Abstract
BACKGROUND: While Caesarean Sections (C-sections) can be life-saving in complicated deliveries, their overuse is linked to significant maternal and infant morbidity and mortality. This highlights the importance of understanding the factors that drive preferences for C-section deliveries. States like Andhra Pradesh exhibit an alarming trend of rising rates of C-section deliveries in India. This study aimed to explore community health providers' perceptions regarding the preference for caesarean delivery in Andhra Pradesh and to identify the major determinants of C-section preferences. MATERIALS AND METHODS: The study utilized a qualitative research design, with focus group discussions (FGDs) conducted among community health providers from four districts of Andhra Pradesh. Participants were purposively sampled to gather a variety of viewpoints. A validated semi-structured questionnaire was employed to collect data. Data were transcribed verbatim and analyzed thematically to extract key themes and sub-themes related to preferences for C-section deliveries. RESULTS: The study identified a combination of medical, cultural, and systemic factors influencing C-section preferences. Community health providers underscored the advantages of normal deliveries but acknowledged the challenges they face due to family pressures and socio-cultural practices. Systemic issues, such as financial incentives in private healthcare and the increasing popularity of convenience-type elective C-sections or those that align with auspicious dates, also contributed to the preference for C-section deliveries. CONCLUSION: This study underscores the necessity for balanced, evidence-based practices to tackle the non-medical factors driving the rise in C-section deliveries. Promoting antenatal counselling, addressing maternal and familial concerns, and modifying institutional practices are critical for ensuring safe and well-informed delivery choices.