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. 2023 May 6;23(1):237.
doi: 10.1186/s12905-023-02388-y.

Proportion and associated factors of maternal complications of cesarean sections among mothers who deliver at Bahir Dar City Public Specialized Hospitals, Bahir Dar, Ethiopia

Hiwotemariam Alemu  1 , Zeamanuel Anteneh Yigzaw  2 , Lakachew Asrade  3 , Bantayehu Nega  3 , Amare Belachew  4
Affiliations

Proportion and associated factors of maternal complications of cesarean sections among mothers who deliver at Bahir Dar City Public Specialized Hospitals, Bahir Dar, Ethiopia

Hiwotemariam Alemu et al. BMC Womens Health. .

Abstract

Introduction: Cesarean delivery carries both short term and long-term maternal complications. Eventhough it's being a public burden, the proportion of complications and underlying risk factors are not studied well in our setup. This study aimed to assess the proportion and associated factors of complications of cesarean sections among mothers who delivered at Bahir Dar city public specialized hospitals, Bahir Dar, Ethiopia 2021.

Methods: A cross-sectional study was conducted at two specialized Hospitals in Bahir Dar city, Ethiopia. The sample size was 495 mothers who had cesarean section in the time period from January 1, 2020 to December 30, 2020. Checklist was used to retrieve information from the patient medical document. Study population was selected from the operation registration book. Systematic sampling was used after arranging the study frame based on date of operation. Both bivariable and multivariable logistic regression was done. In multivariable logistic regression variables with p value < 0.05 at 95% confidence interval were significantly associated with outcome variable.

Result: Overall maternal complication rate was 44.04% (95% CI: 39.6-48.5). Living in rural setting (AOR = 4.247,95%CI: 2.765-6.522), having one or more obstetric complication (AOR = 1.913,95% CI: 1.214-3.015), cesarean section done at Second stage of labor (AOR = 4.358,95%CI: 1.841-10.317), having previous cesarean section (AOR = 3.540,95%CI: 2.121-5.910), emergency operation (AOR = 2.967,95%CI: 1.492-5.901), duration of surgery taking more than 60 min (AOR = 3.476,95%CI: 1.521-7.947) were found to be significantly associated with maternal complications.

Conclusion: The magnitude of maternal complication of cesarean section was higher than most studies. Living in rural setting, having obstetric complications, previous cesarean scar, emergency surgeries, operation done in second stage of labor and prolonged duration of surgery are important predictors of maternal complication. Therefore, we recommend timely and adequate progress of labor evaluation, timely decision for cesarean delivery and vigilant care in post-operative period shall be conducted.

Keywords: Bahir Dar; Cesarean section; Maternal complication.

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Conflict of interest statement

No conflict of interest.

Figures

Fig. 1
Fig. 1
: Socio demographic characteristics of mothers who deliver via CS at Bahir Dar city public specialized hospitals, Bahir Dar, Ethiopia, 2021
Fig. 2
Fig. 2
Labor status of mothers who deliver via Cesarean section at Bahir Dar city public specialized hospitals, Bahir Dar, Ethiopia, 2021
See this image and copyright information in PMC

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