Determinants of Cesarean Section Deliveries in Public Hospitals of Addis Ababa, Ethiopia, 2018/19: A Case-Control Study
Objective. The objective of this study was to assess the determinants of cesarean section deliveries in public hospitals of Addis Ababa, Ethiopia, 2019. Method. A hospital-based unmatched case-control study was conducted to study 780 (260 cases and 520 controls) women who delivered in public hospita...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2020-01-01
|
| Series: | Obstetrics and Gynecology International |
| Online Access: | http://dx.doi.org/10.1155/2020/9018747 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832547779184951296 |
|---|---|
| author | Areaya Gebreegziabher Hailu Tsegaye Kebede Fanta Fissaha Tekulu Welay Natnael Etsay Assefa Surafel Aregawi Hadera Gebrekiros Aregawi Gebremeskel Hagos Weldeslassie Gebremedhin Guesh Gebreayezgi Asefa |
| author_facet | Areaya Gebreegziabher Hailu Tsegaye Kebede Fanta Fissaha Tekulu Welay Natnael Etsay Assefa Surafel Aregawi Hadera Gebrekiros Aregawi Gebremeskel Hagos Weldeslassie Gebremedhin Guesh Gebreayezgi Asefa |
| author_sort | Areaya Gebreegziabher Hailu |
| collection | DOAJ |
| description | Objective. The objective of this study was to assess the determinants of cesarean section deliveries in public hospitals of Addis Ababa, Ethiopia, 2019. Method. A hospital-based unmatched case-control study was conducted to study 780 (260 cases and 520 controls) women who delivered in public hospitals of Addis Ababa from August 22 to September 20, 2019. The cases were all mothers who delivered through caesarean section, and controls were all mothers who delivered vaginally in the same time in the study area. Data were collected from the randomly selected women and looking into their cards. Data were entered on EpiData 3.1 and exported to SPSS version 20 for cleaning and analyzing. Binary logistic regression and AOR with 95% CI were used to assess the determinants of caesarean section. Results. Majority of the study participants were in the age category 20–34 years. Nearly more than 1/3rd of the participants (32.7% cases and 34.6% controls) have attended primary school. Most of the cases 217 (83.5%) and few of the controls 21 (4%) possess previous caesarean section. One hundred three (52.3%) of the cases and 329 (63.6%) controls were multi-parous. Previous caesarean delivery (AOR = 6.93, 95% CI; (3.39, 14.16)), singleton pregnancy (AOR = 0.34, 95% CI; (0.12, 0.83)), birth weight less than 2500 gm (AOR = 0.29, 95% CI; (0.18, 0.92)), birth weight greater than 4000 gm (AOR = 16.15 (8.22, 31.74)), completely documented partograph (AOR = 0.13, 95% CI; (0.078, 0.23)), and pregnancy-induced hypertension (AOR = 2.44, 95% CI; (1.46, 4.08)) were significant determinants of caesarean delivery in this study. Conclusion. Previous caesarean section, number of delivery, birth weight, partograph documentation, and pregnancy-induced hypertension had significant association with caesarean section delivery in this study. |
| format | Article |
| id | doaj-art-5ddca0dbbb9c48c299407851052387ff |
| institution | Kabale University |
| issn | 1687-9589 1687-9597 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Obstetrics and Gynecology International |
| spelling | doaj-art-5ddca0dbbb9c48c299407851052387ff2025-02-03T06:43:27ZengWileyObstetrics and Gynecology International1687-95891687-95972020-01-01202010.1155/2020/90187479018747Determinants of Cesarean Section Deliveries in Public Hospitals of Addis Ababa, Ethiopia, 2018/19: A Case-Control StudyAreaya Gebreegziabher Hailu0Tsegaye Kebede Fanta1Fissaha Tekulu Welay2Natnael Etsay Assefa3Surafel Aregawi Hadera4Gebrekiros Aregawi Gebremeskel5Hagos Weldeslassie Gebremedhin6Guesh Gebreayezgi Asefa7Department of Public Health, Gamby Medical and Business College, Bahir Dar, EthiopiaDepartment of Public Health, Gamby Medical and Business College, Bahir Dar, EthiopiaDepartment of Midwifery, Adigrat University, Adigrat, EthiopiaDepartment of Midwifery, Adigrat University, Adigrat, EthiopiaDepartment of Midwifery, Aksum University, Axum, EthiopiaDepartment of Midwifery, Aksum University, Axum, EthiopiaDepartment of Reproductive Health, Sante Medical College, Addis Ababa, EthiopiaDepartment