Table 2.
The proportion of caesarean deliveries among institutional deliveries at the seven obstetrics centres in Bhutan, 2015–2019
| Obstetric centres | Year | Total deliveries | Normal delivery (%)a | Caesarean delivery (%)b | Chi-squared p value | |||
|---|---|---|---|---|---|---|---|---|
| n | (%) | n | (%) | Average (%) | ||||
| Jigme Dorji Wangchuck National Referral Hospital, Thimphuc [15, 16, 26–28] | 2015 | 4035 | – | – | 1033 | (25.6) | 28.1 | < 0.001 |
| 2016 | 4523 | 3405 | (75.3) | 1081 | (23.9) | |||
| 2017 | 4553 | 3172 | (69.7) | 1283 | (28.2) | |||
| 2018 | 5081 | 3380 | (66.5) | 1551 | (30.5) | |||
| 2019 | 4522 | 2866 | (63.4) | 1463 | (32.4) | |||
| Central Regional Referral Hospital, Gelegphu | 2015 | 793 | 597 | (75.3) | 196 | (24.7) | 27.5 | 0.008 |
| 2016 | 782 | 590 | (75.4) | 192 | (24.6) | |||
| 2017 | 883 | 611 | (69.2) | 270 | (30.6) | |||
| 2018 | 941 | 660 | (70.1) | 281 | (29.9) | |||
| 2019 | 1021 | 736 | (72.1) | 285 | (27.9) | |||
| Eastern Regional Referral Hospital, Monggar | 2015 | 836 | 499 | (59.7) | 317 | (37.9) | 34.2 | < 0.001 |
| 2016 | 682 | 419 | (61.4) | 241 | (35.3) | |||
| 2017 | 665 | 433 | (65.1) | 222 | (33.4) | |||
| 2018 | 987 | 633 | (64.1) | 347 | (35.2) | |||
| 2019 | 949 | 670 | (70.6) | 277 | (29.2) | |||
| Samtse General Hospital, Samtse | 2017 | 274 | 263 | – | 11 | – | – | – |
| 2018 | 425 | 303 | (71.3) | 122 | (28.7) | 32.0 | 0.049 | |
| 2019 | 351 | 227 | (64.7) | 124 | (35.3) | |||
| Phuentsholing General Hospital, Chhukha | 2015 | 918 | 641 | (69.8) | 277 | (30.2) | 37.2 | 0.001 |
| 2016 | 863 | 614 | (71.1) | 249 | (28.9) | |||
| 2017 | 898 | 605 | (67.4) | 293 | (32.6) | |||
| 2018 | 587 | 323 | (55.0) | 264 | (45.0) | |||
| 2019 | 553 | 281 | (50.8) | 272 | (49.2) | |||
| Trashigang Hospital, Trashigang | 2015 | 208 | 166 | (79.8) | 40 | (19.2) | 20.4 | 0.963 |
| 2016 | 318 | 249 | (78.3) | 67 | (21.1) | |||
| 2017 | 306 | 241 | (78.8) | 64 | (20.9) | |||
| 2018 | 299 | 238 | (79.6) | 61 | (20.4) | |||
| 2019 | 130 | 125 | – | 5 | – | – | – | |
| Wangdue General Hospital, Wangdue Phodranga | 2015 | 204 | 204 | (100.0) | 0 | (0.0) | – | – |
| 2016 | 202 | 202 | (100.0) | 0 | (0.0) | |||
| 2017 | 251 | 251 | (100.0) | 0 | (0.0) | |||
| 2018 | 258 | 258 | (100.0) | 0 | (0.0) | |||
| 2019 | 263 | 232 | – | 31 | – | |||
aThe volume of non-institutional deliveries can be calculated by subtracting volume of facility deliveries from the total deliveries
bThe data for caesarean deliveries in Samtse General Hospital in 2017, Trashigang General Hospital in 2019 and Wangdue General Hospital in 2019 were not included in the calculation of the rates for that particular year because obstetricians were not available for the entire duration of that year
cThe volume of normal deliveries at Jigme Dorji Wangchuck National Referral Hospital, Thimphu in 2015 is not presented because the volume of instrumental deliveries were also a part of the data presented in the Annual Report 2015 [26]