scholarly journals Trend and socio-demographic differentials of Caesarean section rate in Addis Ababa, Ethiopia: analysis based on Ethiopia demographic and health surveys data

2014 ◽  
Vol 11 (1) ◽  
Author(s):  
Samson Gebremedhin
Keyword(s):  
Caesarean Section ◽  
Health Surveys ◽  
Addis Ababa ◽  
Caesarean Section Rate ◽  
Demographic And Health Surveys

scholarly journals Trends of caesarean section deliveries in Pakistan: secondary data analysis from Demographic and Health Surveys, 1990–2018

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Aaisha Amjad ◽  
Abeeha Imran ◽  
Nabeeha Shahram ◽  
Rubeena Zakar ◽  
Ahmed Usman ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Urban Areas ◽  
Health Surveys ◽  
Secondary Data ◽  
Demographic And Health Surveys ◽  
Independent Variables ◽  
Economic Class ◽  
The Past ◽  
Child Bearing ◽  
Socio Demographic Factors

Abstract Background Pakistan is among those countries where the number of caesarean section births has increased unusually in the past two decades. Therefore, the aim of the present study is to analyse the trend of caesarean section deliveries among child-bearing women (aged 15–49 years) in Pakistan and to identify maternal socio-demographic factors and pregnancy-related variables associated with the change in caesarean deliveries from 1990 to 2018. Methods Secondary data from Pakistan Demographic and Health Surveys (1990–2018) were analysed. The analysis of data was confined to child-bearing mothers. Sample sizes were 4029, 5721, 7461 and 8287 for the time periods of 1990–91, 2006–07, 2012–13 and 2017–18, respectively. Socio-demographic information of the mothers and pregnancy-related variables were taken as independent variables for the present study. The association between independent variables and caesarean deliveries was measured in terms of unadjusted odds ratios (OR) and adjusted OR (AOR). Results The percentages of the mothers who had at least one delivery during the 5 years prior to each survey who had caesarean deliveries increased continuously from 3.2% in 1990–91 to 19.6% in 2017–18. Results indicate that mothers over 24 years of age, located in Punjab, from the richest socio-economic class and living in urban areas were more likely to have delivered by caesarean section. Mothers with a first child in birth order and who had five and more children, as well as mothers who had more antenatal care visits and delivered babies in private hospitals showed a higher probability of caesarean section births. Conclusions The findings of the present study confirm the gradual upsurge in the percentage of mothers delivering by caesarean section during the past two decades in Pakistan. Against this backdrop, some measures need to be taken by health departments to regulate the number of caesarean deliveries. Awareness among women about pregnancy complications and elaborated details by gynaecologists about the medically indicated reasons for caesarean delivery are a few important steps in Pakistan that can help in reducing caesarean deliveries which are not medically indicated.

scholarly journals Association between maternal mortality and caesarean section in Ethiopia: a national cross-sectional study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ayele Geleto ◽  
Catherine Chojenta ◽  
Tefera Taddele ◽  
Deborah Loxton
Keyword(s):  
Caesarean Section ◽  
Maternal Mortality ◽  
Addis Ababa ◽  
Caesarean Section Rate ◽  
National Level ◽  
Maternal Mortality Ratio ◽  
P Value ◽  
Inverse Association ◽  
Cross Sectional ◽  
Significant Inverse Association

