and to take measures.
authors.affiliation: Dept. of Family Medicine, Dr Lutfi Kirdar Kartal Education and Training Hospital, Istanbul, Turkey.
authors.forename: Can
authors.initials: C
authors.lastname: Oner
authors.affiliation: Dept. of Public Health, School of Medicine, Kafkas University, Kars, Turkey.
authors.forename: Binali
authors.initials: B
authors.lastname: Catak
authors.affiliation: Burdur Public Health Directorate, Yeni Mah, Eski Antalya Cad No 24 Yenice, Burdur, Turkey.
authors.forename: Sevinç
authors.initials: S
authors.lastname: Sütlü
authors.affiliation: Burdur Public Health Directorate, Yeni Mah, Eski Antalya Cad No 24 Yenice, Burdur, Turkey.
authors.forename: Selçuk
authors.initials: S
authors.lastname: Kilinç
keywords: Cesarean sections; Epidemiology; Primiparity; Social determinants