TABLE 5. Multivariate Logistic Regression Analysis on Cesarean Delivery Rate Among Mothers Delivering in Public Hospitals by Year of Survey, Stratified by Birth Weight and Birth Multiplicity According to Type of Public Hospital.

	2002		2007		2012		All Years Combined
	%	aOR (95% CI)	%	aOR (95% CI)	%	aOR (95% CI)	%	aOR (95% CI)
All Mothers
Private	20.8	1.00	22.0	1.00	32.2	1.00	25.6	1.00
Government (public)a	16.6	0.86 (0.69–1.07)	18.1	0.87 (0.75–1.02)	28.5	0.91 (0.79–1.04)	21.9	0.90 (0.83–0.99)*
UTH (public)	26.7	1.08 (0.57–2.05)	50.0	4.24 (2.85–6.29)***	49.1	1.69 (1.21–2.33)**	45.6	2.29 (1.82–2.88)***
Mothers Delivering in Public Hospitals (N = 10,494)
Government	16.6	1.00	18.1	1.00	28.5	1.00	21.9	1.00
UTH	26.7	1.19 (0.63–2.27)	50.0	4.20 (2.80–6.28)***	49.1	1.69 (1.21–2.37)**	45.6	2.31 (1.83–2.92)***
Mothers Delivering in Public Hospitals By Birth Weight
Normal Birth Weight
Government	14.5	1.00	16.2	1.00	26.5	1.00	19.9	1.00
UTH	23.9	1.18 (0.55–2.55)	44.1	3.44 (2.22–5.33)***	47.1	1.55 (1.06–2.27)*	42.2	2.15 (1.65–2.80)***
Low/High Birth Weight
Government	22.5	1.00	24.2	1.00	34.7	1.00	28.1	1.00
UTH	35.7	1.24 (0.35–4.41)	83.3	27.50 (6.54–115.5)***	57.1	2.30 (1.08–4.88)*	60.6	3.13 (1.82–5.37)***
Mothers Delivering in Public Hospitals By Birth Multiplicity
Singleton Birth
Government	15.7	1.00	17.2	1.00	27.6	1.00	21.0	1.00
UTH	29.6	1.73 (0.91–3.29)	48.7	4.06 (2.70–6.08)***	46.7	1.62 (1.15–2.28)**	44.7	2.39 (1.88–3.02)***
Multiple Birth
Government	57.1	1.00	59.5	1.00	69.2	1.00	63.0	1.00
UTH	0.0	NA	100.0	NA	100.0	NA	64.7	1.02 (0.31–3.38)

Abbreviations: aOR, adjusted odds ratio (for all covariates under analysis); CI, confidence interval; NA, not applicable; UTH, university teaching hospital.

^a Government hospitals include hospitals run by the Ministry of Health or the Royal Medical Services.

^*P< .05; ^** P< .01; ^*** P< .001.