Cesarean Section and Associated Factors at Aira Hospital, Oromia Region, Western Ethiopia: A Retrospective Record Review

Keressa Duressa, Gelana Fekadu, Bedasa Taye, Henock Asfaw
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引用次数: 1

Abstract

Introduction: According to the latest data from 150 countries, currently, 18.6% of all births occur by cesarean section, ranging from 6% to 27.2%. It is alarmingly increasing in the last decade with an average annual rate of increase by 4.4%. Objective: To assess the prevalence of the cesarean section and associated factors among mothers who gave a birth from January 01, 2014, to December 31, 2018, at Aira Hospital, west wollega zone, Oromia region, Ethiopia. Methods and materials: Study was conducted from June 1 to July 25, 2019, by retrospective review of complete medical records of mothers who gave birth from January 01, 2014, to December 31, 2018 at Aira general hospital, west wollega zone, Oromia region, Ethiopia. The sample size was determined by using single population proportion and the final sample size was 339. Check list was used for data collection which was adapted and developed by reviewing relevant literatures. The data was analyzed by statistical package for social science version 20. Odd ratio was used for the interpretation of strength of prediction of independent variable to outcome variable, cesarean section. The statistical significance was declared at P<0.05 with 95% confidence interval. Result: A total of 332 medical records were reviewed. More than half (51.8%) of mother were less than or equal to 24 years with the mean age of 24.23 (±5.17 SD). The prevalence of cesarean section was 33.1% (95%CI 31.3-35.2%). More than two third (85.5%) of mothers had antenatal care follow up and the gestational age at the time of delivery was 37-40 weeks for 90.7% of mothers. Maternal age, gestational age and fetal weight were factors associated with cesarean section. Conclusion: Since the current prevalence of cesarean section surpass the world health organization recommendation threshold vaginal delivery should be encouraged in appropriate cases and the time should be given for conservative management of fetal distress. Maternal age, gestational age and fetal weight were factors associated with cesarean section. We recommend a future researchers to examine the attitude of service providers and their influence on the growing cesarean section delivery rate.
埃塞俄比亚西部奥罗米亚地区艾拉医院剖宫产及相关因素:回顾性记录回顾
引言:根据来自150个国家的最新数据,目前,18.6%的分娩是通过剖宫产进行的,从6%到27.2%不等。在过去十年中,剖宫产的增长率惊人,年均增长率为4.4%,2018年,在埃塞俄比亚奥罗米亚州西沃勒加地区的艾拉医院。方法和材料:研究于2019年6月1日至7月25日进行,通过对2014年1月1日到2018年12月31日在埃塞俄比亚奥罗米亚州西沃勒加区艾拉综合医院分娩的母亲的完整医疗记录进行回顾性审查。通过使用单个群体比例来确定样本量,最终样本量为339。检查表用于数据收集,该检查表是通过查阅相关文献进行改编和开发的。数据通过社会科学第20版的统计软件包进行分析。比值比用于解释独立变量与结果变量、剖宫产的预测强度。统计学意义为P<0.05,置信区间为95%。结果:共查阅332份病历资料。超过一半(51.8%)的母亲小于或等于24岁,平均年龄为24.23岁(±5.17 SD)。剖宫产的发生率为33.1%(95%CI为31.3-35.2%)。超过三分之二(85.5%)的母亲进行了产前护理随访,90.7%的母亲在分娩时的胎龄为37-40周。母亲年龄、胎龄和胎儿体重是剖宫产的相关因素。结论:由于目前剖宫产的流行率超过了世界卫生组织的建议阈值,在适当的情况下应鼓励阴道分娩,并应给予时间对胎儿窘迫进行保守治疗。母亲年龄、胎龄和胎儿体重是剖宫产的相关因素。我们建议未来的研究人员调查服务提供者的态度及其对剖宫产率增长的影响。
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