Caesarean Section and Associated Factors at Mizan Aman General Hospital Southwest Ethiopia

Abstract

Abstract:Background: It is estimated that about 20 million cesarean section (CS) deliveries occur each year in the world.But, in least developed countries the rate of deliveries by CS is very few. Objectives: The objective of this study is to assess Factors associated with Caesarean section at Mizan Aman General Hospital Southwest Ethiopia. Method: A cross sectional study was conducted by reviewing medical record of mothers. The sample size was determined using single population proportion and total sample size was 354. The checklist was used for data collection by adopting from other articles. The data was entered into EPI info 7.1.0 and exported to SPSS version 17 then analyzed. Binary logistic regression was done. Odd ratio was used for interpretation of strength of prediction of the independent variable to the outcome cesarean section. For all statistical significance tests, the cut-off value set was p<0.05 with CI of 95%. Result: A total of 342 mother medical record was reviewed. Majority (39.2%) of them found between 20-24 with mean age of 23.1(+4.38). Majority (78.9%) of mother delivered through vagina while the remaining (21.1%) of them delivered by CS. Less number (32.3%) of them had ANC follow up for their current pregnancy, Maternal age, gestational age and the outcome of the new born have significant association with cesarean section. Conclusion and Recommendation: The rate of the cesarean section is high. Maternal age, gestational age and the outcome of the new born have significant association with cesarean section at the hospital. The rate of cesarean section at the hospital should be reduced.

Determinants of Caesarean Deliveries and its Major Indications in Adigrat Hospital, Northern Ethiopia: A Case Control Study

“…A national survey in Ethiopia is also comparable with this study showing that the overall institutional caesarean rate in public sectors was 15% [9]. The result in this study was lower than the finding in Mizan Aman hospital, Southwest Ethiopia (21%) and Addis Ababa (21.5%) [17,18]. This discrepancy could be explained by the difference in the study areas, and access to the services.…”

“…The study also showed that mothers aged 35 and above had higher odds of delivering by caesarean section. This finding is supported by the study conducted in Mizan Aman hospital, Southwest Ethiopia [17].…”

“…It also gives time for correcting or treating the abnormality. Similarly, the study done in Mizan Aman hospital also showed that caesarean delivery is higher among mothers with no ANC follow-up [17]. Pregnancy complications are a primary source of maternal and child morbidity and mortality.…”

“…Sample size was first calculated using two population proportion formula considering 86.9 % (P1), proportion of mothers who delivered by CS at gestational age of less than 38 weeks; and 65.0% (P2), proportion of mothers who delivered by CS at gestational age of greater than 38 weeks (17). With the above using α=0.05, 80% power, and control to case ratio of 2; the total sample size calculated was 147.…”

Criteria Based Clinical Audit of Cesarean Section in a General Hospital in West Tigray, Ethiopia

“…This discrepancy might be due to differences in the study area and most of the above study was conducted in specialized referral teaching hospitals [16][17][18][19][20]. Our survey finding was also far below the global figure, North America (32.3%), Oceania (31.1%), Europe (25%), Asia (19.2%) but above the African rate of CS (7.3%) [21].…”