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Reproductive Health
Published in: Reproductive Health 1/2015

Open Access 01-12-2015 | Research

Factors leading to cesarean section delivery at Felegehiwot referral hospital, Northwest Ethiopia: a retrospective record review

Authors: Fantu Eyowas Abebe, Abebaw Worku Gebeyehu, Ashebir Negasi Kidane, Gizached Aynalem Eyassu

Published in: Reproductive Health | Issue 1/2015

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Abstract

Background

Cesarean section is the commonest obstetric operative procedure worldwide. When used appropriately cesarean sections can improve infant and/or maternal outcomes. However, when used inappropriately the potential harm may exceed the potential benefit of cesarean section. Appreciating the limited information in this area the current study assessed the rate and factors associated with cesarean section in Felegehiwot referral hospital, Bahir Dar, northwest Ethiopia.

Method

The study was a retrospective analysis of eligible patient records that included 2967 pregnant women who had underwent either cesarean or vaginal delivery from July 1, 2012 to June 31, 2013. The data were double entered to EPI-INFO 3.5.2 and analyzed with SPSS. Binary logistic regression model was fitted to identify independent factors associated with cesarean section.

Result

The proportion of women who underwent cesarean section in this study was 25.4 %. Obstructed labor (30.7 %), fetal distress (15.9 %) and abnormal presentation (13.4 %) were the major obstetric indications for cesarean section. The odd of undergoing cesarean section was higher among mothers in rural residence (AOR = 1.63, 95 % CI: 1.21, 2.20), mothers reported to have pregnancy risk factors (AOR = 2.31, 95 % CI: 1.74, 3.07) and lower among mothers in age category of 15–19 (AOR = 0.63, 95 % CI: 0.43, 0.93).

