Prevalence and factors associated with caesarean section in a comprehensive specialized hospital of Ethiopia: A cross-sectional study; 2020

Taye, Moges Gelaw; Nega, Firehiwot; Belay, Metages Hunie; Teshome, Diriba; Fentie, Yewlsew; Addis, Wondimnew Desalegn; Fenta, Efrem

doi:10.1016/j.amsu.2021.102520

Cited by 17 publications

(19 citation statements)

References 20 publications

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“…Education can also bring the privilege of understanding the pros and cons of c-section deliveries among women. In contrast to the existing studies, our study found that the c-section delivery rate was higher among unemployed women [40][41][42]. This may be possible if women's husbands have time constraints due to their working profession and, thus, prefer to have a c-section delivery.…”

Section: Discussioncontrasting

confidence: 95%

Prevalence and predictors of elective and emergency caesarean delivery among reproductive-aged women in Bangladesh: evidence from demographic and health survey, 2017–18

Muhammad

Srivastava

Kumar

et al. 2022

BMC Pregnancy Childbirth

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Background Over the years, an increasing trend of unnecessary caesarean section (c-section) deliveries has raised concerns in Bangladesh. So far, many studies have reported the risk factors of c-section delivery in Bangladesh. However, most of these studies did not estimate the predictors of the two c-section procedures (i.e., emergency and elective) separately based on the timing of the c-section decision. This study solely brings forward the role of socio-demographic and economic factors that may be associated differently with emergency and elective c-section deliveries. Methods Data for the study were drawn from the 2017–18 Bangladesh Demographic and Health Survey with 5,299 women aged 15–49 years who gave birth at a health facility during three years preceding the survey. Descriptive statistics along with bivariate analysis were used to fulfill the study objectives. Further, multivariable logistic regression analysis was conducted on binary outcome variables of elective/emergency c-section deliveries. Results Approximately one-third of women in the reproductive-age group opted for delivery through c-section. Out of them, 18.7% of women had elective c-sections, and 14.1% had emergency c-sections. Women who had mass media exposure were 32% more likely to deliver through elective c-sections than women who had no exposure [AOR: 1.32; CI: 1.02–1.72]. Women with higher education had a 56% lower likelihood of delivering through emergency c-section than women with no educational status [AOR: 0.44; CI: 0.24–0.83]. Children from the third or higher birth order were significantly more likely to be delivered through elective c-sections than those from the first birth order [AOR: 2.67; CI: 1.75–4.05]. In contrast, children with higher birth order had fewer chances of emergency c-section than children with first birth order [AOR: 0.29; CI: 0.18 -0.45]. Both elective and emergency c-section deliveries were significantly higher among private health facilities. Conclusion Although c-section delivery has emerged as a life-saving intervention, the overuse of such practice has created lucrative risks for the mother and unborn child. Proper sensitization of mothers and families can enhance the knowledge of the unsafe nature of unnecessary c-section deliveries. Authorizations in case of over-use of elective and emergency c-sections should be observed to minimize the unnecessary c-sections and related complications and to increase normal institutional deliveries in Bangladesh.

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Section: Discussioncontrasting

confidence: 95%

Prevalence and predictors of elective and emergency caesarean delivery among reproductive-aged women in Bangladesh: evidence from demographic and health survey, 2017–18

Muhammad

Srivastava

Kumar

et al. 2022

BMC Pregnancy Childbirth

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“…Overall, women of high socioeconomic status (education, occupation, and wealth) had increased odds of CS delivery, which reflects findings from previous studies [ 11 , 41 – 44 ]. CS is a high-cost procedure in most settings making it accessible mostly to the rich.…”

Section: Discussionsupporting

confidence: 86%

Prevalence and factors associated with caesarean section in Rwanda: a trend analysis of Rwanda demographic and health survey 2000 to 2019–20

