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. 2024 Dec 27;24(1):668.
doi: 10.1186/s12905-024-03518-w.

Magnitude of cesarean section and its associated factors among mothers who gave birth in public hospitals in East Wollega Zone, Oromia, Ethiopia

Worku Alemayehu  1 , Jibril Dori  2 , Werku Etafa  3
Affiliations

Magnitude of cesarean section and its associated factors among mothers who gave birth in public hospitals in East Wollega Zone, Oromia, Ethiopia

Worku Alemayehu et al. BMC Womens Health. .

Abstract

Background: Globally, there has been an explosive rise in the cesarean section rate that exceeds the World Health Organization rate of 10-15% and in the past fifteen years the rates was doubled in some countries including Ethiopia. Therefore, it is essential to recognize the current magnitude and the factors that contribute to increasing cesarean section rates beyond the World Health Organization recommendations and specifically in the study areas.

Objective: This study aimed to assess the magnitude of cesarean sections and its associated factors among mothers who gave birth in public hospitals in East Wollega Zone, Oromia Ethiopia 2022.

Methods: A Facility-based cross-sectional study design supplemented by the qualitative study was conducted among 403 mothers, and an in-depth interview was held with purposefully selected 18 post-cesarean section mothers who gave birth at public hospitals. The study subject for quantitative data was selected by a systematic random sampling method. Face-to-face interviews and a chart review checklist were used for data collection. Data were entered into EPI Data Version 3.1 and analyzed by SPSS version 25 for quantitative data and thematic analysis for qualitative data. Bivariate and multivariable logistic regression was used to assess the association between dependent and independent variables. Variables that were statistically significant at bivariate logistic regression with a p-value < 0.25 were entered into the multivariable logistic regression. Statistical significance was declared at a p-value less than 0.005 RESULT: The finding of this study revealed that the magnitude of the cesarean section was 31.5% (95% CI: 27.4%-36.5%). Factors such as living in an urban area (AOR = 2.87, 95%CI (1.63,5.05)), a mother who attained college and above (AOR = 3.48, 95% CI (1.72, 7.06)), being a referred mother (AO R = 2.27, 95% CI (1.31, 3.94)), being induced labor (AOR = 4.83, 95% CI (1.93,12.06)) and lack of antenatal care follow up (AOR=7.84, 95% CI (4.26, 14.44)) were significantly associated with an increased likelihood of cesarean section.

Conclusion: and Recommendation The study indicates a high cesarean section rate that exceeds the World Health Organization recommendation 10-15%. Therefore, improving antenatal care, referral systems, and labor induction management needs concern to mitigate unnecessary cesarean deliveries.

Keywords: Associated factors; Cesarean section; Ethiopia; Magnitude; Nekemte.

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Conflict of interest statement

Declarations. Ethics approval and consent to participation: The work described in this study was carried out in accordance with the Code of Ethics of the World Medical Association (Declaration of Helsinki) and we confirm that the manuscript was in line with the Recommendations for the Conduct, Reporting, Editing and Publication of Scholarly Work in Medical Journals. The ethical approval was granted by the ethical review committee of Wollega University (WU|RD|496|2014), and the East Wollega Zonal Health Office issued a permission letter to all Public hospitals in East Wollega Zone. Individuals provided written informed consent and all study participants were informed about the study’s purpose through voluntary participation. Participants were assured that their decision not to participate would not impact the service they received. Moreover, personal identifiers like name and phone number were not used on the data collection questionnaire to maintain their privacy. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.

Figures

Fig 1
Fig 1
Magnitude of cesarean section among mothers who gave birth in the public hospital of East Wollega Zone
Fig 2
Fig 2
Indication of cesarean section among mothers who gave birth in public hospitals of East Wollega Zone. **Declined TOLAC, prolonged labor, post-term pregnancy, twin pregnancy, severe preeclampsia
See this image and copyright information in PMC

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