Prevalence and associated factors of caesarian section in Ethiopia: a multilevel analysis of the 2019 Ethiopia Mini Demographic Health Survey.
Caesarian section
Ethiopia
Multilevel
Prevalence
Journal
BMC pregnancy and childbirth
ISSN: 1471-2393
Titre abrégé: BMC Pregnancy Childbirth
Pays: England
ID NLM: 100967799
Informations de publication
Date de publication:
30 Nov 2021
30 Nov 2021
Historique:
received:
26
05
2021
accepted:
10
11
2021
entrez:
1
12
2021
pubmed:
2
12
2021
medline:
13
1
2022
Statut:
epublish
Résumé
Caesarian section is a vital emergency obstetric intervention for saving the lives of mothers and newborns. However, factors which are responsible for caesarian section (CS) were not well established in the country level data. Therefore, this study aimed to assess the prevalence and associated factors of caesarian section in Ethiopia. Data from the Ethiopian Mini Demographic and Health survey 2019 were used to identify factors associated with the caesarian section in Ethiopia. We applied multi-level logistic regression and a p-value of <0.25 to include variables before modeling and a p-value<0.05 with 95% confidence interval (CI) for final results. The prevalence of caesarian section in Ethiopia was 5.44% (95% CI; 0.048-0.06) in2019. Women in age group of 30-39 and 40-49 years had a higher odd of caesarian section (AOR = 2.14, 95%CI = 1.55-2.94) and (AOR = 2, 95%CI = 1.20-3.97) respectively compared to women in age group of 15-29 years. Women with secondary and higher educational level had higher odds of caesarian section (AOR = 2.15, 95%CI = 1.38-3.34) and (AOR = 2.8, 95%CI = 1.73-4.53) compared to those in no education category. Compared to Orthodox, Muslims and Protestant religions had lower odds of caesarian section with AOR of 0.50 (0.34-0.73) and 0.53 (0.34-0.85). Having <2 births was also associated with the low caesarian section 0.61(0.52-1.22). Using modern contraceptive methods, having ANC visits of 1-3, 4 Although evidence indicates that the caesarian deliveries increased both in developed and underdeveloped countries, the current magnitude of this service was very low in Ethiopia which might indicate missing opportunities that might costing lives of mothers and newborns. Women's age, religion, educational status, parity, contraceptive method, and ANC visit were individual level factors influenced caesarian section. whereas, region and place of residence were community level factors affected caesarian section in the country. Depending on these factors, the country needs policy decisions for further national level interventions.
Sections du résumé
BACKGROUND
BACKGROUND
Caesarian section is a vital emergency obstetric intervention for saving the lives of mothers and newborns. However, factors which are responsible for caesarian section (CS) were not well established in the country level data. Therefore, this study aimed to assess the prevalence and associated factors of caesarian section in Ethiopia.
METHODS
METHODS
Data from the Ethiopian Mini Demographic and Health survey 2019 were used to identify factors associated with the caesarian section in Ethiopia. We applied multi-level logistic regression and a p-value of <0.25 to include variables before modeling and a p-value<0.05 with 95% confidence interval (CI) for final results.
RESULT
RESULTS
The prevalence of caesarian section in Ethiopia was 5.44% (95% CI; 0.048-0.06) in2019. Women in age group of 30-39 and 40-49 years had a higher odd of caesarian section (AOR = 2.14, 95%CI = 1.55-2.94) and (AOR = 2, 95%CI = 1.20-3.97) respectively compared to women in age group of 15-29 years. Women with secondary and higher educational level had higher odds of caesarian section (AOR = 2.15, 95%CI = 1.38-3.34) and (AOR = 2.8, 95%CI = 1.73-4.53) compared to those in no education category. Compared to Orthodox, Muslims and Protestant religions had lower odds of caesarian section with AOR of 0.50 (0.34-0.73) and 0.53 (0.34-0.85). Having <2 births was also associated with the low caesarian section 0.61(0.52-1.22). Using modern contraceptive methods, having ANC visits of 1-3, 4
CONCLUSION
CONCLUSIONS
Although evidence indicates that the caesarian deliveries increased both in developed and underdeveloped countries, the current magnitude of this service was very low in Ethiopia which might indicate missing opportunities that might costing lives of mothers and newborns. Women's age, religion, educational status, parity, contraceptive method, and ANC visit were individual level factors influenced caesarian section. whereas, region and place of residence were community level factors affected caesarian section in the country. Depending on these factors, the country needs policy decisions for further national level interventions.