Kibe

Mbuthia

Shikuku

et al. 2022

BMC Pregnancy Childbirth

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Background Caesarean section (CS) is an important medical intervention for reducing the risk of poor perinatal outcomes. However, CS trends in sub-Saharan Africa (SSA) continue to increase yet maternal and neonatal mortality and morbidity remain high. Rwanda, like many other countries in SSA, has shown an increasing trend in the use of CS. This study assessed the trends and factors associated with CS delivery in Rwanda over the past two decades. Methods We used nationally representative child datasets from the Rwanda Demographic and Health Survey 2000 to 2019–20. All births in the preceding 3 years to the survey were assessed for the mode of delivery. The participants’ characteristics, trends and the prevalence of CS were analysed using frequencies and percentages. Unadjusted and adjusted logistic regression analyses were used to assess the factors associated with population and hospital-based CS in Rwanda for each of the surveys. Results The population-based rate of CS in Rwanda significantly increased from 2.2% (95% CI 1.8–2.6) in 2000 to 15.6% (95% CI 13.9–16.5) in 2019–20. Despite increasing in all health facilities over time, the rate of CS was about four times higher in private (60.6%) compared to public health facilities (15.4%) in 2019–20. The rates and odds of CS were disproportionately high among women of high socioeconomic groups, those who resided in Kigali city, had multiple pregnancies, and attended at least four antenatal care visits while the odds of CS were significantly lower among multiparous women and those who had female babies. Conclusion Over the past two decades, the rate of CS use in Rwanda increased significantly at health facility and population level with high regional and socio-economic disparities. There is a need to examine the disparities in CS trends and developing tailored policy guidelines to ensure proper use of CS in Rwanda.

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“…On the other hand; the present study is lower than those studies done in different sets, including that conducted at Debre Tabor Comprehensive Specialized Hospital, 24 that study carried out in Addis Ababa hospitals 12 and that study done at Aira Hospital, Oromia Region. 16 It is also lower than a study done in Greece 2 and that CS rates reported in Brazil.…”

Section: Discussioncontrasting

confidence: 74%

Prevalence of Cesarian Delivery and Associated Factors Among Mothers Who Gave Birth at Public Hospitals, Jigjiga, Ethiopia

Yusuf

Sheik

Ali

et al. 2023

Preprint

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Background: Caesarean delivery is a procedure used to save the lives of a mother and fetus when the labour situation becomes complicated. However, a wrong decision can substantially increase the rates morbidity and mortality of the woman and the fetus. Aim: the aim of this study was to assess the prevalence of cesarean delivery and associated factors. Methods: A health facility-based cross-sectional study has been conducted. A simple random sampling technique was used. A face-to-face interview was employed to collect data through a structured questionnaire. Descriptive statistics were counted on. A binary logistic regression was employed to assess factors associated cesarean delivery. factors associated with cesarean delivery. The odds ratio and corresponding 95% confidence interval 95% confidence intervals were used. Results: The prevalence of cesarean delivery in this study is 27.4% (95% CI 23.3, 31.8%). monthly income 3,000-6,000 birr [AOR = 3.91 (95% CI: 1.50, 10.17)], previous cesarean delivery [AOR = 15.86 (95% CI: 8.01, 31.40)] and mother not directed counselling [AOR = 2.87 (95% CI: 1.46, 5.68)] are factors significantly associated. Conclusion: The prevalence of cesarean delivery uses is high. The obstetric factors occurring around delivery are the master ground leading cesarean delivery rather than the background characteristics. There is a low rate of pregnant mother counselling. We recommend interventions for the prevention of unnecessary primary cesarean delivery, counselling for pregnant mothers, particular emphasis on training all health care providers, and further investigation.

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Prevalence and factors associated with caesarean section in a comprehensive specialized hospital of Ethiopia: A cross-sectional study; 2020

Cited by 17 publications

References 20 publications

Prevalence and predictors of elective and emergency caesarean delivery among reproductive-aged women in Bangladesh: evidence from demographic and health survey, 2017–18

Prevalence and predictors of elective and emergency caesarean delivery among reproductive-aged women in Bangladesh: evidence from demographic and health survey, 2017–18

Prevalence and factors associated with caesarean section in Rwanda: a trend analysis of Rwanda demographic and health survey 2000 to 2019–20

Prevalence of Cesarian Delivery and Associated Factors Among Mothers Who Gave Birth at Public Hospitals, Jigjiga, Ethiopia

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