Abstract
BackgroundOne of the key strategies for reducing maternal and perinatal morbidities and mortalities is the provision of skilled intrapartum care. While cesarean section is an important emergency obstetric intervention for saving the lives of mothers and newborns, a study comparing the prevalence of cesarean delivery is not sufficiently available in Ethiopia. This study aimed at assessing the prevalence and associated factors of cesarean delivery among women who gave birth at hospitals in Dessie town, Northeast Ethiopia.MethodsA facility based cross-sectional study was conducted between July and October 2013. A total of 520 women who gave birth in four hospitals (public = 1, private = 3) were interviewed. Face-to-face interviews using a pre-tested and structured questionnaire were conducted for primary data collection. Additionally, patients’ charts were reviewed to collect mothers’ clinical data. Bivariate and multiple logistic regressions analyses were conducted. Odds ratios and 95% confidence intervals were computed and a P-value of less than 0.05 was taken to declare the level of significance.ResultsA total of 512 mothers were included in the final analysis (response rate = 98.4%), the prevalence of cesarean delivery was found to be 47.6% (95% CI: 44.3, 51.1), While 46 (18.2%) of the procedure conducted in public and 198 (76.1%) were in private hospitals. Partograph monitoring [AOR = 3.84 95%CI: 2.24, 6.59], oxytocin administration [AOR = 4. 80 95%CI: 2.87–8.02], previous cesarean delivery [AOR = 2. 86 95%CI: 1.64–5.01] and place of delivery being a private hospital [AOR = 6. 79 95%CI: 4.18–11.01)] were associated with cesarean delivery.ConclusionThe prevalence of cesarean delivery was found to be high, and was significantly higher in private hospitals than a public facility. There is a need to conduct cesarean delivery audits to appropriately utilize scarce resources. Further an in-depth exploration of the experiences of women with cesarean delivery is necessary.
Highlights
A total of 512 mothers were included in the final analysis, the prevalence of cesarean delivery was found to be 47.6%, While 46 (18.2%) of the procedure conducted in public and 198 (76.1%) were in private hospitals
Maternal mortality remains the global challenge with 275,288 deaths occurring due to pregnancy and complications in 2015 and it was unacceptably high in low- and middle-income countries in sub-Sahara African countries [1]
This study aimed at assessing the prevalence and associated factors of cesarean delivery among mothers who gave birth at private and public hospitals in Dessie town
Summary
Maternal mortality remains the global challenge with 275,288 deaths occurring due to pregnancy and complications in 2015 and it was unacceptably high in low- and middle-income countries in sub-Sahara African countries [1]. Despite the Ethiopian health sector has shown some progress in terms of reducing under-five mortality, the rate of maternal mortality has shown minimal or insignificant change in the last decades [2]. This could be attributed to the low level of maternal health services utilisation during pregnancy and childbirth. Even at times when women visited health facilities during delivery, quality health care services that included Emergency Obstetric and Newborn Care (EmONC) for possible life-threatening complications are not properly provided. This study aimed at assessing the prevalence and associated factors of cesarean delivery among women who gave birth at hospitals in Dessie town, Northeast Ethiopia
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