Conclusion

Obstetric factors occurring around birth, including obstructed labor and fetal distress were the main reasons leading to Cesarean Section rather than background characteristics assumed to be a risk. The results imply that there is a need for timely and accurate screening of women during obstetric care and, decision to perform cesarean section should be based on clear, compelling and well-supported justifications.
Literature
1.
National Collaborating Centre for Women’s and Children’s Health. Caesarean section Guidline. Royal College of Obstetricians and Gynaecologists, 27 Sussex Place: RCOG Press; 2004.
2.
Shamshad B. Factors Leading To Increased Cesarean Section Rate. Gomal J Med Sci. 2008;6:1.
3.
Panditrao S. Intra-operative difficulties in repeat cesarean sections. J Obstet Gynecol India. 2008;58(6):507–10.
4.
World Health Organization. Monitoring emergency obstetric care: a handbook. 2009.
5.
6.
Adnan A, Abu O, Suleiman H, Abu A. Frequency Rate and Indications of Cesarean Sections at Prince Zaid Bin Al Hussein Hospital – Jordan. J Med Sci Clin Res. 2012;19(1):82–6.
7.
Lauer JA, Betrán AP, Merialdi M, Wojdyla D. Rates of caesarean section: analysis of global, regional and national estimates. Paediatr Perinatal Epidemiol. 2007;28:98–113.
8.
9.
Allen VM, O’Connell CM, Baskett TF. Maternal Morbidity Associated With Cesarean Delivery Without Labor Compared With Spontaneous Onset of Labor at Term. Obstet Gynecol. 2003;102:477–82.PubMedCrossRef
10.
Francome C, Savage W. Caesarean section in Britain and the United States 12 % or 24 %: is either the right rate? Soc Sci Med. 1993;37:1199–218.PubMedCrossRef
11.
Jeremy A, Ana P, Mario M. Determinants of caesarean section rates in developed countries: supply, demand and opportunities for control World Health Report Background Paper. 2010;29
12.
Lauer J, Betrán A. Decision aids for women with a previous caesarean section: focusing on women’s preferences improves decision making. BMJ. 2007;334:1281–2.PubMedPubMedCentralCrossRef
13.
Lei H, Wen S, Walker M. Determinants of caesarean delivery among women hospitalized for childbirth in a remote population in China. J Obstet Gynaecol Can. 2003;25:937–43.PubMed
14.
15.
Lepercq J. Factors associated with cesarean delivery in nulliparous women with type 1 diabetes. Obstet Gynecol. 2010;115(5):1014–20.PubMedCrossRef
16.
Lydon-Rochelle M, Holt V, Easterling T, Martin D. Risk of uterine rupture during labour among women with a prior caesarean delivery. N Engl J Med. 2001;345:3–5.PubMedCrossRef
17.
Thomas J, Paranjothy S. Royal College of Obstetricians and Gynaecologists: Clinical effectiveness Support Unit. The National Sentinel Caesareans section Audit Report. London: RCOG Press; 2001.
18.
Belizán J, Althabe F, Barros F, Alexander S. Rates and implications of caesarean sections in Latin America: ecological study. BMJ. 1999;319:1397–400.PubMedPubMedCentralCrossRef
19.
Najmi R, Rehan N. Prevalence and determinants of caesarean section in a teaching hospital of Pakistan. J Obstet Gynaecol. 2000;20:479–83.PubMedCrossRef
20.
Moges A, Ademe B, Akessa G. Prevalence and Outcome of Caesarean Section in Attat Hospital, Gurage Zone, SNNPR, Ethiopia. Arch Med. 2015;7:4.
21.
Tsega F, Mengistie B, Dessie Y, Mengesha M. Prevalence of Cesarean Section in Urban Health Facilities and Associated Factors in Eastern Ethiopia: Hospital Based Cross Sectional Study. J Preg Child Health. 2015;2(3).
22.
Central Statistical Agency [Ethiopia], ICF International. Ethiopia Demographic and Health Survey 2011. Addis Ababa: Central Statistical Agency and ICF International; 2012.
23.
Paterson-Brown S. Should doctors perform an elective caesarean section on request? Yes as long as the woman is fully informed. BMJ. 1998;317:462–3.PubMedCrossRef
24.
Amu O, Rajendran S, Bolaji I. Should doctors perform an elective caesarean sections on request? Maternal choice should not determine method of delivery. BMJ. 1998;317:463–5.PubMed
25.
Kenny LC, Lavender T, McNamee R, O’Neill SM, Mills T, Khashan AS. Advanced Maternal Age and Adverse Pregnancy Outcome: Evidence from a Large Contemporary Cohort. PLoS One. 2013;8(2):e56583. doi:10.​1371/​journal.​pone.​0056583.
26.
Al-Mulhim A. Factors Affecting the Rate and the Indications of Primary Caesarean Section. Bahrain Med Bul. 2001;23(4):160–2.
27.
Stivanello E, Rucci P, Lenzi J, Fantini M. Determinants of cesarean section delivery: a clasification tree analysis. BMC Pregnancy Childbirth. 2014;14(215):1471–2393.
28.
Malede B, Yirgu G. Factors associated with success of vaginal birth after one caesarean section (VBAC) at three teaching hospitals in Addis Ababa, Ethiopia. BMC Pregnancy Childbirth. 2013. doi:10.​1186/​1471-2393-13-31.
29.
Karim F, Ghazi A, Ali T, Aslam R, Afreen U, Farhat R. Trends and determinants of ceasarean section. Surgery Pakistan. 2011;16:1.
30.
Kassak K, Ali M, Abdallah A. Opting for a cesarea:What determines the decision? Public Admin Managment. 2000;13(3):100–22.
31.
Gutema H, Shimye A. cesarean section and associated factors at mizan aman general hospital, southwest Ethiopia. J Gynecol Obstet. 2014;2(3):37–41.CrossRef
32.
D’orsi E, Chor D, Giffin K, Angulo-Tuesta A, Barbosa G, Sousa Gama A, et al. Factors associated with cesarean section in public hospial in Rio de Janeiro, Brazil. Artigo Article. 2006;22(10):2067–78.
33.
Patel R, Peters T, Murphy D. Prenatal risk factors for Caesarean section. Analyses of the ALSPAC cohort of 12 944 women in England. Int J Epidemiol. 2005;34(2):353–67.PubMedCrossRef
34.
Greenberg MB, Cheng YW, Sullivan M, Norton ME, Hopkins LM, Caughey AB. Does length of labor vary by maternal age? AJOG. 2007;197(4):428. e1-.e7.
35.
Mary N, Judith U, Hibbard M. Contemporary Labor Patterns and Maternal Age. Obstet Gynecol. 2013;122(5):1018–24.CrossRef
36.
Alrowaily M, Alsalem F, Abolfotouh M. Cesarean section in a high-parity community in Saudi Arabia: clinical indications and obstetric outcomes. BMC Pregnancy Childbirth. 2014;14(92):1471–2393.
Metadata
Title
Factors leading to cesarean section delivery at Felegehiwot referral hospital, Northwest Ethiopia: a retrospective record review
Authors
Fantu Eyowas Abebe
Abebaw Worku Gebeyehu
Ashebir Negasi Kidane
Gizached Aynalem Eyassu
Publication date
01-12-2015
Publisher
BioMed Central
Published in
Reproductive Health / Issue 1/2015
Electronic ISSN: 1742-4755
DOI
https://doi.org/10.1186/s12978-015-0114-8

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