| 1 | less than 2% |
| 2 | 2% to 4.9% |
| 3 | 5% to 9.9% |
| 4 | 10% to 14.9% |
| 5 | 15% to 24.9% |
| 6 | 25% to 34.9% |
| 7 | 35% or over |
| 8 | No Data |
| 0 | Less than 25 |
| 1 | 25 to 49 |
| 2 | 50 to 74 |
| 3 | 75 to 99 |
| 4 | 100 to 149 |
| 5 | 150 and over |
| 6 | No Data |
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Births by Caesarean Section
What does it mean ?
This indicator shows the number of births by caesarean section relative to all births. Birth by caesarean section requires specialist health worker skills, an operating theatre and availability of specific drugs and medical products.
Why does it matter ?
All pregnancies are associated with risk and when medically justified, a caesarean section can prevent maternal and perinatal mortality and morbidity. However, because any surgery carries risk of complications, caesarean sections should not be performed unless it is medically required. According to the World Health Organisation, about 10-15 % of all births require delivery by caesarean section. As such, caesarean section rates lower than 10% indicates under-use and caesarean section rates over 15 % indicate over-use. Because birth by caesarean section requires specialist medical skills and health services, this indicators is sometimes used as a proxy indicator to measure the availability of quality of maternal health services in countries where data from health information systems and health facility surveys are limited.
How is it collected ?
Data on the percent of birth by caesarean section is usually derived from large scale, nationally representative surveys such as Demographic and Health (DHS) and Multiple Indicator Cluster Surveys (MICS), other national surveys. DHS/ MICS are household surveys where women are asked if they have given birth (usually in the last three or five years) and the circumstances surrounding the birth including if they had a caesarean section.
"The Increasing Trend in Caesarean Section Rates: Global, Regional and National Estimates: 1990-2014" Betrán, A., et al. PLoS One. 2016; 11(2): http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4743929/
A Mother Too Soon in 2015
For all too many girls around the world, pregnancy happens when they are themselves still children. However the repercussions of early motherhood can have a disastrous impact on a young woman's life. Women who give birth between the ages of 15-19 are twice as likely to die from pregnancy and birth related causes than women in their 20s, and for girls aged under 15 the risk is five times higher that women in their 20s.
Babies under one with adolescent mothers are 50% more likely to die than those with mothers in their 20s, and the younger the mother, the higher the risk.
Potential disadvantages are not just limited to health. When girls start having babies in their early teens, they miss out on school, which means they also miss opportunities to escape poverty.
As a result of unprotected sex, teenage girls are also at high risk of contracting sexually transmitted diseases including HIV. Young girls may feel unable to ask to use condoms – and in many cases they may be forced into sex. In both Malawi and Ghana around a third of girls reported that they were "not willing at all" during their first sexual experience.
Mothers under 16
In many countries girls are often married and bear their first child before the age of 16. This is particularly prevalent in Sub-Saharan Africa, but also in parts of Asia and Latin America. These very young pregnancies, which carry the greatest risks for both mother and baby, are concentrated in those countries where services are poorest.
No attribution
