Assessment of caesarean-section delivery and associated Factors: The case of two hospitals in Addis Ababa

Abstract

Problem statement: - Caesarean delivery is showing an increasing trend worldwide and is registered above the WHO recommendation. Caesarean delivery has associated risk of maternal morbidity and mortality than vaginal delivery. In Ethiopia, particularly in A.A, the trend of caesarean delivery is increasing. However, less attention is paid by researchers. Therefore, this study focuses on assessing the proportion of caesarean delivery and factors associated to it among mothers who delivered in two selected hospitals of A.A. Objective:-The main objective of this study is to assess the prevalence of caesarean delivery among mothers delivered in two selected hospitals and factors associated to caesarean. Methods: - The study design is a cross sectional study with internal comparison .Sample of 414 women/305 from Gandhi and 109 from Brass/ were included in the study. To estimate the proportion of caesarean delivery by demographic, socio economic and obstetric difference, descriptive analysis was done and to see the association with the independent variables, Bivariate and Multivariate analysis was done. Results:-Over all CS delivery is high in both hospitals (i.e. 32%). CS delivery in Gandhi hospital (public hospital) was 26% where as higher in Brass from the private hospital i.e. 46%. Type of Hospital and Pregnancy health problem has significantly associated with CS delivery with AOR of 0.5(0.32, 0.85) and 1.78(1.1, 2.8) respectively. 18% Deliveries was without medical indication (As the mother’s response). Conclusion and recommendation: - the current Proportion of caesarean delivery in the city of A.A is high and thus the rate has gone beyond the WHO recommendation. To ensure caesarean delivery is within the medical indication, all caesarean deliveries should be monitor whether it is recommended according to the medical indication or not and the mothers should be informed why caesarean delivery is recommended for their case.