Magnitude of cesarean-section and associated factors among diabetic mothers in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia: A cross-sectional study
BackgroundGestational diabetes is associated with multiple adverse pregnancy outcome as a result of unfavorable labor and delivery process with a consequent increase in obstetric interventions including cesarean-section. Even though diabetes mellitus increases the cesarean-section rate; there is no...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-09-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2022.888935/full |
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| author | Bajrond Eshetu Bikila Balis Woreknesh Daba Bazie Mekonnen Tamirat Getachew Ephrem Yohanes Roga Sisay Habte Habtamu Bekele Indeshaw Ketema Adera Debella |
| author_facet | Bajrond Eshetu Bikila Balis Woreknesh Daba Bazie Mekonnen Tamirat Getachew Ephrem Yohanes Roga Sisay Habte Habtamu Bekele Indeshaw Ketema Adera Debella |
| author_sort | Bajrond Eshetu |
| collection | DOAJ |
| description | BackgroundGestational diabetes is associated with multiple adverse pregnancy outcome as a result of unfavorable labor and delivery process with a consequent increase in obstetric interventions including cesarean-section. Even though diabetes mellitus increases the cesarean-section rate; there is no study conducted in Ethiopia. therefore, this study aimed to assess the magnitude of cesarean-section and associated factors among diabetic mothers in Tikur Ambessa Specialize Hospital, Addis Ababa, Ethiopia.MethodsA facility-based retrospective cross-sectional study was conducted in Tikur Anbessa Specialized Hospital from 1 February to 30 April 2018 among 346 diabetic mothers. All required data were extracted from patients' charts using checklists, and incomplete records were excluded. The collected data were entered into Epi data version 4.2 and exported to SPSS version 20 for analysis. Multiple logistic regression models were fitted to identify factors associated with cesarean section. Adjusted odds ratios along with 95% CI were estimated to measure the strength of the association and declared statistical significance at a p-value <0.05.ResultsThe magnitude of cesarean-section was 57.8% (95% CI: 51.7, 63.3). Pregnancy-induced hypertension [AOR: 3.35, (95% CI: (1.22, 9.20)], previous C/S [AOR: 1.62, (95% CI: (2.54, 4.83)], and fetal distress [AOR: 4.36, (95% CI: 1.30, 14.62)] were factors significantly associated with cesarean-section.ConclusionA considerable number of diabetic mothers gave birth by cesarean-section. Pregnancy-induced hypertension, previous cesarean-section, and fetal distress were factors more likely to increase the rate of cesarean-section. Most of the factors were modifiable by following the WHO recommendation for cesarean-section. |
| first_indexed | 2024-04-11T09:58:08Z |
| format | Article |
| id | doaj.art-32d58a93189d43f4ba85214c6c0b5e15 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-11T09:58:08Z |
| publishDate | 2022-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-32d58a93189d43f4ba85214c6c0b5e152022-12-22T04:30:30ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-09-011010.3389/fpubh.2022.888935888935Magnitude of cesarean-section and associated factors among diabetic mothers in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia: A cross-sectional studyBajrond Eshetu0Bikila Balis1Woreknesh Daba2Bazie Mekonnen3Tamirat Getachew4Ephrem Yohanes Roga5Sisay Habte6Habtamu Bekele7Indeshaw Ketema8Adera Debella9Department of Midwifery, School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaDepartment of Midwifery, School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaDepartment of Nursing, School of Nursing and Midwifery, College of Health and Medical Sciences, Addis Ababa University, Addis Ababa, EthiopiaDepartment of Nursing, School of Nursing and Midwifery, College of Health and Medical Sciences, Addis Ababa University, Addis Ababa, EthiopiaDepartment of Midwifery, School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaDepartment of Midwifery, School of Nursing and Midwifery, College of Health and Medical Sciences, Ambo University, Ambo, EthiopiaDepartment of Nursing, School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaDepartment of Midwifery, School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaDepartment of Emergency and Critical Care Nursing, School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaDepartment of Midwifery, School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaBackgroundGestational diabetes is associated with multiple adverse pregnancy outcome as a result of unfavorable labor and delivery process with a consequent increase in obstetric interventions including cesarean-section. Even though diabetes mellitus increases the cesarean-section rate; there is no study conducted in Ethiopia. therefore, this study aimed to assess the magnitude of cesarean-section and associated factors among diabetic mothers in Tikur Ambessa Specialize Hospital, Addis Ababa, Ethiopia.MethodsA facility-based retrospective cross-sectional study was conducted in Tikur Anbessa Specialized Hospital from 1 February to 30 April 2018 among 346 diabetic mothers. All required data were extracted from patients' charts using checklists, and incomplete records were excluded. The collected data were entered into Epi data version 4.2 and exported to SPSS version 20 for analysis. Multiple logistic regression models were fitted to identify factors associated with cesarean section. Adjusted odds ratios along with 95% CI were estimated to measure the strength of the association and declared statistical significance at a p-value <0.05.ResultsThe magnitude of cesarean-section was 57.8% (95% CI: 51.7, 63.3). Pregnancy-induced hypertension [AOR: 3.35, (95% CI: (1.22, 9.20)], previous C/S [AOR: 1.62, (95% CI: (2.54, 4.83)], and fetal distress [AOR: 4.36, (95% CI: 1.30, 14.62)] were factors significantly associated with cesarean-section.ConclusionA considerable number of diabetic mothers gave birth by cesarean-section. Pregnancy-induced hypertension, previous cesarean-section, and fetal distress were factors more likely to increase the rate of cesarean-section. Most of the factors were modifiable by following the WHO recommendation for cesarean-section.https://www.frontiersin.org/articles/10.3389/fpubh.2022.888935/fulldiabetes mellituscesarean-sectionmothersTikur AnbessaEthiopia |
| spellingShingle | Bajrond Eshetu Bikila Balis Woreknesh Daba Bazie Mekonnen Tamirat Getachew Ephrem Yohanes Roga Sisay Habte Habtamu Bekele Indeshaw Ketema Adera Debella Magnitude of cesarean-section and associated factors among diabetic mothers in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia: A cross-sectional study Frontiers in Public Health diabetes mellitus cesarean-section mothers Tikur Anbessa Ethiopia |
| title | Magnitude of cesarean-section and associated factors among diabetic mothers in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia: A cross-sectional study |
| title_full | Magnitude of cesarean-section and associated factors among diabetic mothers in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia: A cross-sectional study |
| title_fullStr | Magnitude of cesarean-section and associated factors among diabetic mothers in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia: A cross-sectional study |
| title_full_unstemmed | Magnitude of cesarean-section and associated factors among diabetic mothers in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia: A cross-sectional study |
| title_short | Magnitude of cesarean-section and associated factors among diabetic mothers in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia: A cross-sectional study |
| title_sort | magnitude of cesarean section and associated factors among diabetic mothers in tikur anbessa specialized hospital addis ababa ethiopia a cross sectional study |
| topic | diabetes mellitus cesarean-section mothers Tikur Anbessa Ethiopia |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2022.888935/full |
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