Magnitude of caesarean section delivery and its associated factors among immediate postnatal women in public hospitals of AddisAbaba, 2022

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Abstract Background;-Caesarean section is the commonest obstetric operative procedure worldwide. Including Ethiopia, that can improve infant and maternal outcomes. Objective: - The objective of this study is to compute the magnitude of cesarean section delivery rate and its associated factors among immediate postnatal women in public hospitals of Addis Ababa, Ethiopia 2022. Methods: An institution-based cross-sectional study design was conducted. A total of 550 study participants were chosen using multi-stage sampling. A self-administered structured questionnaire was used for data collection; the collected data was cleared and entered into Epi Data version 3.1. Then it was exported to SPSS version 20 for analysis. Then, the result will be presented by table frequency, percentage, and charts. By using binary logistic regression, bivariate analysis and multivariate analysis were computed to see the association between each independent variable and the outcome variable. Adjusted odds ratios with their 95% confidence intervals and a p-value of less than 0.05 will be used to declare a result as statistically significant. . Results; - According to these results (n=550), the prevalence of cesarean sections was 45.8%, with a 95%CI of 42%–50.2%). Previous caesarean section (AOR = 15.32, 95% CI: (7.07-33.17)), eclampsia/pre eclampsia (AOR 10.69, 95% CI: (4.99-22.87)Fetal distress CS (AOR = 6.28, 95% CI: (2.98-13.24), APH (AOR = 3.13, 95% CI: (1.33-9.65), and mal presentation (AOR = 2.96, 95% CI: 14.2-6.18) were all significantly associated with caesarean section birth. Conclusion; - In this study the rate of Caesarean delivery is unacceptably high Previous Cesarean section deliveries and Pre-eclampsia /eclampsia are the most significant factors for cesarean delivery. CS utilizations higher than WHO recommendation was not associated with a reduction in maternal and newborn mortality rates, Empowering and educating women, increasing co-services targeting mothers’ awareness might be very vital to deal with current problem.

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