<p>Magnitude of Cesarean Section Delivery and Its Associated Factors Among Mothers Who Gave Birth at Public Hospitals in Northern Ethiopia: Institution-Based Cross-Sectional Study</p>

Magnitude and associated factors of caesarean section deliveries among women who gave birth in Southwest Ethiopia: institutional-based cross-sectional study

“…Postpartum mothers who had lived in urban areas were 2.58 times more likely to give birth through caesarean section than those mothers who had lived in rural areas. The result was consistent with a study conducted in North Wollo Zone public hospitals, Amhara region, Northeast Ethiopia [ 17 ], and Vietnam [ 26 ]. The reason might be those mothers who had lived in urban areas have better access to comprehensive obstetric health care service and they do have awareness of the long duration of labour pain.…”

“…The finding was slightly higher than studies conducted in Felegehiwot referral hospital, Amhara region, Northwest Ethiopia 25.4 % [ 16 ], Nepal 22.6% [ 23 ], Vietnam 26.2 %, [ 26 ], Sri Lanka, India 25 % [ 11 ], Mizan-Aman general hospital, Southwest Ethiopia 21 % [ 25 ] and Shire, Tigray region, Northern Ethiopia 20.2 % [ 15 ]. The result was nearly consistent with studies conducted in North Wollo Zone public hospitals, Amhara region, Northeast Ethiopia 30.9 % [ 17 ], Hawassa university referral hospital, southern Ethiopia 32.8 % [ 18 ], and Jugal hospital, Harari Regional State, eastern Ethiopia 29.7 % [ 28 ]. However, it was lower than studies conducted in Addis Ababa public hospitals 38.3 % [ 14 ], Tanzania 49 % [ 10 ], and South Africa 42.4 % [ 8 ].…”

“…Single population proportion formula was used to calculate the final sample size. The following assumptions were considered; p = 30.9 %, the proportion of mothers who had given birth through caesarean section in North Wollo Zone public hospitals, Amhara region, Northeast Ethiopia [ 17 ], 95 % confidence interval (Zα/2 = 1.96), 4 % margin of error (d = 0.04), and 10 % non-respondent rate. Therefore, the final sample size was calculated to be 551.…”

“…Those mothers who had given birth through vaginal delivery includes instrumental deliveries (i.e. forceps and vacuum delivery) were coded as ‘1’ and those mothers who had given birth via CS coded as ‘0’ [ 17 ].…”

“…The tool was adapted after reviewing different relevant literatures [ 15 – 17 , 24 – 29 ]. Firstly, the questionnaire was prepared in ‘English language’ and translated to ‘Amharic language’ by Amharic language experts and then translated backs to the ‘English language’ to check its consistency.…”