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Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/16946
Title: PREVALENCE OF CAESAREAN SECTION AND ASSOCIATED FACTORS IN ADDIS ABABA HOSPITALS, ADDIS ABABA, ETHIOPIA, 2017
???metadata.dc.contributor.*???: MR. BERHANU DESALEGNE (BSc, MSC)
HIWOT TSEGAYE
Keywords: prevalence ,caesarean section
Issue Date: Jun-2017
Publisher: AAU 2017
Abstract: Background: Caesarean section is one of life saving procedures medical intervention attributed to the decrease of the maternal mortality and morbidity rates. The initial purpose of the surgery was to preserve the life of the mother with obstructed labor, but indications have expanded over the years to include delivery for a variety of more subtle dangers to the mother or fetus. The World Health Organization (WHO) suggests a cesarean rate between 5% and 15%. However, the rate in Addis Ababa city is beyond aforementioned level. Objective: To determine the prevalence and associated factors of caesarean section in Addis Ababa Hospitals, Addis Ababa, Ethiopia, 2017. Methods: Institutional based cross- sectional study was conducted from April10 to May 10, 2017 in selected Addis Ababa hospitals. The total sample size was 298. The data was collected by using structured check list and questionnaire by interviewing women’s who gave birth in selected hospitals and record document was reviewed. Data were entered and analyzed using SPSS version 20 statistical package. Both binary and multiple logistic regressions were used to assess the association between prevalence and explanatory variables of caesarean. Finally, the data were described and presented using tables. A 95 % confidence interval and 5% level of precision was utilized to check for association between variables. Result: The overall prevalence of CS in Hospitals in Addis Ababa was 38.3%. Private health facilities performed more CSs than public health facilities, 46.9% and 34.0% respectfully. The common indication of Caesarean section in the study area was Previous CS (27.2%) which was followed by NRFHR (21.0%) and post term (15.6%).Factors such as maternal age (AOR 0.47, 95%CI (0.278, 0.792), education (AOR 3.456, 95%CI (1.109, 10.764) and gestational age (AOR 0.265, 95%CI (0.078, 0.899) were associated factor for CS. Conclusion and Recommendation: The prevalence of CS was higher than the WHO recommendation in the study area. Previous CS and NRFHR were the leading indication in this study. Therefore, encourage trial of vaginal birth after CS in appropriate cases and time given for conservative management of fetal distress rather than rushing to operation theatre with a single episode of fetal heart rate abnormality are recommended to decrease caesarean section.
Description: A RESEARCH THESSIS SUBMITTED TO ADDIS ABABA UNIVERSTY COLLEGE OF HEALTH SCIENCES DEPARTMENT OF NURSING AND MIDWIFERY IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR DEGREE OF MASTERS IN MATERNITY AND REPRODUCTIVE HEALTH.
URI: http://hdl.handle.net/123456789/16946
Appears in Collections:Thesis - Nursing

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