of Epidemiology and Biostatistics, School of Public Health, Akum University, Axum, EthiopiaObjective. The objective of this study was to assess the determinants of cesarean section deliveries in public hospitals of Addis Ababa, Ethiopia, 2019. Method. A hospital-based unmatched case-control study was conducted to study 780 (260 cases and 520 controls) women who delivered in public hospitals of Addis Ababa from August 22 to September 20, 2019. The cases were all mothers who delivered through caesarean section, and controls were all mothers who delivered vaginally in the same time in the study area. Data were collected from the randomly selected women and looking into their cards. Data were entered on EpiData 3.1 and exported to SPSS version 20 for cleaning and analyzing. Binary logistic regression and AOR with 95% CI were used to assess the determinants of caesarean section. Results. Majority of the study participants were in the age category 20–34 years. Nearly more than 1/3rd of the participants (32.7% cases and 34.6% controls) have attended primary school. Most of the cases 217 (83.5%) and few of the controls 21 (4%) possess previous caesarean section. One hundred three (52.3%) of the cases and 329 (63.6%) controls were multi-parous. Previous caesarean delivery (AOR = 6.93, 95% CI; (3.39, 14.16)), singleton pregnancy (AOR = 0.34, 95% CI; (0.12, 0.83)), birth weight less than 2500 gm (AOR = 0.29, 95% CI; (0.18, 0.92)), birth weight greater than 4000 gm (AOR = 16.15 (8.22, 31.74)), completely documented partograph (AOR = 0.13, 95% CI; (0.078, 0.23)), and pregnancy-induced hypertension (AOR = 2.44, 95% CI; (1.46, 4.08)) were significant determinants of caesarean delivery in this study. Conclusion. Previous caesarean section, number of delivery, birth weight, partograph documentation, and pregnancy-induced hypertension had significant association with caesarean section delivery in this study.http://dx.doi.org/10.1155/2020/9018747 |
| spellingShingle | Areaya Gebreegziabher Hailu Tsegaye Kebede Fanta Fissaha Tekulu Welay Natnael Etsay Assefa Surafel Aregawi Hadera Gebrekiros Aregawi Gebremeskel Hagos Weldeslassie Gebremedhin Guesh Gebreayezgi Asefa Determinants of Cesarean Section Deliveries in Public Hospitals of Addis Ababa, Ethiopia, 2018/19: A Case-Control Study Obstetrics and Gynecology International |
| title | Determinants of Cesarean Section Deliveries in Public Hospitals of Addis Ababa, Ethiopia, 2018/19: A Case-Control Study |
| title_full | Determinants of Cesarean Section Deliveries in Public Hospitals of Addis Ababa, Ethiopia, 2018/19: A Case-Control Study |
| title_fullStr | Determinants of Cesarean Section Deliveries in Public Hospitals of Addis Ababa, Ethiopia, 2018/19: A Case-Control Study |
| title_full_unstemmed | Determinants of Cesarean Section Deliveries in Public Hospitals of Addis Ababa, Ethiopia, 2018/19: A Case-Control Study |
| title_short | Determinants of Cesarean Section Deliveries in Public Hospitals of Addis Ababa, Ethiopia, 2018/19: A Case-Control Study |
| title_sort | determinants of cesarean section deliveries in public hospitals of addis ababa ethiopia 2018 19 a case control study |
| url | http://dx.doi.org/10.1155/2020/9018747 |
| work_keys_str_mv | AT areayagebreegziabherhailu determinantsofcesareansectiondeliveriesinpublichospitalsofaddisababaethiopia201819acasecontrolstudy AT tsegayekebedefanta determinantsofcesareansectiondeliveriesinpublichospitalsofaddisababaethiopia201819acasecontrolstudy AT fissahatekuluwelay determinantsofcesareansectiondeliveriesinpublichospitalsofaddisababaethiopia201819acasecontrolstudy AT natnaeletsayassefa determinantsofcesareansectiondeliveriesinpublichospitalsofaddisababaethiopia201819acasecontrolstudy AT surafelaregawihadera determinantsofcesareansectiondeliveriesinpublichospitalsofaddisababaethiopia201819acasecontrolstudy AT gebrekirosaregawigebremeskel determinantsofcesareansectiondeliveriesinpublichospitalsofaddisababaethiopia201819acasecontrolstudy AT hagosweldeslassiegebremedhin determinantsofcesareansectiondeliveriesinpublichospitalsofaddisababaethiopia201819acasecontrolstudy AT gueshgebreayezgiasefa determinantsofcesareansectiondeliveriesinpublichospitalsofaddisababaethiopia201819acasecontrolstudy |