Journal of Women's Health Care
Open Access

Abstract

Outcomes of Cesarean Deliveries and Determining Factors, at Felegemeles Health Center, Addis Ababa, Ethiopia: Retrospective Study Design

Negash Fitsum*, Daniel Aboma and Luli Baissa

Background: In Ethiopia, the levels of maternal and infant morbidity and mortality are among the highest in the world. This is attributed to, among the major three delays contributing to maternal mortality other factors, lack of service access predisposing them to delay reaching health facilities none use of modern health care services by women. Despite the advances in modern obstetrics care, maternal morbidity and mortality remain a big problem. Proper place and choice in the mode of delivery are necessary to tackle this problem. An integrated Emergency surgical officer is a health professional qualified and authorized to perform emergency obstetrical-gynecological and emergency general surgical procedures. The training has started in 2010 in 3 universities and 10 affiliated sites with an intake of 43 students. Objective: This study aimed to assess Indication, maternal and fetal outcome of cesarean section and associated factors, in Felegemeles Health center, Addis Ababa Ethiopia. Methods: Facility-based two-year retrospective descriptive cross-sectional study design was employed and data was collected from January 2017 to January 2019 at Felegemeles Health center, Addis Ababa Ethiopia. A total of 465 mothers who delivered by cesarean delivery from January 2017 to January 2019 and complete data were included in the study. Data were extracted using structured data collection format and cleaned, entered into Epi data software version 3.1, and exported into SPSS version 26 for further descriptive analysis. Result: Among 1583 deliveries in the two years of retrospective data, a total of 465 mothers were delivered by cesarean section, giving a cesarean delivery rate of 29 %. The leading indication for cesarean delivery was CPD followed by fetal distress. Among the total cesarean delivery, 09 neonates were died, giving the proportion of neonate mortality rate 5.6 per 1000 live births. Independent risk factors found to be statistically associated with cesarean section were Spinal anesthesia (AOR=15.6, 95%CI: 6.12, 40.0), un-booked ANC (AOR=3.5, 95%CI: 1.24, 10.33), and maternal age 35 years and above (AOR=3.2, 95%CI: 1.47, 6.85). Conclusion: Zero maternal mortality in our finding shows, CEMONC health center task sharing has impacts on the reduction of maternal mortality even though, the cesarean delivery rate in this study was above the WHO recommended range. Age 19-29, Residency and Spinal Anesthesia have an association with adverse neonatal outcomes following cesarean delivery. The neonatal mortality following cesarean delivery was 5.6 per 1000 live births respectively and the main cause of neonatal death was birth asphyxia. maternal delay for seeking care needs to be improved in communication with health extension care workers and ANC care providers while Skills of anesthesia care providers, management of hypotension at time of spinal anesthesia provision needs improvement which among all needs further study at other CEMONC Health centers before the conclusion of findings.

Published Date: 2022-04-12; Received Date: 2022-01-21