Factors associated with caesarean sections among pregnant women admitted to a private academic hospital in Ongwediva, Oshana region, Namibia

Background. Caesarean section rates are increasing worldwide in both developed and developing countries becoming an issue of grave concern. Objective. The aim of the study was to determine the factors associated with caesarean sections performed on pregnant women admitted to a private academic hosp...

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Main Authors: Daniel Opotamutale Ashipala, Victoria Kandjaba
Format: Article
Language:English
Published: PAGEPress Publications 2023-05-01
Series:Journal of Public Health in Africa
Subjects:
Online Access:https://www.publichealthinafrica.org/jphia/article/view/2402
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author Daniel Opotamutale Ashipala
Victoria Kandjaba
author_facet Daniel Opotamutale Ashipala
Victoria Kandjaba
author_sort Daniel Opotamutale Ashipala
collection DOAJ
description Background. Caesarean section rates are increasing worldwide in both developed and developing countries becoming an issue of grave concern. Objective. The aim of the study was to determine the factors associated with caesarean sections performed on pregnant women admitted to a private academic hospital in Ongwediva, Oshana region, Namibia. Materials and Methods. A retrospective data approach was conducted on 200 patients’ files using a self-administered checklist at a private academic hospital. A total of 200 records of mothers who underwent caesarean sections were systematically reviewed from January 2020 to December 2020 at a private academic hospital in Ongwediva, Namibia. A pretested structured checklist was used to record the data. Results. The study revealed that 95.5% of women who had caesarean sections (C-section) were performed. A previous C-section was the most frequent indication, while 0.5% were performed due to patient requests. The p-value for the chi-square statistic was smaller than the standard alpha value (p<0.05), i.e., there is a relationship between the demographic characteristics and factors associated with caesarean sections, as well as between socioeconomic factors and factors associated with caesarean sections. Conclusion. This study shows that 95.5% of C-sections are done as a necessity with clear indications, while only 0.5% are done due to patient requests. This study's findings can be used to develop strategies and targeted interventions geared towards reducing the increasing rates of cesarean section considering maternal age, the number of indications of primary cesarean delivery and following standard operating procedures that might improve the quality of prenatal and delivery care.
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spelling doaj.art-3a050e5f6d4247d3b0636bbc02d9234e2023-05-31T10:31:39ZengPAGEPress PublicationsJournal of Public Health in Africa2038-99222038-99302023-05-0110.4081/jphia.2023.2402Factors associated with caesarean sections among pregnant women admitted to a private academic hospital in Ongwediva, Oshana region, NamibiaDaniel Opotamutale Ashipala0Victoria Kandjaba1Department of General Nursing Science, School of Nursing and Public Health, Faculty of Health Sciences and Veterinary Medicine, University of Namibia (UNAM), RunduDepartment of General Nursing Science, School of Nursing and Public Health, Faculty of Health Sciences and Veterinary Medicine, University of Namibia (UNAM), Rundu Background. Caesarean section rates are increasing worldwide in both developed and developing countries becoming an issue of grave concern. Objective. The aim of the study was to determine the factors associated with caesarean sections performed on pregnant women admitted to a private academic hospital in Ongwediva, Oshana region, Namibia. Materials and Methods. A retrospective data approach was conducted on 200 patients’ files using a self-administered checklist at a private academic hospital. A total of 200 records of mothers who underwent caesarean sections were systematically reviewed from January 2020 to December 2020 at a private academic hospital in Ongwediva, Namibia. A pretested structured checklist was used to record the data. Results. The study revealed that 95.5% of women who had caesarean sections (C-section) were performed. A previous C-section was the most frequent indication, while 0.5% were performed due to patient requests. The p-value for the chi-square statistic was smaller than the standard alpha value (p<0.05), i.e., there is a relationship between the demographic characteristics and factors associated with caesarean sections, as well as between socioeconomic factors and factors associated with caesarean sections. Conclusion. This study shows that 95.5% of C-sections are done as a necessity with clear indications, while only 0.5% are done due to patient requests. This study's findings can be used to develop strategies and targeted interventions geared towards reducing the increasing rates of cesarean section considering maternal age, the number of indications of primary cesarean delivery and following standard operating procedures that might improve the quality of prenatal and delivery care. https://www.publichealthinafrica.org/jphia/article/view/2402Associated factorscaesarean sectionpregnant womenindicationsobstetric
spellingShingle Daniel Opotamutale Ashipala
Victoria Kandjaba
Factors associated with caesarean sections among pregnant women admitted to a private academic hospital in Ongwediva, Oshana region, Namibia
Journal of Public Health in Africa
Associated factors
caesarean section
pregnant women
indications
obstetric
title Factors associated with caesarean sections among pregnant women admitted to a private academic hospital in Ongwediva, Oshana region, Namibia
title_full Factors associated with caesarean sections among pregnant women admitted to a private academic hospital in Ongwediva, Oshana region, Namibia
title_fullStr Factors associated with caesarean sections among pregnant women admitted to a private academic hospital in Ongwediva, Oshana region, Namibia
title_full_unstemmed Factors associated with caesarean sections among pregnant women admitted to a private academic hospital in Ongwediva, Oshana region, Namibia
title_short Factors associated with caesarean sections among pregnant women admitted to a private academic hospital in Ongwediva, Oshana region, Namibia
title_sort factors associated with caesarean sections among pregnant women admitted to a private academic hospital in ongwediva oshana region namibia
topic Associated factors
caesarean section
pregnant women
indications
obstetric
url https://www.publichealthinafrica.org/jphia/article/view/2402
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