{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:33:09Z","timestamp":1787070789112,"version":"build-2736575974"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 3","license":[{"start":{"date-parts":[[2025,8,14]],"date-time":"2025-08-14T00:00:00Z","timestamp":1755129600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,9]]},"abstract":"\n A\n BSTRACT<\/jats:sc>\n <\/jats:title>\n \n Background:<\/jats:title>\n Cesarean delivery rates are increasing globally, including in India, highlighting the need to identify risk factors to improve maternal and neonatal outcomes.<\/jats:p>\n <\/jats:sec>\n \n Objective:<\/jats:title>\n To develop a predictive model for cesarean delivery based on maternal, clinical, and sociodemographic factors in an Indian cohort.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n A case-control study was conducted at a tertiary care hospital in Nagpur, India, including 190 participants (95 cesarean and 95 vaginal deliveries). Data were collected through structured interviews and medical record reviews. Univariate and multivariate logistic regression analyses were performed. Model performance was assessed using the receiver operating characteristic (ROC) curve and the Hosmer-Lemeshow test.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n Significant predictors of cesarean delivery included urban residence (adjusted odds ratio (AOR): 4.2), short stature (AOR: 2.4), obesity (AOR: 2.4), comorbidities (AOR: 2.7), inadequate antenatal care (ANC) (AOR: 2.3), and below poverty line (BPL) status (AOR: 2.1). The model demonstrated good discrimination (area under the curve (AUC): 0.835), with sensitivity of 82% and specificity of 78%.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Maternal urban residence, maternal health status, and poor ANC were important predictors of cesarean delivery. The predictive model provides a useful risk stratification tool for clinical practice.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jpbs.jpbs_910_25","type":"journal-article","created":{"date-parts":[[2025,8,14]],"date-time":"2025-08-14T17:01:15Z","timestamp":1755190875000},"page":"S2156-S2158","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Model Development to Predict Cesarean Section: A Retrospective Study in Indian Women"],"prefix":"10.4103","volume":"17","author":[{"given":"Prachi","family":"Saoji","sequence":"first","affiliation":[{"name":"Department of Mathematics, Ramdeobaba University, Nagpur, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lakshmi","family":"Madireddy","sequence":"additional","affiliation":[{"name":"Faculty of Engineering and Technology, Datta Meghe Institute of Higher Education and Research (Deemed to be University), Wardha, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ajeet","family":"Saoji","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, N. K. P. Salve Institute of Medical Sciences and Research Centre, Nagpur, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trisha","family":"Hammigi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Madras Medical College, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mona","family":"Mushtaque","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Lok Nayak Hospital, New Delhi, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,8,14]]},"reference":[{"key":"R1-20250930","doi-asserted-by":"crossref","first-page":"e1274","DOI":"10.1002\/hsr2.1274","article-title":"Global increased cesarean section rates and public health implications:A call to action","volume":"6","author":"Angolile","year":"2023","journal-title":"Health Sci Rep"},{"key":"R2-20250930","doi-asserted-by":"crossref","first-page":"101199","DOI":"10.1016\/j.siny.2021.101199","article-title":"Cesarean delivery in low- and middle-income countries:A review of quality of care metrics and targets for improvement","volume":"26","author":"Boatin","year":"2021","journal-title":"Semin Fetal Neonatal Med"},{"key":"R3-20250930","first-page":"CD005528","article-title":"Non-clinical interventions for reducing unnecessary caesarean section","volume":"9","author":"Chen","year":"2018","journal-title":"Cochrane Database Syst Rev"},{"key":"R4-20250930","doi-asserted-by":"crossref","first-page":"e1003792","DOI":"10.1371\/journal.pmed.1003792","article-title":"Cesarean section:More than a maternal health issue","volume":"18","author":"Temmerman","year":"2021","journal-title":"PLoS Med"},{"key":"R5-20250930","doi-asserted-by":"crossref","first-page":"252","DOI":"10.2991\/jegh.k.191017.001","article-title":"Maternal factors associated with mode of delivery in a population with a high cesarean section rate","volume":"9","author":"Gondwe","year":"2019","journal-title":"J Epidemiol Glob Health"},{"key":"R6-20250930","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1186\/1471-2393-9-41","article-title":"Maternal and neonatal factors associated with mode of delivery under a universal newborn hearing screening programme in Lagos, Nigeria","volume":"9","author":"Olusanya","year":"2009","journal-title":"BMC Pregnancy Childbirth"},{"key":"R7-20250930","doi-asserted-by":"crossref","first-page":"1513","DOI":"10.1007\/s00404-011-2168-3","article-title":"Short stature as an independent risk factor for cephalopelvic disproportion in a country of relatively small-sized mothers","volume":"285","author":"Toh-adam","year":"2012","journal-title":"Arch Gynecol Obstet"},{"key":"R8-20250930","doi-asserted-by":"crossref","first-page":"e054285","DOI":"10.1136\/bmjopen-2021-054285","article-title":"Effect of maternal height on the risk of caesarean section in singleton births:Evidence from a large-scale survey in India","volume":"12","author":"Marbaniang","year":"2022","journal-title":"BMJ Open"},{"key":"R9-20250930","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1186\/s44158-023-00105-7","article-title":"Medical and obstetric comorbidities and delivery outcomes in overweight and obese parturients:A retrospective analysis","volume":"3","author":"Gat","year":"2023","journal-title":"J Anesth Analg Crit Care"}],"container-title":["Journal of Pharmacy and Bioallied Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_910_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:36:37Z","timestamp":1787067397000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_910_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,14]]},"references-count":9,"journal-issue":{"issue":"Suppl 3","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jpbs.jpbs_910_25","relation":{},"ISSN":["0976-4879","0975-7406"],"issn-type":[{"value":"0976-4879","type":"print"},{"value":"0975-7406","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,14]]},"assertion":[{"value":"2025-05-12","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-15","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}