Proportion and associated factors of maternal complications of cesarean sections among mothers who deliver at Bahir Dar City Public Specialized Hospitals, Bahir Dar, Ethiopia

Alemu, Hiwotemariam; Yigzaw, Zeamanuel Anteneh; Asrade, Lakachew; Nega, Bantayehu; Belachew, Amare

doi:10.1186/s12905-023-02388-y

Cited by 4 publications

(4 citation statements)

References 19 publications

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“…The most frequent indication on present study was previous CS for both elective and emergency CS, our study consistent with several studies and literature review [7][8][9][10]. On recent study in Ethiopia (2023) had reported that the intraoperative surgical complications was accounts 10.7% of overall caesarean delivery with documented complications were bleeding 3.6% (18), incision extension 1.4% (7) and adjacent internal organ injury 0.2% (1) [11]. Also, this study had reported that the rate of maternal complications were three times more frequent among emergency delivery on compare to elective delivery [11].…”

Section: Bowel Injury 0supporting

confidence: 88%

“…On recent study in Ethiopia (2023) had reported that the intraoperative surgical complications was accounts 10.7% of overall caesarean delivery with documented complications were bleeding 3.6% (18), incision extension 1.4% (7) and adjacent internal organ injury 0.2% (1) [11]. Also, this study had reported that the rate of maternal complications were three times more frequent among emergency delivery on compare to elective delivery [11]. On Al-Zirqi, et al study (2008) had revealed that rate of severe obstetrical haemorrhage linked significantly with emergency delivery as present study [12].…”

Section: Bowel Injury 0mentioning

confidence: 99%

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Comparison Between Elective Versus Emergency Caesarean Section on Intra Operative Surgical Findings and Feto Maternal Outcomes

2023

Gynecol Obstet Open Acc

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Background:The cesarean section is one of the most common operative procedures throughout the world with global rate increasing both developed and developing countries. Objective: To compare and evaluate the intraoperative surgical findings on elective versus emergency caesarean section and fetomaternal outcomes. Methods and materials: This study was descriptive comparative carried out at obstetrics and gynecology department of Tripoli university hospital during 1st January to 31th March 2023. The selected sample included 130 pregnant women which divided into two groups (65 patients had delivered by elective CS and another 65 patients had delivered by emergency CS). The collected data was entered, coded and analyzed by using SPSS version 25. The P value of less than 0.05 was considered as statistically significant. Results: We studied 130 pregnant women who's evaluated and compared the feto maternal outcomes on elective verses emergency caesarean section aged between 21 to 48 years, the mean maternal age among elective CS was 33.46 ± 4.169 SD and the mean maternal age among emergency CS was 32.03 ± 5.598 SD. The main indication of CS had reported was previous caesarean section both for elective and emergency caesarean delivery which accounts (41/63.1%) and (15/23.1%) respectively with highly statistically significant results reported (P -value = 0.000). And on compare the intraoperative surgical findings, the rate of adhesion more prevalent on elective CS while the rate of bleeding was more frequently on emergency CS with statistically significant results (P -value = 0.001 and 0.011) respectively. Although, most of patients (83.1%) did not expressed intra operative complications but 6.9% (9) had hysterectomy (6 of 9 on emergency CS while 3 of 9 on elective CS) and 3.8% (5) had expressed urinary tract injury (3 of 5 on emergency CS while 2 of 5 on elective CS). And 19.2% (25) of neonates had admitted to neonatal intensive care unit which represented 15.3% (20) of them had delivered by emergency CS while 3.9% (5) of them had delivered by elective CS with statistically significant results (P-value=0.001). Conclusion: On summary, the raising rate of caesarean section either by elective or emergency manner had significant adverse impacts on feto maternal outcomes with high rate of maternal bleeding, adhesion, abnormal placentation and overall increase risk of neonatal and maternal intensive care unit admission. Therefore, optimal perinatal assessment throughout pregnancy period is essential to reduce rate of unnecessary caesarean section and minimize related morbidity and mortality of caesarean delivery particularly emergency type.

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Section: Bowel Injury 0supporting

confidence: 88%

Section: Bowel Injury 0mentioning

confidence: 99%

Comparison Between Elective Versus Emergency Caesarean Section on Intra Operative Surgical Findings and Feto Maternal Outcomes

2023

Gynecol Obstet Open Acc

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“…However, this finding was relatively lower than findings in Arba-minch (38.2%) ( 19 ), Bahirdar (44.04%) ( 28 ) and Hawassa (56%) ( 29 ). The possible explanation might be due to the discrepancy in number of obstetrics emergency cases for hospitals.…”

Section: Discussioncontrasting

confidence: 65%

“…However, this finding was relatively lower than findings in Arba-minch (38.2%) (19), Bahirdar (44.04%) (28) Intraoperative maternal among mothers who underwent a caesarean section in Gebretsadik Shewa general hospital. Postoperative maternal complications among mothers who underwent a caesarean section in Gebretsadik Shewa general hospital.…”

Section: Discussioncontrasting

confidence: 54%

Maternal complications and associated factors among mothers who underwent a cesarean section at Gebretsadik Shewa general hospital: an institution based cross-sectional study

