Caesarean Section and Associated Factors at Mizan Aman General Hospital Southwest Ethiopia
Journal of Gynecology and Obstetrics
Volume 2, Issue 3, May 2014, Pages: 37-41
Received: Apr. 24, 2014; Accepted: May 4, 2014; Published: May 20, 2014
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Hordofa Gutema, Bench Maji Zone, Mizan Aman General Hospital, Ethiopia
Ashenafi Shimye, Department of Epidemiology, Mekelle University, Ethiopia
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Background: It is estimated that about 20 million cesarean section (CS) deliveries occur each year in the world. But, in least developed countries the rate of deliveries by CS is very few. Objectives: The objective of this study is to assess Factors associated with Caesarean section at Mizan Aman General Hospital Southwest Ethiopia. Method: A cross sectional study was conducted by reviewing medical record of mothers. The sample size was determined using single population proportion and total sample size was 354. The checklist was used for data collection by adopting from other articles. The data was entered into EPI info 7.1.0 and exported to SPSS version 17 then analyzed. Binary logistic regression was done. Odd ratio was used for interpretation of strength of prediction of the independent variable to the outcome cesarean section. For all statistical significance tests, the cut- off value set was p<0.05 with CI of 95%. Result: A total of 342 mother medical record was reviewed. Majority (39.2%) of them found between 20-24 with mean age of 23.1(+4.38). Majority (78.9%) of mother delivered through vagina while the remaining (21.1%) of them delivered by CS. Less number (32.3%) of them had ANC follow up for their current pregnancy, Maternal age, gestational age and the outcome of the new born have significant association with cesarean section. Conclusion and Recommendation: The rate of the cesarean section is high. Maternal age, gestational age and the outcome of the new born have significant association with cesarean section at the hospital. The rate of cesarean section at the hospital should be reduced.
Cesarean Section, Associated Factors, Cross Sectional Study, Ethiopia
To cite this article
Hordofa Gutema, Ashenafi Shimye, Caesarean Section and Associated Factors at Mizan Aman General Hospital Southwest Ethiopia, Journal of Gynecology and Obstetrics. Vol. 2, No. 3, 2014, pp. 37-41. doi: 10.11648/j.jgo.20140203.12
Betrán AP, Merialdi M, Lauer JA, Bing-Shun W, Thomas J, Van Look P, et al. Rates of caesarean section: analysis of global, regional and national estimates. Paediatr Perinat Epidemiol 2007;21(2):98–113
WHO, UNICEF, UNFPA, World Bank. Trends in Maternal Mortality: 1990 to 2008. Estimates developed by WHO, UNICEF, UNFPA and The World Bank. Geneva: WHO; 2010.
Luz Gibbons, Jose M.Belizan, Jeremy A Laves… The global numbers and costs of additionally needed and unnecessary cesarean section performed per year , over use as a barrier to universal coverage, World health report, 2010; (30);1-4
NIH State-of-the-Science Con-ference Statement on cesarean delivery on maternal request. NIH Consens State Sci Statements. 2006; 23(1):1-29.
Fay Menacker, Eugene Declercq, Marian F. Macdorman. Cesarean Deli-very: Background, Trends, and Epidemiology. Seminars in Perinatolo-gy.2006;30(5):235-241.
Uiho A Gomes, Antonion AM silva, Heloisa Bettiol and Marco AB-arbieri. Risk factors for increasing cesarean section rate in southeast Brazil: a comparison of two cohorts, 1978-1979 and 1994. International Journal of Epidemiology 1999;28:687-694.
Leone T, Padmadaas SS, Mathews Z. Community factors affecting rising caesarean section rates in developing countries: An analysis of six countries. Social Science & Medicine. 2008;67(8):1236-1246.
Shearer E. Cesarean section: medical benefits and costs. Soc Sci Med 1993; 37: 1223–31.
Thaddeus S, Maine D. Too far to walk: maternal mortality in context.Soc Sci Med 1994; 38: 1091–110.
Fesseha N, A national review of cesarean delivery in Ethiopia, international journal of gynecology and Obstetrics 2011: 115:106-111.
Sakia TM Factors associated with cesarean section rates in a universi-ty hospital. Rev Saude Publica 2009; 43 (3):472-82.
Sassi RAM Risk factors for cesa-rean section by category of health service. Rev Saude Publica 2010; 44(1): 80-9.
Gomez OL, Carrasquilla G. Factors associated with unjustified Cesarian section in four hospitals in Cali, Colombia. International journal for quality in health care 1999; 11(5): 385-389.
Al Busaid I, Obstetric and Non-Obstetric Risk factors for Cesarian section in Oman. Oman Medical Journal 2012; 27(6): 478-481.
Tebeu PM, Risk Factors of Delivery by Caesarean Sec-tion in Cameroon. A Regional Hospital Report. ISRN Obstetrics and Gyneocology 2011; 1-5.
Raul am, Risk factors for cesarean section by category of health facility: Rev Saude publica 2010; 44(1): 80-9
Samuelof A, Mor-Yosef S, Seidman DS, Rabinowitz R, Simon A, Schenker JG, Grand multiparity- a national survey. Isr J Med Sci; 1989 Nov;25(11):625-629.
Maria R T et al do Italian women prefer cesarean section? Result from a survey on mode of delivery preferences: BMC Pregnancy and childbirth 2013, 13:78 doi:10.1186/1471-2393-13-78
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