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Caesarean Section and Associated Factors at Mizan Aman General Hospital Southwest Ethiopia

Received: 24 April 2014     Accepted: 4 May 2014     Published: 20 May 2014
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Abstract

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.

Published in Journal of Gynecology and Obstetrics (Volume 2, Issue 3)
DOI 10.11648/j.jgo.20140203.12
Page(s) 37-41
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2014. Published by Science Publishing Group

Keywords

Cesarean Section, Associated Factors, Cross Sectional Study, Ethiopia

References
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[2] 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.
[3] 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
[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.
[5] Fay Menacker, Eugene Declercq, Marian F. Macdorman. Cesarean Deli-very: Background, Trends, and Epidemiology. Seminars in Perinatolo-gy.2006;30(5):235-241.
[6] 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.
[7] 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.
[8] Shearer E. Cesarean section: medical benefits and costs. Soc Sci Med 1993; 37: 1223–31.
[9] Thaddeus S, Maine D. Too far to walk: maternal mortality in context.Soc Sci Med 1994; 38: 1091–110.
[10] Fesseha N, et.al. A national review of cesarean delivery in Ethiopia, international journal of gynecology and Obstetrics 2011: 115:106-111.
[11] Sakia TM et.al. Factors associated with cesarean section rates in a universi-ty hospital. Rev Saude Publica 2009; 43 (3):472-82.
[12] Sassi RAM et.al. Risk factors for cesa-rean section by category of health service. Rev Saude Publica 2010; 44(1): 80-9.
[13] 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.
[14] Al Busaid I, et.al. Obstetric and Non-Obstetric Risk factors for Cesarian section in Oman. Oman Medical Journal 2012; 27(6): 478-481.
[15] Tebeu PM, et.al. Risk Factors of Delivery by Caesarean Sec-tion in Cameroon. A Regional Hospital Report. ISRN Obstetrics and Gyneocology 2011; 1-5.
[16] Raul am, et.al Risk factors for cesarean section by category of health facility: Rev Saude publica 2010; 44(1): 80-9
[17] 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.
[18] 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
Cite This Article
  • APA Style

    Hordofa Gutema, Ashenafi Shimye. (2014). Caesarean Section and Associated Factors at Mizan Aman General Hospital Southwest Ethiopia. Journal of Gynecology and Obstetrics, 2(3), 37-41. https://doi.org/10.11648/j.jgo.20140203.12

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    ACS Style

    Hordofa Gutema; Ashenafi Shimye. Caesarean Section and Associated Factors at Mizan Aman General Hospital Southwest Ethiopia. J. Gynecol. Obstet. 2014, 2(3), 37-41. doi: 10.11648/j.jgo.20140203.12

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    AMA Style

    Hordofa Gutema, Ashenafi Shimye. Caesarean Section and Associated Factors at Mizan Aman General Hospital Southwest Ethiopia. J Gynecol Obstet. 2014;2(3):37-41. doi: 10.11648/j.jgo.20140203.12

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  • @article{10.11648/j.jgo.20140203.12,
      author = {Hordofa Gutema and Ashenafi Shimye},
      title = {Caesarean Section and Associated Factors at Mizan Aman General Hospital Southwest Ethiopia},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {2},
      number = {3},
      pages = {37-41},
      doi = {10.11648/j.jgo.20140203.12},
      url = {https://doi.org/10.11648/j.jgo.20140203.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20140203.12},
      abstract = {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.},
     year = {2014}
    }
    

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  • TY  - JOUR
    T1  - Caesarean Section and Associated Factors at Mizan Aman General Hospital Southwest Ethiopia
    AU  - Hordofa Gutema
    AU  - Ashenafi Shimye
    Y1  - 2014/05/20
    PY  - 2014
    N1  - https://doi.org/10.11648/j.jgo.20140203.12
    DO  - 10.11648/j.jgo.20140203.12
    T2  - Journal of Gynecology and Obstetrics
    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
    SP  - 37
    EP  - 41
    PB  - Science Publishing Group
    SN  - 2376-7820
    UR  - https://doi.org/10.11648/j.jgo.20140203.12
    AB  - 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.
    VL  - 2
    IS  - 3
    ER  - 

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Author Information
  • Bench Maji Zone, Mizan Aman General Hospital, Ethiopia

  • Department of Epidemiology, Mekelle University, Ethiopia

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