Magnitude and Determinants of Primary Cesarean Section Among Women who Give Birth At 37 & Above Weeks of Gestational Age in three Teaching Hospitals of Addis Ababa University in Addis Ababa, Ethiopia: Cross Sectional Study
| dc.contributor.advisor | Mahlet Yigeremu | |
| dc.contributor.advisor | Dawit Desalegn | |
| dc.contributor.author | Dawit Mekonnen | |
| dc.date.accessioned | 2026-02-23T05:56:52Z | |
| dc.date.available | 2026-02-23T05:56:52Z | |
| dc.date.issued | 2024-09-16 | |
| dc.description.abstract | Background: The use of cesarean section has expanded to low-, middle-, and high income nations along with notable advancements in clinical obstetric care and better surgical procedure safety. According to Ethiopia Demographic and Health Surveys (DHS), the national population-based cesarean section rate climbed from 0.7 percent in 2000 to 1.9 percent in 2016, with rises throughout seven of the country's eleven administrative areas. Studies done in Addis Ababa public hospitals showed that the rate of cesarean section ranges between 21% and 38%. The rate of primary cesarean sections, however, has never been researched and no data is available. To lower this concerning cesarean section rate, it is crucial to look at decision-making processes and put in place a safe prevention strategy for primary cesarean section practice, as advised by the American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine in their obstetric care consensus recommendation. Objectives: To assess the magnitude and determinants of primary cesarean section among women who gave birth at term in three teaching hospitals of Addis Ababa University in Addis Ababa, Ethiopia. Methods: A hospital-based cross-sectional study was conducted from January 01 to April 30, 2024. Systematic random sampling was used to select 422 participants. The structured, pretested, and anonymous questionnaire was used, and data were entered into Epi-Data version 3.1 and will be exported analysis to SPSS version 23. Descriptive statistics were performed, and then used tables and figures to present the findings. A P-value of <0.05 will be considered statistical significance. Result: Four hundred twenty-two women’s medical charts were included in this study, making 100% response rate. Our research finding indicates that 25.83% of women underwent a primary cesarean section. The most frequent indications for primary cesarean section were fetal distress (55%), mal-presentation (19.3%), failed induction (11.9%), and CPD (11%). Our research findings indicate that parity, gestational diabetic mellitus, chronic medical disease, fetal presentation, fetal membranes status and liquor status were variable statistically significantly associated with Primary CS with p-value <0.05. Conclusion: The magnitude of primary cesarean section in this study was high. Our study emphasizes the need for careful monitoring and management of women with gestational diabetic mellitus, chronic medical conditions during pregnancy, and the importance of monitoring the status of the fetal membranes during labor. The results indicate that most neonates had favorable outcomes. Further research could explore interventions that address factors, potentially reducing the overall rates of cesarean deliveries while ensuring safety for both mothers and infants. | |
| dc.identifier.uri | https://etd.aau.edu.et/handle/123456789/7681 | |
| dc.language.iso | en | |
| dc.publisher | Addis Ababa University | |
| dc.subject | Magnitude and Determinants of Primary Cesarean Section | |
| dc.subject | who Give Birth At 37 & Above Weeks of Gestational Age | |
| dc.subject | Teaching Hospitals of Addis Ababa University | |
| dc.title | Magnitude and Determinants of Primary Cesarean Section Among Women who Give Birth At 37 & Above Weeks of Gestational Age in three Teaching Hospitals of Addis Ababa University in Addis Ababa, Ethiopia: Cross Sectional Study | |
| dc.type | Thesis |