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K E Y M E S S A G E

Population based C-section rate was high (35%), well above the WHO recommended level of 19% in a rural community
Higher facility based births (84%) could not guarantee the careful selection of cases for Caesarean birth
Nearly one third of caesarean deliveries were a repeat Caesarean birth (24%)
More than 80% of C-sections were performed in for-profit private hospitals
Five out of eight maternal deaths were from post-caesarean complications