| Peer-Reviewed

Cesarean Section and Associated Factors at Aira Hospital, Oromia Region, Western Ethiopia: A Retrospective Record Review

Received: 26 January 2020    Accepted: 9 March 2020    Published: 8 April 2020
Views:       Downloads:
Abstract

Introduction: According to the latest data from 150 countries, currently, 18.6% of all births occur by cesarean section, ranging from 6% to 27.2%. It is alarmingly increasing in the last decade with an average annual rate of increase by 4.4%. Objective: To assess the prevalence of the cesarean section and associated factors among mothers who gave a birth from January 01, 2014, to December 31, 2018, at Aira Hospital, west wollega zone, Oromia region, Ethiopia. Methods and materials: Study was conducted from June 1 to July 25, 2019, by retrospective review of complete medical records of mothers who gave birth from January 01, 2014, to December 31, 2018 at Aira general hospital, west wollega zone, Oromia region, Ethiopia. The sample size was determined by using single population proportion and the final sample size was 339. Check list was used for data collection which was adapted and developed by reviewing relevant literatures. The data was analyzed by statistical package for social science version 20. Odd ratio was used for the interpretation of strength of prediction of independent variable to outcome variable, cesarean section. The statistical significance was declared at P<0.05 with 95% confidence interval. Result: A total of 332 medical records were reviewed. More than half (51.8%) of mother were less than or equal to 24 years with the mean age of 24.23 (±5.17 SD). The prevalence of cesarean section was 33.1% (95%CI 31.3-35.2%). More than two third (85.5%) of mothers had antenatal care follow up and the gestational age at the time of delivery was 37-40 weeks for 90.7% of mothers. Maternal age, gestational age and fetal weight were factors associated with cesarean section. Conclusion: Since the current prevalence of cesarean section surpass the world health organization recommendation threshold vaginal delivery should be encouraged in appropriate cases and the time should be given for conservative management of fetal distress. Maternal age, gestational age and fetal weight were factors associated with cesarean section. We recommend a future researchers to examine the attitude of service providers and their influence on the growing cesarean section delivery rate.

Published in International Journal of Biomedical Engineering and Clinical Science (Volume 6, Issue 1)
DOI 10.11648/j.ijbecs.20200601.11
Page(s) 1-6
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), 2024. Published by Science Publishing Group

