Maternity and Reproductive Health Nursing

Permanent URI for this collection

http://etd.aau.edu.et/handle/123456789/87

Browse

Browsing Maternity and Reproductive Health Nursing by Subject "Cesarean section, maternal outcome, fetal outcome, Maternal Complication,"

Now showing 1 - 1 of 1
  • No Thumbnail Available
    Item
    Maternal and Fetal Health Outcome of Cesarean Section and its Associated Factors in Gurage Zone Governmental Hospitals, SNNPR, Ethiopia, 2021 G.C
    (Addis Ababa University, 2021-06) Mesfin Helina; Teshome Roza( Prof); Adugna Haweni ( MSc)
    Background: A cesarean section is the most common obstetric surgery performed today. Even though cesarean delivery is the safest mode of delivery for high risk situation, it also appears to have higher risk of maternal and neonatal morbidity and mortality than vaginal delivery in low risk cases. Objectives: To determine the maternal and fetal health outcome after cesarean section and its associated factors in Gurage Zone governmental hospitals, SNNPR, Ethiopia 2021 G.C. Methods: Institutional based retrospective cross-sectional study was conducted in Gurage Zone governmental hospitals from February 21/2021- March 13/2021on cards of mother who delivered by cesarean section from February 2019 to January 2021. The total sample size was 398 and collected from five governmental hospitals. The collected data was entered and analyzed using STATA version 15. Binary and Multiple Logistic regressions were used to identify associated factors for maternal outcome and fetal outcome. Result: Out of mothers included in the study 23.4% of them had poor maternal outcome. The prevalence of poor fetal outcome was 19.74%. Obstetric complication [AOR of 2.65, 95% CI,(1.17, 6.01)], Medical disease [AOR of 3.39, 95% CI (1.13, 10.16)], General Anesthesia [AOR of 16.8, 95% CI (1.32, 212.54)] and Ante Partum Hemorrhage as indication for Cesarean Section [AOR of 3.73, 95% CI, (1.08, 12.83)] are found to be statistically significant factors for poor maternal outcome. Also Medical disease [AOR of 5.78, 95% CI (1.17, 28.54)] and Cephalic Pelvic Disproportion as an indication for Cesarean Section [AOR of 5.57, 95% CI (1.74, 17.78)] are statistically significant factors for poor fetal outcome. Conclusion & Recommendation: The prevalence of poor maternal and fetal outcome is 23.37% and 19.74% respectively. The most common maternal complications post CS were infection(5.98%), Blood transfusion (5.71%), Hemorrhage (5.43%). Although much emphasis has been placed on reducing maternal mortality associated with pregnancy, mothers who escape pregnancy-related mortality but suffer health consequences should also be given special attention.