Post-Cesarean Section Maternal Health Outcome and its Determinants in Tigray Regional State, North Ethiopia.

Abstract

Back ground Cesarean section rate is increasing worldwide. However, the World Health Organization has declared that there is insufficient information on maternal outcome following cesarean section for decision making.Objective The aim of this study was to assess post cesarean section maternal outcome and its associated factors availing evidence for practice and policy.Methods Institution based cross-sectional study was conducted among 357 mothers who underwent cesarean section in six selected public general hospitals of Tigray regional State, Ethiopia. Mothers were followed for the duration of post-operative period until they became safe for discharge. The maternal outcomes were categorized into either adverse or good outcomes depending on whether mothers develop any cesarean section related morbidity or not. Logistic regression model was constructed to determine the AOR and 95% CI of independent factors associated with maternal outcome following cesarean section.Results The proportion of adverse maternal outcome was 19.3% with 95% CI of (15.7% -23.8%). Route of anesthesia administration (AOR = 0.296, 95% CI: 0.126 - 0.695) and referral status (AOR = 0.371, 95%CI: 0.214 - 0.641) were statistically significant factors associated with maternal outcome following cesarean section.Conclusion There was high proportion of adverse maternal outcome. General anesthesia and referral from lower health facilities were associated with higher risk of post-CS adverse maternal outcome. Equipping lower level health facilities with the human and material capacity for timely detection of CS indications and provision of cesarean section services could decrease the number of referrals and subsequent delays that lead to adverse maternal outcome.

Maternal health outcomes and associated factors among women who delivered by cesarean section in Public Hospitals of Gamo, Gofa and South Omo zones, Southern Ethiopia: a cross sectional study

“…In this study, the overall poor maternal outcome was 19.5% with 95% CI (15.67%-23.97%). This is consistent with the study done in Okhaldhunga, Nepal (17.1%) (22) and Tigray, Northern Ethiopia, (19.3%) (11). But high compared to other studies conducted in developing countries, Sokoto, North Western Nigeria, reported 13.3% (23) and Durame General Hospital, Southern Ethiopia, reported 6.7% (24).…”

“…Data was collected using standardized and pretested questionnaires by interviewing women and record review of mother's undergone interview by using checklist. The data collection tool was adapted from similar studies conducted previously (11,12,(17)(18)(19). The tool addresses women's socio-demographic factors, obstetrics and medical factors and surgical related factors.…”

“…In low and middle-income countries, maternal mortality is the most common cause of maternal death with postpartum hemorrhage being the most common cause after CD (10). In Ethiopia reported complications in women who gave birth by CS were postpartum fever, hemorrhage, surgical site infection, puerperal sepsis (11,12). However, the reduction in the number of cesarean sections should be considered in order to reduce the risk of complications associated with cesarean delivery (13).…”

Maternal and fetal health outcomes of cesarean sections (CS) in Ethiopia: results from retrospective cross-sectional study of Southern Ethiopia Gurage Zone Governmental Hospitals

“…The major shortterm complications found were wound infection 7%, endometritis 3.6%, and bleedings requiring blood transfusion 2.8%. In contrast, hysterectomy 1.7%, uterine rupture 0.6% and maternal death 0.28% were the significant long-term and serious maternal complications found [13] .…”

“…Data was collected using the data abstraction tool, which was prepared after reviewing previous literature [13,[15][16][17] and customized based on the objectives of this study.…”