Keywords

Cesarean Section, Associated Factors, Retrospective Record Review, Ethiopia

References
[1] Althabe, F. and J. M. Belizán, Caesarean section: the paradox. The Lancet, 2006. 368 (9546): p. 1472-1473.
[2] Woldeyes, W. S., D. Asefa, and G. Muleta, Incidence and determinants of severe maternal outcome in Jimma University teaching hospital, south-West Ethiopia: a prospective cross-sectional study. BMC Pregnancy and Childbirth, 2018. 18 (1): p. 255.
[3] Chazotte, C. and W. R. Cohen, Catastrophic complications of previous cesarean section. American journal of obstetrics and gynecology, 1990. 163 (3): p. 738-742.
[4] Hadar, E., et al., Timing and risk factors of maternal complications of cesarean section. Archives of gynecology and obstetrics, 2011. 283 (4): p. 735-741.
[5] Yisma, E., et al., Impact of caesarean section on breastfeeding indicators: within-country and meta-analyses of nationally representative data from 33 countries in sub-Saharan Africa. BMJ Open, 2019. 9 (9): p. e027497.
[6] Häger, R. M., et al., Complications of cesarean deliveries: rates and risk factors. American journal of obstetrics and gynecology, 2004. 190 (2): p. 428-434.
[7] Organization, W. H. and UNICEF, Indicators to monitor maternal health goals: report of a technical working group. 1994.
[8] Betrán, A. P., et al., The increasing trend in caesarean section rates: global, regional and national estimates: 1990-2014. PloS one, 2016. 11 (2): p. e0148343.
[9] Violence, W. H. O., I. Prevention, and W. H. Organization, Global status report on road safety 2013: supporting a decade of action. 2013: World Health Organization.
[10] Chu, K., et al., Cesarean section rates and indications in sub-Saharan Africa: a multi-country study from Medecins sans Frontieres. PloS one, 2012. 7 (9): p. e44484.
[11] Gebremedhin, S., Trend and socio-demographic differentials of Caesarean section rate in Addis Ababa, Ethiopia: analysis based on Ethiopia demographic and health surveys data. Reproductive health, 2014. 11 (1): p. 14.
[12] Fesseha, N., et al., A national review of cesarean delivery in Ethiopia. International Journal of Gynecology & Obstetrics, 2011. 115 (1): p. 106-111.
[13] Yisma, E., et al., Cesarean section in Ethiopia: prevalence and sociodemographic characteristics. The Journal of Maternal-Fetal & Neonatal Medicine, 2019. 32 (7): p. 1130-1135.
[14] Azene, A. G., A. M. Aragaw, and M. G. Birlie, Multilevel modelling of factors associated with caesarean section in Ethiopia: community based cross sectional study. BMC Res Notes, 2019. 12 (1): p. 724.
[15] Elena, S., et al., The Epidemic of the Cesarean Section in Private Hospital in Puebla, México. Obstet Gynecol Int J, 2015. 2 (6): p. 00058.
[16] Abebe, F. E., et al., Factors leading to cesarean section delivery at Felegehiwot referral hospital, Northwest Ethiopia: a retrospective record review. Reproductive health, 2015. 13 (1): p. 6.
[17] Gutema, H. and A. Shimye, cesarean section and associated factors at mizan aman general hospital, southwest Ethiopia. J Gynecol Obstet, 2014. 2 (3): p. 37-41.
[18] Moges, A., B. Ademe, and G. Akessa, Prevalence and outcome of caesarean section in Attat Hospital, Gurage Zone, SNNPR, Ethiopia. Arch Med, 2015. 7 (4): p. 1-6.
[19] REZAIE, S. B., et al., A survey on causes of cesarean sections performed at the university hospitals of Niknafs and Ali-Ibn Abi Talib of Rafsanjan, Iran, in the second trimester of 2014. 2014.
[20] Soto-Vega, E., et al., Rising Trends of Cesarean Section Worldwide: A Systematic Review. Obstet Gynecol Int J, 2015. 3 (2): p. 00073.