Negese

Belachew

2023

Front. Glob. Womens Health

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IntroductionCesarean sections have played a major role in lowering maternal morbidity and mortality rates, but are a major concern in developing countries. This study aims to assess the magnitude of maternal complication and its associated factors among women who underwent a cesarean section at Gebretsadik Shewa general hospital, Southwest Ethiopia.MethodA hospital-based cross-sectional study was conducted in Gebretsadik Shewa general hospital. Data were extracted from 382 mothers' medical charts, retrieved from the labor and operations theatre log book registry using systematic random sampling technique. The extracted data was coded and entered into Epi Data version 3.0, and exported to Statistical Package for Social Sciences (SPSS) version 20 for analysis. Logistic regression analysis was conducted and significance and strength association was determined considering AOR with a 95% confidence level.ResultA total of 382 mothers' charts were reviewed; however, 368 charts were eligible for data entry. The age of the participants ranges between 16 and 42 years with mean and standard deviation of 26.1 ± 4.8 years. Maternal complication rate was 30.4% [95% CI: 25.8- 35.1]. Surgical site infection (10.3%), anemia (6.5%) and intraoperative bleeding (4.6%) were the most common. Multivariable logistic regression analysis showed that no antenatal care follow up, medical illness during pregnancy, emergency cesarean section and not receiving a prophylactic antibiotic were statistically associated with maternal complications.ConclusionThe incidence of maternal complication following cesarean delivery was unduly high. Community based education about antenatal care follow up and its importance should be further strengthened for favorable maternal and fetal outcomes.

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Magnitude and predictors of obstetric complications during delivery among postpartum women in Ethiopia: evidence from PMA Ethiopia longitudinal survey

Delie,

Melese,

Limenh

et al. 2024

BMC Pregnancy Childbirth

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Introduction The majority of pregnancy-related complications were preventable. However, the magnitude of complications during pregnancy and childbirth was high in sub-Saharan Africa. There was limited evidence on the magnitude of obstetric complications during childbirth and its predictors among postpartum women in Ethiopia. Methods and materials The research used secondary data sources based on performance monitoring for action in Ethiopia’s second cohort longitudinal survey. It was a national survey that was conducted in three large, predominantly agrarian regions (Oromia, Amhara, and SNNP) and one urban region (Addis Ababa) of Ethiopia between 2021 and 2023. It was conducted to track pregnant women’s use of essential maternal and newborn health services. It involved the enrollment of pregnant women and tracking them at six weeks, six months, and one year after giving birth. The data collected at the beginning of the survey and six weeks after childbirth were used for the analysis. Sample weights were applied to account for differences in sample allocation and response rates across regions and urban/rural areas. Multi-collinearity and intra-cluster correlation were assessed before fitting the multilevel models to ensure the accuracy of the estimates. A multi-level logistic regression model was used to assess the magnitude and predictors for the occurrence of obstetric complications during delivery. The model fit was evaluated using Akaike’s Information Criterion and Bayesian Information Criterion. Adjusted odds ratio with its 95% confidence interval was used to measure the strength of association for this study. Results The magnitude of obstetric complications during delivery was found to be 33.86% with 95% CI (31.56, 36.24. Among the obstetric complications that occurred during delivery, about 15.73%with 95% CI(14.02, 17.61) of women experienced bleeding, 4.14% with 95% CI (3.30, 5.17) had their membrane rupture but labor did not start within 24 h, 2.29% with 95% CI(1.67, 3.13) had their membrane rupture before 9 months, 3.95% with 95% CI(3.16, 4.93) had faced malpresentation or malposition of the baby, 12.70% with 95% CI (11.18, 14.39) had prolonged labor lasting more than 12 h, and 12.40% with 95% CI (10.83,14.17) had convulsions. The odds of occurrence of obstetric complication during delivery among women from severely food insecure households were 1.88 times [AOR = 1.88; 95% CI (1.22, 2.90)] more likely to occur than women from food secure households. Moreover, the odds of occurrence for obstetric complications during delivery among women who had complications during their pregnancy were 2.39 times [AOR = 2.39; 95% CI (1.81, 3.16)] more likely to occur as compared to those women who had no complication during their pregnancy. On the other hand, women’s who had 1–4 live births given before this delivery were 0.61 times [AOR = 0.61; 95% (0.43, 0.88)] less likely to develop complications as compared to those women’s who had no prior ...

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Proportion and associated factors of maternal complications of cesarean sections among mothers who deliver at Bahir Dar City Public Specialized Hospitals, Bahir Dar, Ethiopia

Cited by 4 publications

References 19 publications

Comparison Between Elective Versus Emergency Caesarean Section on Intra Operative Surgical Findings and Feto Maternal Outcomes

Comparison Between Elective Versus Emergency Caesarean Section on Intra Operative Surgical Findings and Feto Maternal Outcomes

Maternal complications and associated factors among mothers who underwent a cesarean section at Gebretsadik Shewa general hospital: an institution based cross-sectional study

Magnitude and predictors of obstetric complications during delivery among postpartum women in Ethiopia: evidence from PMA Ethiopia longitudinal survey

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