Cesarean delivery among women who gave birth in Dessie town hospitals, Northeast Ethiopia

Abstract

Background One of the key strategies for reducing maternal and perinatal morbidities and mortalities is the provision of skilled intrapartum care. While cesarean section is an important emergency obstetric intervention for saving the lives of mothers and newborns, a study comparing the prevalence of cesarean delivery is not sufficiently available in Ethiopia. This study aimed at assessing the prevalence and associated factors of cesarean delivery among women who gave birth at hospitals in Dessie town, Northeast Ethiopia. Methods A facility based cross-sectional study was conducted between July and October 2013. A total of 520 women who gave birth in four hospitals (public = 1, private = 3) were interviewed. Face-to-face interviews using a pre-tested and structured questionnaire were conducted for primary data collection. Additionally, patients’ charts were reviewed to collect mothers’ clinical data. Bivariate and multiple logistic regressions analyses were conducted. Odds ratios and 95% confidence intervals were computed and a P-value of less than 0.05 was taken to declare the level of significance. Results A total of 512 mothers were included in the final analysis (response rate = 98.4%), the prevalence of cesarean delivery was found to be 47.6% (95% CI: 44.3, 51.1), While 46 (18.2%) of the procedure conducted in public and 198 (76.1%) were in private hospitals. Partograph monitoring [AOR = 3.84 95%CI: 2.24, 6.59], oxytocin administration [AOR = 4. 80 95%CI: 2.87–8.02], previous cesarean delivery [AOR = 2. 86 95%CI: 1.64–5.01] and place of delivery being a private hospital [AOR = 6. 79 95%CI: 4.18–11.01)] were associated with cesarean delivery. Conclusion The prevalence of cesarean delivery was found to be high, and was significantly higher in private hospitals than a public facility. There is a need to conduct cesarean delivery audits to appropriately utilize scarce resources. Further an in-depth exploration of the experiences of women with cesarean delivery is necessary.

Prevalence and associated factors of caesarean section in Ethiopia: systematic review and Meta-Analysis

“…All studies included in this review published between 2012 and 2018. Of all the included studies, only two studies were used retrospective cohort study (24,25) and the rest were used institutional based cross sectional study design (7,10,12,(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44). From 25 studies, 53381 mothers participated to estimate the prevalence whereas, 11 studies were reported associated factors of C-section in Ethiopia.…”

“…Additionally, Two studies were assessed the association between mother's place of delivery and Csection (7,41). Using 1142 mothers, the pooled odds ratio of indicated that mothers were delivered in private institution were 4.63 times more likely undergoing to C-section as compared to those mothers delivered in public institutions (OR: 4.63, 95%CI: 2.06, 10.29) Fig.…”

“…In Ethiopia, the prevalence of C-section was beyond WHO recommendation, which is not more than 15% (7,8). Despite of the fact that maternal mortality has not signi cantly changed (1).…”

“…However, there is a growing concern about unnecessary C-section leads to short term and long term risks of mothers and infants (6,7).…”

“…A number of studies were conducted to determine the magnitude of C-section and its associated factors. These studies indicated that the prevalence increases recently and most of them revealed that the prevalence is above the optimal range 15% (7,10). But some studies re ected that it is below the cutoff point (11).…”