[21] Tsega, F., et al., Prevalence of cesarean section in urban health facilities and associated factors in Eastern Ethiopia: hospital based cross sectional study. J Preg Child Health, 2015. 2 (3): p. 169-73.
[22] Lauer, J. A., et al., Determinants of caesarean section rates in developed countries: supply, demand and opportunities for control. World health report, 2010. 29: p. 1-22.
[23] Neuman, M., et al., Prevalence and determinants of caesarean section in private and public health facilities in underserved South Asian communities: cross-sectional analysis of data from Bangladesh, India and Nepal. BMJ open, 2014. 4 (12): p. e005982.
[24] Tsegaye, H., Prevalence of Caesarean Section and Associated Factors in Addis Ababa Hospitals, Addis Ababa, Ethiopia, 2017. 2017, Addis Ababa University.
[25] Wondie, A. G., et al., Cesarean delivery among women who gave birth in Dessie town hospitals, Northeast Ethiopia. PLoS One, 2019. 14 (5): p. e0216344.
[26] Mendoza-Sassi, R. A., et al., Risk factors for cesarean section by category of health service. Revista de saúde pública, 2010. 44: p. 80-89.
[27] Sreevidya, S. and B. Sathiyasekaran, High caesarean rates in Madras (India): a population‐based cross sectional study. BJOG: An International Journal of Obstetrics & Gynaecology, 2003. 110 (2): p. 106-111.
[28] Chu, K.-H., et al., Women's preference for cesarean delivery and differences between Taiwanese women undergoing different modes of delivery. BMC health services research, 2010. 10 (1): p. 138.
[29] Chanrachakul, B., Y. Herabutya, and U. Udomsubpayakul, Epidemic of cesarean section at the general, private and university hospitals in Thailand. Journal of obstetrics and gynaecology research, 2000. 26 (5): p. 357-361.
[30] Stokke, S. J. and L. M. W. Becher, Indications for cesarean section at St. Joseph Medical Hospital, Moshi Tanzania. 2013.
[31] Azami-Aghdash, S., et al., Prevalence and causes of cesarean section in Iran: systematic review and meta-analysis. Iranian journal of public health, 2014. 43 (5): p. 545.
[32] Gjonej, R., et al., The reasons of rising trend of cesarean section rate year after year. A retrospective study. Int J Nursing and Midwifery, 2015. 7: p. 9-15.
[33] Adewuyi, E. O., et al., Cesarean delivery in Nigeria: prevalence and associated factors―a population-based cross-sectional study. BMJ open, 2019. 9 (6): p. e027273.
[34] Suzuki, S. and M. Nakata, Factors associated with the recent increasing cesarean delivery rate at a Japanese perinatal center. ISRN obstetrics and gynecology, 2013. 2013.
[35] Bettegowda, V. R., et al., The relationship between cesarean delivery and gestational age among US singleton births. Clinics in perinatology, 2008. 35 (2): p. 309-323.
[36] Caughey, A. B., et al., Induction of labor and cesarean delivery by gestational age. American journal of obstetrics and gynecology, 2006. 195 (3): p. 700-705.
[37] Al Busaidi, I., et al., Obstetric and non-obstetric risk factors for cesarean section in Oman. Oman medical journal, 2012. 27 (6): p. 478.
[38] Chunfeng, W., et al., Correlation between birth weight and cesarean section rate of term singleton live-birth newborns in recent 10 years. Chinese Journal of Perinatal Medicine, 2011. 14 (9): p. 530-533.
[39] Naylor, C. D., et al., Cesarean delivery in relation to birth weight and gestational glucose tolerance: pathophysiology or practice style? Jama, 1996. 275 (15): p. 1165-1170.
Cite This Article
  • APA Style