Abstract Background Several studies concluded that there is a reduction of maternal deaths with improved access to caesarean section, while other studies showed the existence of a direct association between the two variables. In Ethiopia, literature about the association between maternal mortality and caesarean section is scarce. This study was aimed to assess the association between maternal mortality ratios and caesarean section rates in hospitals in Ethiopia. Methods Analysis was done of a national maternal health dataset of 293 hospitals that accessed from the Ethiopian Public Health Institute. Hospital specific characteristics, maternal mortality ratios and caesarean section rates were described. Pearson’s correlation coefficient was used to determine the direction of association between maternal mortality ratios and caesarean section rate, taking regions into consideration. Presence of a linear association between these variables was declared statistically significant at p-value < 0.05. Results The overall maternal mortality ratio in Ethiopian hospitals was 149 (95% CI: 136–162) per 100,000 livebirths. There was significant regional variation in maternal mortality ratios, ranging from 74 (95% CI: 51–104) per 100,000 livebirths in Tigray region to 548 (95% CI: 251-1,037) in Afar region. The average annual caesarean section rate in hospitals was 20.3% (95% CI: 20.2–20.5). The highest caesarean section rate of 38.5% (95% CI: 38.1–38.9) was observed in Addis Ababa, while the lowest rate of 5.7% (95% CI: 5.2–6.2) occurred in Somali region. At national level, a statistically non-significant inverse association was observed between maternal mortality ratios and caesarean section rates. Similarly, unlike in other regions, there were inverse associations between maternal mortality ratios and caesarean section rates in Addis Ababa, Afar Oromia and Somali, although associations were not statistically significant. Conclusions At national level, a statistically non-significant inverse association was observed between maternal mortality ratios and caesarean section rates in hospitals, although there were regional variations. Additional studies with a stronger design should be conducted to assess the association between population-based maternal mortality ratios and caesarean section rates.

scholarly journals Trends of caesarean section deliveries in Pakistan: Secondary data analysis from Demographic and Health Surveys, 1990-2018

2020 ◽  
Author(s):  
Aaisha Amjad ◽  
Abeeha Imran ◽  
Nabeeha Shahram ◽  
Rubeena Zakar ◽  
Ahmed Usman ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Urban Areas ◽  
Health Surveys ◽  
Secondary Data ◽  
Demographic And Health Surveys ◽  
Independent Variables ◽  
Economic Class ◽  
The Past ◽  
Child Bearing ◽  
Socio Demographic Factors

Abstract Background: Pakistan is among those countries where the number of caesarean section births has increased unusually in the past two decades. Therefore, the aim of the present study is to analyse the trend of caesarean section deliveries among child-bearing women (aged 15–49 years) in Pakistan and to identify maternal socio-demographic factors and pregnancy-related variables associated with the change in caesarean deliveries from 1990 to 2018.Methods: Secondary data from Pakistan Demographic and Health Surveys (1990–2018) were analysed. The analysis of data was confined to child-bearing mothers. Sample sizes were 4,029, 5,721, 7,461 and 8,287 for the time periods of 1990–91, 2006–07, 2012–13 and 2017–18, respectively. Socio-demographic information of the mothers and pregnancy-related variables were taken as independent variables for the present study. The association between independent variables and caesarean deliveries was measured in terms of unadjusted odds ratios (OR) and adjusted OR (AOR).Results: The percentages of the mothers who had at least one delivery during the five years prior to each survey who had caesarean deliveries increased continuously from 3.2 % in 1990–91 to 19.6 % in 2017–18. Results indicate that mothers over 24 years of age, located in Punjab, from the richest socio-economic class and living in urban areas were more likely to have delivered by caesarean section. Mothers with a first child in birth order and who had five and more children, as well as mothers who had more antenatal care visits and delivered babies in private hospitals showed a higher probability of caesarean section births.Conclusions: The findings of the present study confirm the gradual upsurge in the percentage of mothers delivering by caesarean section during the past two decades in Pakistan. Against this backdrop, some measures need to be taken by health departments to regulate the number of caesarean deliveries. Awareness among women about pregnancy complications and elaborated details by gynaecologists about the medically indicated reasons for caesarean delivery are a few important steps in Pakistan that can help in reducing caesarean deliveries which are not medically indicated.

scholarly journals Trends of Caesarean Section Deliveries in Pakistan: Secondary Data Analysis from Demographic and Health Surveys, 1990-2018

2020 ◽  
Author(s):  
Aaisha Amjad ◽  
Abeeha Imran ◽  
Nabeeha Shahram ◽  
Rubeena Zakar ◽  
Ahmad Usman ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Urban Areas ◽  
Health Surveys ◽  
Secondary Data ◽  
Demographic And Health Surveys ◽  
Odds Ratios ◽  
Independent Variables ◽  
The Past ◽  
Child Bearing ◽  
Socio Demographic Factors

