Predictors of caesarean section in Northern Ghana: a case-control study

The Pan African Medical Journal

John Koku Awoonor-Williams¹  Paschal Awingura Apanga² 

[1] Policy, Planning, Monitoring and Evaluation Division, Ghana Health Service, Accra, Ghana;Talensi District Hospital, Ghana Health Service, Tongo, Ghana;

关键词: caesarean section;    case-control;    predictor;    risk factor;    retrospective;   

DOI  :  10.11604/pamj.2018.29.20.13917

来源: DOAJ

【 摘 要 】

INTRODUCTION: caesarean section rates have become a global public health. This study investigated obstetric and socio-demographic factors associated with caesarean section in northern Ghana. METHODS: this was a case-control study comparing 150 women who had caesarean section (cases) and 300 women who had vaginal delivery (controls). Data were collected retrospectively from delivery registers, postpartum and postnatal registers in the Bolgatanga Regional Hospital. Univariate and multivariate analysis of data were done using SPSS 22. RESULTS: the study revealed that women who had higher odds of having a caesarean section were women who; attended Antenatal care (ANC 4 times (Adjusted OR = 2.99, 95% CI1.762-5.065), were referred from other health facilities (Adjusted OR = 1.19, 95% CI 1.108-1.337) and had a foetal weight of4000 grams (Adjusted OR = 1.21, 95% CI 1.064-1.657). There was a slight increase in odds of having a caesarean section among women who had a gestational age 40 weeks (Adjusted OR = 1.09, 95% CI 1.029-1.281). Women who had secondary/higher education (Adjusted OR = 0.55, 95% CI 0.320-0.941), gestational age 37 weeks (Adjusted OR = 0.20, 95% CI: 0.100-0.412) and women who had a foetal weight of 1500 grams to 2499 grams (Adjusted OR = 0.17, 95% CI 0.086-0.339) were associated with a lower odds of having a caesarean section. CONCLUSION: there was an increase in odds of having a caesarean section among pregnant women who had a foetal weight of4000 grams and women who attended ANC4 times. Pregnant women who were referred also had increase odds of having a caesarean section.

【 授权许可】

Unknown