Research Article
Volume 9 Issue 2 - 2020
Proportion of Caesarean Section and its Associated Factors among Women who Gave Birth in Debre Tabor General Hospital, North West Ethiopia
GToyiba Hiyaru Wassie1, Mesafint Ewnetu2, Almaz Akililu2 and Dereje Bayissa Demissie3*
1Principal Investigator, Department of Midwifery, College of Medicine and Health Science, Bahirdar University, Bahirdar, Ethiopia
2Department of Midwifery, College of Medicine and Health Science, Bahirdar University, Bahirdar, Ethiopia
3Assistant Professor, Department of Neonatal Nursing, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia
*Corresponding Author: Dereje Bayissa Demissie, Assistant Professor, Department of Neonatal Nursing, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Received: : October 30, 2019; Published: January 27, 2020




Abstract

Introduction: The World Health Organization considers Caesarean section rates of 5 - 15% to be the optimal range for targeted provision of this life saving intervention. However, access to safe Caesarean section in resource-limited settings is much lower, estimated at 1 - 2% reported in sub-Saharan Africa. The aim of this study was to determine the Proportion of Caesarean Section and its associated factors among women who gave birth in Debretabor General Hospital South Gondar Zone, Northwest Ethiopia, 2017.

Methods: Institutional based cross-sectional study was done among 500 women’s who gave birth in Debretabor General Hospital from February 15 to May 15, 2017. A pre-tested structured questionnaire were used to collect data and data were entered by Epi info version 7 statistical software and exported to SPSS version 21 statistical package for analysis, Bivariable and multivariable logistic regression analysis were employed and odds ratio with 95% confidence intervals (CI) and P-value of < 0.05 was computed to identify associated factors for Caesarean section. 

Results: Proportion of caesarean delivery was determined which accounts 20.2% with 95%CI of 16.6 to 23.8%, with the odd of undergoing caesarean section was lower among mothers had ANC follow up (AOR: 0.172, 95% CI: 0.035, 0.843), mothers reported to have gestational age between 37 - 41 weeks (AOR: 0.156, 95% CI: 0.034, 0.713), mothers in age group of 20 - 34 (AOR: 0.044, 95% CI: 0.018, 0.106) and higher among mothers had previous Caesarean section (AOR: 12.12, 95% CI: 4.538, 32.373).were identified factors significantly associated with Caesarean section. 

Conclusion and Recommendation: Proportion of the caesarean section in Debretabor general hospital is high as compared to WHO recommendation. Maternal age, gestational age, previous Caesarean Section and ANC follow up have significant association with caesarean section at the hospital. Therefore, the rate of caesarean section at the hospital would be better to be reduced as per recommendation, Trial of vaginal birth after caesarean section in appropriate cases is recommended. 

Keywords: Caesarean section; Proportion; Associated Factors; Ethiopia

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Citation: Dereje Bayissa Demissie., et al. “Proportion of Caesarean Section and its Associated Factors among Women who Gave Birth in Debre Tabor General Hospital, North West Ethiopia”. EC Gynaecology 9.2 (2020): 01-10.

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