Abstract
ObjectiveThe aim of this study was to identify socio-demographic and health related factors associated with caesarean section in Ethiopia.ResultsA total of 256 mothers undergoing to CS among 7193 delivery. Average maternal age of a participant was 29.26 years and 80% of mothers having two and more children. A woman delivered in private institution was 30% (AOR = 1.29; 95% CI 1.25, 1.32) more likely undergoing CS as compared to home delivery. Factors associated with CS were higher education level (AOR = 1.09, 95% CI 1.07, 1.12), preceding birth interval (AOR = 1.01; 95% CI 1.00. 1.03), multiple pregnancy (AOR = 1.11; 95% CI 1.08, 1.15), multiple parity (AOR = 0.98; 95% CI 0.97, 0.99), large size the child (AOR = 1.01; 95% CI 1.001, 1.02), richest households (AOR = 0.98; 95% CI 0.97, 0.99), rural residence (AOR = 0.98 95% CI 0.96, 0.99) and Addis Ababa (AOR = 1.06; 95% CI 1.04,1.09). As a conclusion and recommendation, the prevalence of CS higher in private institutions and Addis Ababa, so professionals should apply CS alone medical indication.
Highlights
Caesarean section is an operative technique to deliver a fetus from mothers through abdominal and uterine surgery [1, 2]
Average maternal age was 29.26 years, 80% of mothers having more than one children, 8.85% mothers had a history of abortion
Among mothers undergoing to caesarean section (CS), 54.29% were orthodox, 33.20% were primary school educated, 12.11% had a history of abortion, 9.37% had taken the drug for intestinal disease during pregnancy and 93.75% had multiple pregnancy
Summary
Caesarean section is an operative technique to deliver a fetus from mothers through abdominal and uterine surgery [1, 2]. Caesarean section has more preferring by mothers in the world [3, 4]. WHO reported that the prevalence of CS were 18.6% worldwide, 7.3% in Africa and small in sub-Shara Africa [5, 6]. In Nigeria, the prevalence of CS was 2.1% [7]. The prevalence of CS varies from 2% up to 64% in Ethiopia [8, 9]. The trend is increasing in Ethiopia [3, 10]
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