    Keressa Duressa, Gelana Fekadu, Bedasa Taye, Henock Asfaw. (2020). Cesarean Section and Associated Factors at Aira Hospital, Oromia Region, Western Ethiopia: A Retrospective Record Review. International Journal of Biomedical Engineering and Clinical Science, 6(1), 1-6. https://doi.org/10.11648/j.ijbecs.20200601.11

    Copy | Download

    ACS Style

    Keressa Duressa; Gelana Fekadu; Bedasa Taye; Henock Asfaw. Cesarean Section and Associated Factors at Aira Hospital, Oromia Region, Western Ethiopia: A Retrospective Record Review. Int. J. Biomed. Eng. Clin. Sci. 2020, 6(1), 1-6. doi: 10.11648/j.ijbecs.20200601.11

    Copy | Download

    AMA Style

    Keressa Duressa, Gelana Fekadu, Bedasa Taye, Henock Asfaw. Cesarean Section and Associated Factors at Aira Hospital, Oromia Region, Western Ethiopia: A Retrospective Record Review. Int J Biomed Eng Clin Sci. 2020;6(1):1-6. doi: 10.11648/j.ijbecs.20200601.11

    Copy | Download

  • @article{10.11648/j.ijbecs.20200601.11,
      author = {Keressa Duressa and Gelana Fekadu and Bedasa Taye and Henock Asfaw},
      title = {Cesarean Section and Associated Factors at Aira Hospital, Oromia Region, Western Ethiopia: A Retrospective Record Review},
      journal = {International Journal of Biomedical Engineering and Clinical Science},
      volume = {6},
      number = {1},
      pages = {1-6},
      doi = {10.11648/j.ijbecs.20200601.11},
      url = {https://doi.org/10.11648/j.ijbecs.20200601.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijbecs.20200601.11},
      abstract = {Introduction: According to the latest data from 150 countries, currently, 18.6% of all births occur by cesarean section, ranging from 6% to 27.2%. It is alarmingly increasing in the last decade with an average annual rate of increase by 4.4%. Objective: To assess the prevalence of the cesarean section and associated factors among mothers who gave a birth from January 01, 2014, to December 31, 2018, at Aira Hospital, west wollega zone, Oromia region, Ethiopia. Methods and materials: Study was conducted from June 1 to July 25, 2019, by retrospective review of complete medical records of mothers who gave birth from January 01, 2014, to December 31, 2018 at Aira general hospital, west wollega zone, Oromia region, Ethiopia. The sample size was determined by using single population proportion and the final sample size was 339. Check list was used for data collection which was adapted and developed by reviewing relevant literatures. The data was analyzed by statistical package for social science version 20. Odd ratio was used for the interpretation of strength of prediction of independent variable to outcome variable, cesarean section. The statistical significance was declared at P<0.05 with 95% confidence interval. Result: A total of 332 medical records were reviewed. More than half (51.8%) of mother were less than or equal to 24 years with the mean age of 24.23 (±5.17 SD). The prevalence of cesarean section was 33.1% (95%CI 31.3-35.2%). More than two third (85.5%) of mothers had antenatal care follow up and the gestational age at the time of delivery was 37-40 weeks for 90.7% of mothers. Maternal age, gestational age and fetal weight were factors associated with cesarean section. Conclusion: Since the current prevalence of cesarean section surpass the world health organization recommendation threshold vaginal delivery should be encouraged in appropriate cases and the time should be given for conservative management of fetal distress. Maternal age, gestational age and fetal weight were factors associated with cesarean section. We recommend a future researchers to examine the attitude of service providers and their influence on the growing cesarean section delivery rate.},
     year = {2020}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Cesarean Section and Associated Factors at Aira Hospital, Oromia Region, Western Ethiopia: A Retrospective Record Review
    AU  - Keressa Duressa
    AU  - Gelana Fekadu
    AU  - Bedasa Taye
    AU  - Henock Asfaw
    Y1  - 2020/04/08
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ijbecs.20200601.11
    DO  - 10.11648/j.ijbecs.20200601.11
    T2  - International Journal of Biomedical Engineering and Clinical Science
    JF  - International Journal of Biomedical Engineering and Clinical Science
    JO  - International Journal of Biomedical Engineering and Clinical Science
    SP  - 1
    EP  - 6
    PB  - Science Publishing Group
    SN  - 2472-1301
    UR  - https://doi.org/10.11648/j.ijbecs.20200601.11
    AB  - Introduction: According to the latest data from 150 countries, currently, 18.6% of all births occur by cesarean section, ranging from 6% to 27.2%. It is alarmingly increasing in the last decade with an average annual rate of increase by 4.4%. Objective: To assess the prevalence of the cesarean section and associated factors among mothers who gave a birth from January 01, 2014, to December 31, 2018, at Aira Hospital, west wollega zone, Oromia region, Ethiopia. Methods and materials: Study was conducted from June 1 to July 25, 2019, by retrospective review of complete medical records of mothers who gave birth from January 01, 2014, to December 31, 2018 at Aira general hospital, west wollega zone, Oromia region, Ethiopia. The sample size was determined by using single population proportion and the final sample size was 339. Check list was used for data collection which was adapted and developed by reviewing relevant literatures. The data was analyzed by statistical package for social science version 20. Odd ratio was used for the interpretation of strength of prediction of independent variable to outcome variable, cesarean section. The statistical significance was declared at P<0.05 with 95% confidence interval. Result: A total of 332 medical records were reviewed. More than half (51.8%) of mother were less than or equal to 24 years with the mean age of 24.23 (±5.17 SD). The prevalence of cesarean section was 33.1% (95%CI 31.3-35.2%). More than two third (85.5%) of mothers had antenatal care follow up and the gestational age at the time of delivery was 37-40 weeks for 90.7% of mothers. Maternal age, gestational age and fetal weight were factors associated with cesarean section. Conclusion: Since the current prevalence of cesarean section surpass the world health organization recommendation threshold vaginal delivery should be encouraged in appropriate cases and the time should be given for conservative management of fetal distress. Maternal age, gestational age and fetal weight were factors associated with cesarean section. We recommend a future researchers to examine the attitude of service providers and their influence on the growing cesarean section delivery rate.
    VL  - 6
    IS  - 1
    ER  - 

    Copy | Download

Author Information
  • West Wollega Zone, Aira Hospital, Oromia Region, Ethiopia

  • School of Nursing and Midwifery, College of Health and Medical Science, Haramaya University, Harar, Ethiopia

  • School of Public Health, College of Health and Medical Science, Haramaya University, Harar, Ethiopia

  • School of Nursing and Midwifery, College of Health and Medical Science, Haramaya University, Harar, Ethiopia

  • Sections