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In addition, the study found significant disparities between low- and middle-income countries. The richest women were six times more likely to have a caesarean section than the poorest women, and caesarean section was 1.6 times more common in private than in public facilities.
In a series of three papers, researchers tracked trends in the use of caesarean sections worldwide and in nine regions from data from 169 countries from the WHO and UNICEF databases.
In the 10 countries with the highest number of births in 2010-2015, the study also highlighted an emerging gap between rich and poor regions of the same country.
In China, caesarean section rates ranged from 4% to 62%; in India, the range was 7-49%.
The researchers also warned that, in many settings, young doctors are becoming experts in cesarean delivery, while losing confidence in their abilities to assist during vaginal delivery.
"Caesareans can create complications and side effects for mothers and babies, and we call on health professionals, hospitals, funders, women, and families to intervene in this way only. when it's medically required, "added Temmerman.
"In cases of complications, cesareans save lives and we need to improve accessibility in poorer areas, making caesareans universally available, but we should not abuse them," she said. .
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