Abstract Background Pakistan is amongst those countries where the number of caesarean section births has unusually increased in the past two decades. Therefore, the aim of the present study is to analyse the trend of caesarean section deliveries among child-bearing women (aged 15–49 years) in Pakistan and to identify maternal socio-demographic factors and pregnancy related variables associated with the change in caesarean deliveries from 1990 to 2018.Methods Secondary data from Pakistan Demographic and Health Surveys (1990–2018) were analysed. The analysis of data was confined to the child-bearing mothers. Sample sizes were 4,029, 5,721, 7,461 and 8,287 for the time period of 1990–91, 2006–07, 2012–13, and 2017–18, respectively. For the present study, socio-demographic information of the mothers and pregnancy related variables were taken as independent variables. The association between independent variables and caesarean deliveries was measured in terms of unadjusted odds ratios (OR) and adjusted odds ratios (AOR).Results Out of the mothers who had at least one delivery during the five years prior to each survey, the percentages of the mothers who had caesarean deliveries increased continuously from 3.2% in 1990–91 to 19.6% in 2017–18. Results indicate that mothers above 24 years of age, located in Punjab, from the richest socio-economic class, and living in urban areas were more likely to have delivered by caesarean section. Mothers with first child in birth order and who had five and above children, as well as mothers who had more antenatal care visits and delivered babies in private hospitals showed a higher probability for caesarean section births.Conclusions The findings of the present study confirm the gradual upsurge in the percentage of mothers delivering through caesarean section during the past two decades in Pakistan. In this backdrop, some measures need to be taken by health departments to regulate the number of caesarean deliveries. Awareness among women about pregnancy complications and elaborated details by gynaecologists about the medically indicated reasons of caesarean delivery are a few important steps that can help in reducing not medically indicated caesarean deliveries in Pakistan.

scholarly journals Trends, Spatial Pattern and Determinants of Skilled Birth Attendant Utilization in Ethiopia: Data from Ethiopian Demographic and Health Surveys (2005, 2011 and 2016).

2020 ◽  
Author(s):  
Lemma Demissie Regassa ◽  
Assefa Tola ◽  
Biruk Shalmeno Tusa ◽  
Adisu Birhanu Weldesenbet
Keyword(s):  
Spatial Variation ◽  
Educational Level ◽  
Health Surveys ◽  
Addis Ababa ◽  
Skilled Birth Attendant ◽  
Cross Sectional Study ◽  
Demographic And Health Surveys ◽  
Age At First Birth ◽  
Cross Sectional ◽  
Individual Level

Abstract Introduction: Since 2000, Ethiopia has achieved considerable success in reduction of maternal and child mortality, but progress and distribution across the country in SBA remains unclear. This study aimed to assess the trend, spatial distribution, and determinants of skilled birth attendant utilization in Ethiopia. Methods: Data from time series community-based cross-sectional study design of Ethiopian Demography and Health Surveys (2005-2016 EDHS) were employed. Data was downloaded and extracted from DHS website (www.dhsprogram.com). Stata version 16.0 for statistical and Arc-GIS version 10.1 and Sat-Scan software’s were used for spatial analysis. Multilevel generalized linear model with binomial distribution was fitted to identify community and individual level factors associated with skilled birth attendant utilization. Adjusted odds ratio with 95% confidence interval used to report the association. Result: The trend of skilled birth attendant utilization has been increased from 5% in 2005 to 27% in 2016. Skilled birth was clustered with spatial variation across the country. The primary and secondary significant clusters of skilled birth attendants were located in Addis Ababa and Dire Dawa. Skilled birth attendant’s utilization was determined by residence, women’s educational level, partner’s educational level, age at first birth, maternal age at interview, and antenatal care were significantly associated with SBA utilization.Conclusion: The SBA utilization has shown a substantial increased and showed spatial variation in Ethiopia. We recommend strengthening maternal health programs with special emphasis for uneducated and women from rural parts of a country.

Sign in / Sign up

Export Citation Format

Share Document