Not just numbers: beyond counting caesarean deliveries to understanding their determinants in Ghana using a population based cross-sectional study
Abstract Background The increasing rate of caesarean deliveries (CD) has become a serious concern for public health experts globally. Despite this health concern, research on factors associated CD in many low- and -middle countries like Ghana is sparse. This study, therefore, assessed the prevalence...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-02-01
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| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12884-020-2792-7 |
| _version_ | 1830305837703233536 |
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| author | Abdul-Aziz Seidu John Elvis Hagan Wonder Agbemavi Bright Opoku Ahinkorah Edmond Banafo Nartey Eugene Budu Francis Sambah Thomas Schack |
| author_facet | Abdul-Aziz Seidu John Elvis Hagan Wonder Agbemavi Bright Opoku Ahinkorah Edmond Banafo Nartey Eugene Budu Francis Sambah Thomas Schack |
| author_sort | Abdul-Aziz Seidu |
| collection | DOAJ |
| description | Abstract Background The increasing rate of caesarean deliveries (CD) has become a serious concern for public health experts globally. Despite this health concern, research on factors associated CD in many low- and -middle countries like Ghana is sparse. This study, therefore, assessed the prevalence and determinants of CD among child-bearing women aged 15–49 in Ghana. Methods The study used data from the 2014 Ghana Demographic and Health Survey. The analysis was limited to mothers (n = 2742) aged 15–49 , who had given birth in health facilities 5 years preceding the survey. Association between CD and its determinants was assessed by calculating adjusted odds ratios (AOR) with their respective 95% confidence intervals using a binary logistic regression. Results The percentage of mothers who delivered their babies through caesarean section (CS) was 18.5%. Using multivariable logistic regression, the results showed that women aged 45–49 (AOR = 10.5; 95% CI: 3.0–37.4), and women from a household that are headed by a female (AOR = 1.3; 95% CI = 1.1–1.7) had higher odds to deliver through CS. Women from the Upper East (AOR =0.4; 95% CI = 0.2–0.7) and Upper West (AOR = 0.4; 95% CI = 0.2–0.8) regions had lower odds to deliver their children through CS. Women with parity 4 or more (AOR = 0.3; 95% CI = 0.2–0.5) had lower odds of CD compared to those with parity 1. Women with female babies had lower odds (AOR = 0.8; CI = 0.7–0.9) of delivering them through CS compared to those with male children. Conclusion The percentage of women delivering babies through the CS in Ghana is high. The high rates of CD noted do not essentially indicate good quality care or services. Hence, health facilities offering this medical protocol need to adopt comprehensive and strict measures to ensure detailed medical justifications by doctors for performing these caesarean surgeries. |
| first_indexed | 2024-12-19T10:01:38Z |
| format | Article |
| id | doaj.art-f7348a1299114732af40f5d66b77013c |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-12-19T10:01:38Z |
| publishDate | 2020-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-f7348a1299114732af40f5d66b77013c2022-12-21T20:26:38ZengBMCBMC Pregnancy and Childbirth1471-23932020-02-0120111010.1186/s12884-020-2792-7Not just numbers: beyond counting caesarean deliveries to understanding their determinants in Ghana using a population based cross-sectional studyAbdul-Aziz Seidu0John Elvis Hagan1Wonder Agbemavi2Bright Opoku Ahinkorah3Edmond Banafo Nartey4Eugene Budu5Francis Sambah6Thomas Schack7Department of Population and Health, University of Cape CoastDepartment of Health, Physical Education and Recreation, University of Cape CoastDepartment of Population and Health, University of Cape CoastThe Australian Centre for Public and Population Health Research (ACPPHR), Faculty of Health, University of Technology SydneyGhana Health Service, Abura Dunkwa Health DirectorateDepartment of Population and Health, University of Cape CoastDepartment of Health, Physical Education and Recreation, University of Cape CoastNeurocognition and Action-Biomechanics Research Group, Faculty of Psychology and Sport Sciences, Bielefeld UniversityAbstract Background The increasing rate of caesarean deliveries (CD) has become a serious concern for public health experts globally. Despite this health concern, research on factors associated CD in many low- and -middle countries like Ghana is sparse. This study, therefore, assessed the prevalence and determinants of CD among child-bearing women aged 15–49 in Ghana. Methods The study used data from the 2014 Ghana Demographic and Health Survey. The analysis was limited to mothers (n = 2742) aged 15–49 , who had given birth in health facilities 5 years preceding the survey. Association between CD and its determinants was assessed by calculating adjusted odds ratios (AOR) with their respective 95% confidence intervals using a binary logistic regression. Results The percentage of mothers who delivered their babies through caesarean section (CS) was 18.5%. Using multivariable logistic regression, the results showed that women aged 45–49 (AOR = 10.5; 95% CI: 3.0–37.4), and women from a household that are headed by a female (AOR = 1.3; 95% CI = 1.1–1.7) had higher odds to deliver through CS. Women from the Upper East (AOR =0.4; 95% CI = 0.2–0.7) and Upper West (AOR = 0.4; 95% CI = 0.2–0.8) regions had lower odds to deliver their children through CS. Women with parity 4 or more (AOR = 0.3; 95% CI = 0.2–0.5) had lower odds of CD compared to those with parity 1. Women with female babies had lower odds (AOR = 0.8; CI = 0.7–0.9) of delivering them through CS compared to those with male children. Conclusion The percentage of women delivering babies through the CS in Ghana is high. The high rates of CD noted do not essentially indicate good quality care or services. Hence, health facilities offering this medical protocol need to adopt comprehensive and strict measures to ensure detailed medical justifications by doctors for performing these caesarean surgeries.http://link.springer.com/article/10.1186/s12884-020-2792-7CaesareanDeliveryGhanaWomenObstetric |
| spellingShingle | Abdul-Aziz Seidu John Elvis Hagan Wonder Agbemavi Bright Opoku Ahinkorah Edmond Banafo Nartey Eugene Budu Francis Sambah Thomas Schack Not just numbers: beyond counting caesarean deliveries to understanding their determinants in Ghana using a population based cross-sectional study BMC Pregnancy and Childbirth Caesarean Delivery Ghana Women Obstetric |
| title | Not just numbers: beyond counting caesarean deliveries to understanding their determinants in Ghana using a population based cross-sectional study |
| title_full | Not just numbers: beyond counting caesarean deliveries to understanding their determinants in Ghana using a population based cross-sectional study |
| title_fullStr | Not just numbers: beyond counting caesarean deliveries to understanding their determinants in Ghana using a population based cross-sectional study |
| title_full_unstemmed | Not just numbers: beyond counting caesarean deliveries to understanding their determinants in Ghana using a population based cross-sectional study |
| title_short | Not just numbers: beyond counting caesarean deliveries to understanding their determinants in Ghana using a population based cross-sectional study |
| title_sort | not just numbers beyond counting caesarean deliveries to understanding their determinants in ghana using a population based cross sectional study |
| topic | Caesarean Delivery Ghana Women Obstetric |
| url | http://link.springer.com/article/10.1186/s12884-020-2792-7 |
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