MAGNITUDE OF CESAREAN SECTION DELIVERY AND ITS ASSOCIATED FACTORS AMONG MOTHERS WHO GAVE BIRTH AT PUBLIC HOSPITALS IN NORTH WOLLO ZONE, NORTHERN ETHIOPIA

Abstract

Background: Cesarean section is one of the most common surgeries around the world performed whenever abnormal conditions complicate labor and vaginal delivery, threatening the life or health of the mother or the baby. Although Cesarean Section is a safe operation, when it is performed without medical need it puts mothers and their babies at risk of short- and long-term health problems. However, the factors are not persistent and there is limited information concerning the levels of cesarean section delivery and its associated factors in public hospitals. Therefore, this study was aimed to assess the magnitude of cesarean section and associated factors in hospitals of North Wollo Zone, Northern Ethiopia. Objective: To assess the magnitude of cesarean section delivery and its associated factors of cesarean section delivery among mothers who gave birth in public hospitals of North Wollo Zone, Northern Ethiopia from March 1 up to 30 /2019. Method: An institution based cross sectional study design was employed to gather information on magnitude and associated factors of cesarean section delivery among 433 mothers who gave birth in public hospitals of North Wollo Zone, Northern Ethiopia from March up to 30, 2019. Systematic random sampling method was be used to select study partcipants. Structured questionnaire was used to collect data. The collected data was entered into Epi data version 4.2.0.0 and then exported into SPSS window version 24 for analysis. Bivariate and multivariate analysis was carried out to identify independent predictors of cesarean section Result: The Magnitude of caesarean section was 30.9% (95% CI, 26.8-35.3). Being urban resident (AOR=4.04, 95%CI: 2.19-7.45), Malpresentation (AOR=2.56, 95%CI: 1.29-5.05), previous cesarean section (AOR=9.11, 95%CI: 3.77-22.01) and ante partum hemorrhage (AOR=8.65, 95%CI: 3.82-19.56) were statistically and positively associated with cesarean section delivery. Conclusion and Recommendation: The magnitude of cesarean section among mothers who gave birth at north Wollo zone public hospitals was high. Residence, ate partum hemorrhage, previous cesarean section and Malpresentation were significantly associated with cesarean section. Therefore, hospitals should give a great emphasis in reducing magnitude of caesareans sections