Caesarean deliveries and their impact on financial burden and quality of life among post-partum mothers in Tamil Nadu, India

Retna Sheeja Pushpa Raj and Prakash Babu Kodali

PLOS ONE, 2026, vol. 21, issue 9, 1-15

Abstract: Introduction: Caesarean section (C-section) deliveries are on the rise globally, often with significant health and economic consequences. This study investigates the prevalence and factors associated with C-section deliveries, and their association with out-of-pocket expenditures (OOPE) and health-related quality of life (HRQL) among post-partum mothers in Tamil Nadu, India. Methods: A cross sectional study among 475 randomly selected post-partum mothers was conducted during April-June 2023. Data on demographic and obstetric characteristics and OOPE were collected using a structured survey questionnaire. HRQL was assessed using the 12-Item Short Form Survey (SF-12). Binary logistic regression analysis was used to compute Adjusted Odds Ratios (AOR) to identify the factors associated with C-section deliveries, and identify the association between C-section deliveries with OOPE and HRQL. Results: C-section deliveries accounted for 52.60% of all births. High-risk pregnancies (AOR = 17.21, 95% CI = 7.57–39.13, p

Date: 2026
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0358778

DOI: 10.1371/journal.pone.0358778

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