Identifiants
pubmed: 34847876
doi: 10.1186/s12884-021-04266-7
pii: 10.1186/s12884-021-04266-7
pmc: PMC8630861
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
798Informations de copyright
© 2021. The Author(s).
Références
Arch Public Health. 2020 Jun 03;78:51
pubmed: 32514347
Obstet Gynecol Int. 2020 Apr 20;2020:9018747
pubmed: 32373175
J Obstet Gynaecol Can. 2015 Jun;37(6):517-26
pubmed: 26334604
J Matern Fetal Neonatal Med. 2019 Apr;32(7):1130-1135
pubmed: 29103331
BMC Public Health. 2020 Aug 11;20(1):1222
pubmed: 32781997
Glob Health Res Policy. 2018 Jul 02;3:19
pubmed: 29988650
Matern Health Neonatol Perinatol. 2020 Dec 9;6(1):6
pubmed: 33298188
Reprod Health. 2014;11(1):14
pubmed: 24563907
PLoS One. 2020 Jun 9;15(6):e0234249
pubmed: 32516321
Patient Saf Surg. 2020 Apr 07;14:11
pubmed: 32292491
BMC Pregnancy Childbirth. 2018 Oct 16;18(1):405
pubmed: 30326869
BMJ Nutr Prev Health. 2021 Feb 15;4(1):111-114
pubmed: 34308118
BMC Res Notes. 2018 Nov 16;11(1):819
pubmed: 30445991
PLoS One. 2019 May 6;14(5):e0216344
pubmed: 31059526
Eur J Obstet Gynecol Reprod Biol. 2010 Jan;148(1):21-6
pubmed: 19773110
Contracept Reprod Med. 2017 Feb 02;2:10
pubmed: 29201415
BMJ Glob Health. 2021 Jun;6(6):
pubmed: 34130991
Acta Obstet Gynecol Scand. 2017 Sep;96(9):1144-1151
pubmed: 28590560
BMC Pregnancy Childbirth. 2020 Oct 6;20(1):588
pubmed: 33023536
BMC Res Notes. 2015 Aug 26;8:376
pubmed: 26306558
BMC Pregnancy Childbirth. 2021 May 19;21(1):387
pubmed: 34011318
J Multidiscip Healthc. 2020 Nov 16;13:1563-1571
pubmed: 33235456
Am J Obstet Gynecol. 2014 Mar;210(3):179-93
pubmed: 24565430
Cureus. 2021 Jan 18;13(1):e12774
pubmed: 33643728
Pan Afr Med J. 2019 Nov 07;34:136
pubmed: 33708305
Ann Glob Health. 2019 Aug 19;85(1):
pubmed: 31441629
PLoS One. 2020 Apr 16;15(4):e0231631
pubmed: 32299089
BMC Res Notes. 2019 Nov 6;12(1):724
pubmed: 31694680
BMJ Open. 2019 Jun 17;9(6):e027273
pubmed: 31213450
Lancet. 1986 Dec 13;2(8520):1387-8
pubmed: 2878240
PLoS One. 2020 Mar 6;15(3):e0227795
pubmed: 32142517
Reprod Health. 2017 Nov 15;14(1):150
pubmed: 29141675
Int J Gynaecol Obstet. 2011 Oct;115(1):106-11
pubmed: 21872239
PLoS One. 2017 Nov 20;12(11):e0188074
pubmed: 29155840