Cesarean delivery among women who gave birth in Dessie town hospitals, Northeast Ethiopia.
<h4>Background</h4>One of the key strategies for reducing maternal and perinatal morbidities and mortalities is the provision of skilled intrapartum care. While cesarean section is an important emergency obstetric intervention for saving the lives of mothers and newborns, a study compari...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2019-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0216344 |
| _version_ | 1797661369800065024 |
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| author | Awoke Giletew Wondie Atinkut Alamirrew Zeleke Hedija Yenus Gizachew Assefa Tessema |
| author_facet | Awoke Giletew Wondie Atinkut Alamirrew Zeleke Hedija Yenus Gizachew Assefa Tessema |
| author_sort | Awoke Giletew Wondie |
| collection | DOAJ |
| description | <h4>Background</h4>One of the key strategies for reducing maternal and perinatal morbidities and mortalities is the provision of skilled intrapartum care. While cesarean section is an important emergency obstetric intervention for saving the lives of mothers and newborns, a study comparing the prevalence of cesarean delivery is not sufficiently available in Ethiopia. This study aimed at assessing the prevalence and associated factors of cesarean delivery among women who gave birth at hospitals in Dessie town, Northeast Ethiopia.<h4>Methods</h4>A facility based cross-sectional study was conducted between July and October 2013. A total of 520 women who gave birth in four hospitals (public = 1, private = 3) were interviewed. Face-to-face interviews using a pre-tested and structured questionnaire were conducted for primary data collection. Additionally, patients' charts were reviewed to collect mothers' clinical data. Bivariate and multiple logistic regressions analyses were conducted. Odds ratios and 95% confidence intervals were computed and a P-value of less than 0.05 was taken to declare the level of significance.<h4>Results</h4>A total of 512 mothers were included in the final analysis (response rate = 98.4%), the prevalence of cesarean delivery was found to be 47.6% (95% CI: 44.3, 51.1), While 46 (18.2%) of the procedure conducted in public and 198 (76.1%) were in private hospitals. Partograph monitoring [AOR = 3.84 95%CI: 2.24, 6.59], oxytocin administration [AOR = 4. 80 95%CI: 2.87-8.02], previous cesarean delivery [AOR = 2. 86 95%CI: 1.64-5.01] and place of delivery being a private hospital [AOR = 6. 79 95%CI: 4.18-11.01)] were associated with cesarean delivery.<h4>Conclusion</h4>The prevalence of cesarean delivery was found to be high, and was significantly higher in private hospitals than a public facility. There is a need to conduct cesarean delivery audits to appropriately utilize scarce resources. Further an in-depth exploration of the experiences of women with cesarean delivery is necessary. |
| first_indexed | 2024-03-11T18:44:32Z |
| format | Article |
| id | doaj.art-32c54dac8351410a91ca219bba42f000 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-03-11T18:44:32Z |
| publishDate | 2019-01-01 |
| publisher | Public Library of Science (PLoS) |
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| series | PLoS ONE |
| spelling | doaj.art-32c54dac8351410a91ca219bba42f0002023-10-12T05:31:45ZengPublic Library of Science (PLoS)PLoS ONE1932-62032019-01-01145e021634410.1371/journal.pone.0216344Cesarean delivery among women who gave birth in Dessie town hospitals, Northeast Ethiopia.Awoke Giletew WondieAtinkut Alamirrew ZelekeHedija YenusGizachew Assefa Tessema<h4>Background</h4>One of the key strategies for reducing maternal and perinatal morbidities and mortalities is the provision of skilled intrapartum care. While cesarean section is an important emergency obstetric intervention for saving the lives of mothers and newborns, a study comparing the prevalence of cesarean delivery is not sufficiently available in Ethiopia. This study aimed at assessing the prevalence and associated factors of cesarean delivery among women who gave birth at hospitals in Dessie town, Northeast Ethiopia.<h4>Methods</h4>A facility based cross-sectional study was conducted between July and October 2013. A total of 520 women who gave birth in four hospitals (public = 1, private = 3) were interviewed. Face-to-face interviews using a pre-tested and structured questionnaire were conducted for primary data collection. Additionally, patients' charts were reviewed to collect mothers' clinical data. Bivariate and multiple logistic regressions analyses were conducted. Odds ratios and 95% confidence intervals were computed and a P-value of less than 0.05 was taken to declare the level of significance.<h4>Results</h4>A total of 512 mothers were included in the final analysis (response rate = 98.4%), the prevalence of cesarean delivery was found to be 47.6% (95% CI: 44.3, 51.1), While 46 (18.2%) of the procedure conducted in public and 198 (76.1%) were in private hospitals. Partograph monitoring [AOR = 3.84 95%CI: 2.24, 6.59], oxytocin administration [AOR = 4. 80 95%CI: 2.87-8.02], previous cesarean delivery [AOR = 2. 86 95%CI: 1.64-5.01] and place of delivery being a private hospital [AOR = 6. 79 95%CI: 4.18-11.01)] were associated with cesarean delivery.<h4>Conclusion</h4>The prevalence of cesarean delivery was found to be high, and was significantly higher in private hospitals than a public facility. There is a need to conduct cesarean delivery audits to appropriately utilize scarce resources. Further an in-depth exploration of the experiences of women with cesarean delivery is necessary.https://doi.org/10.1371/journal.pone.0216344 |
| spellingShingle | Awoke Giletew Wondie Atinkut Alamirrew Zeleke Hedija Yenus Gizachew Assefa Tessema Cesarean delivery among women who gave birth in Dessie town hospitals, Northeast Ethiopia. PLoS ONE |
| title | Cesarean delivery among women who gave birth in Dessie town hospitals, Northeast Ethiopia. |
| title_full | Cesarean delivery among women who gave birth in Dessie town hospitals, Northeast Ethiopia. |
| title_fullStr | Cesarean delivery among women who gave birth in Dessie town hospitals, Northeast Ethiopia. |
| title_full_unstemmed | Cesarean delivery among women who gave birth in Dessie town hospitals, Northeast Ethiopia. |
| title_short | Cesarean delivery among women who gave birth in Dessie town hospitals, Northeast Ethiopia. |
| title_sort | cesarean delivery among women who gave birth in dessie town hospitals northeast ethiopia |
| url | https://doi.org/10.1371/journal.pone.0216344 |
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