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

Reproductive Health

Gizached Aynalem Eyassu²  Ashebir Negasi Kidane¹  Abebaw Worku Gebeyehu³  Fantu Eyowas Abebe¹ 

[1] Strengthening Human Resource for Health Project, iNGO, Bahir Dar, P.O. Box, 1566, Ethiopia;Maternal and Child Survival Program, iNGO, Addis Ababa, Ethiopia;Institute of Public Health, University of Gondar, Gondar, Ethiopia

关键词: Ethiopia;    Retrospective record review;    Cesarean section;   

Others  :  1235654
DOI  :  10.1186/s12978-015-0114-8

 received in 2015-07-21, accepted in 2015-12-31,  发布年份 2016

【 摘 要 】

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.

【 授权许可】

   
2016 Abebe et al.

【 图 表 】

Fig. 1.

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