Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Nov 30;7(3):435-444.
doi: 10.4314/rjmhs.v7i3.5. eCollection 2024 Nov.

Prevalence and Factors Associated With Cesarean Section Delivery among Pregnant Women Attending Rwamagana Level Two Teaching Hospital, Rwanda

Jean Bosco Uwingabire  1 , Mojeed Akorede Gbadamosi  1   2 , Monica Mochama  1 , Theogene Kubahoniyesu  3   4
Affiliations

Prevalence and Factors Associated With Cesarean Section Delivery among Pregnant Women Attending Rwamagana Level Two Teaching Hospital, Rwanda

Jean Bosco Uwingabire et al. Rwanda J Med Health Sci. .

Abstract

Background: Cesarean section (CS) is an essential, life-saving procedure when clinically justified. However, exceeding the World Health Organization's recommended prevalence (10-15%) may lead to adverse outcomes. This study aimed to determine the prevalence of CS at Rwamagana Hospital and to assess the associated factors.

Methods: This cross-sectional study was conducted among 426 postpartum women at Rwamagana Hospital. Data were analysed using the Statistical Package for the Social Sciences (SPSS). Descriptive statistics and multivariable logistic regression were employed. Statistical significance was set at a 5% level.

Results: The results showed a 38% prevalence of CS. Women younger than 25 years were 9.51 times more likely to undergo CS compared to those aged 36-45 years (AO:9.51, 95% CI: 3.37-26.83, p < 0.001), Fetal malposition (AOR:106.8, 95% CI: 29.89-382.25, p < 0.001), experiencing no labour (AOR: 4.64, 95%CI: 1.71 - 12.63, p = 0.003), and first-time mothers (Parity=1) (AOR: 19.65, 95%CI: 8.91-43.33, p<0.001) were positively associated with CS. However, Previous vaginal birth reduced the odds of CS by 89% (AOR:0.11, 95% CI: 0.06-0.21, p < 0.001).

Conclusion: The prevalence of CS at Rwamagana Hospital exceeds the WHO recommendation. There is a need for enhanced community education to support safe vaginal deliveries.

Keywords: Cesarean section; Maternal health; Postpartum women; Rwanda.

PubMed Disclaimer

Conflict of interest statement

The study's authors state that they had no relationships or affiliations that would have created a conflict of interest. The authors jointly agreed to submit the study to the current journal.

Figures

Figure 1
Figure 1
The prevalence of cesarean section among post-partum women in Rwamagana Hospital
See this image and copyright information in PMC

References

    1. WHO, author. Maternal health. WHO; 2024. [17 April 2024]. https://www.who.int/health-topics/maternal-health.
    1. WHO, author. Trends in maternal mortality: 2000 to 2017: estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. WHO; 2019. [15 April 2024]. https://www.unfpa.org/featured-publication/trends-maternal-mortality-200....
    1. WHO, author. Acceleration towards the Sustainable Development Goal targets for maternal health and child mortality Report by the Director-General. WHO; 2023. [12 May 2024]. pp. 1–6. https://apps.who.int/gb/ebwha/pdf_files/EB154/B154_12-en.pdf.
    1. Sandall J, Tribe RM, Avery L, Mola G, Visser GH, Homer CS, et al. Short-term and long-term effects of caesarean section on the health of women and children. Lancet. 2018;392:1349–1357. doi: 10.1016/S0140-6736(18)31930-5. - DOI - PubMed
    1. Betran AP, Ye J, Moller AB, Souza JP, Zhang J. Trends and projections of caesarean section rates: Global and regional estimates. BMJ Glob Heal. 2021;6:1–8. doi: 10.1136/bmjgh-2021-005671. - DOI - PMC - PubMed

LinkOut - more resources