埃塞俄比亚剖宫产相关因素的多水平模型构建：基于社区的横断面研究
Multilevel modelling of factors associated with caesarean section in Ethiopia: community based cross sectional study.
作者信息
Azene Abebaw Gedef, Aragaw Abiba Mihret, Birlie Mihretie Gedefaw
机构信息
Department of Epidemiology and Biostatistics, Bahir Dar University, Bahir Dar, Ethiopia.
Department of Statistics, Debre Markos University, Debre Markos, Ethiopia.
出版信息
BMC Res Notes. 2019 Nov 6;12(1):724. doi: 10.1186/s13104-019-4705-2.
OBJECTIVE
The aim of this study was to identify socio-demographic and health related factors associated with caesarean section in Ethiopia.
RESULTS
A total of 256 mothers undergoing to CS among 7193 delivery. Average maternal age of a participant was 29.26 years and 80% of mothers having two and more children. A woman delivered in private institution was 30% (AOR = 1.29; 95% CI 1.25, 1.32) more likely undergoing CS as compared to home delivery. Factors associated with CS were higher education level (AOR = 1.09, 95% CI 1.07, 1.12), preceding birth interval (AOR = 1.01; 95% CI 1.00. 1.03), multiple pregnancy (AOR = 1.11; 95% CI 1.08, 1.15), multiple parity (AOR = 0.98; 95% CI 0.97, 0.99), large size the child (AOR = 1.01; 95% CI 1.001, 1.02), richest households (AOR = 0.98; 95% CI 0.97, 0.99), rural residence (AOR = 0.98 95% CI 0.96, 0.99) and Addis Ababa (AOR = 1.06; 95% CI 1.04,1.09). As a conclusion and recommendation, the prevalence of CS higher in private institutions and Addis Ababa, so professionals should apply CS alone medical indication.
目的
本研究旨在确定埃塞俄比亚与剖宫产相关的社会人口学和健康相关因素。
结果
在7193例分娩中，共有256名母亲接受了剖宫产。参与者的平均产妇年龄为29.26岁，80%的母亲育有两个及以上子女。与在家分娩相比，在私立机构分娩的女性接受剖宫产的可能性高30%（调整后比值比[AOR]=1.29；95%置信区间[CI]为1.25，1.32）。与剖宫产相关的因素包括较高的教育水平（AOR=1.09，95%CI为1.07，1.12）、上次生育间隔（AOR=1.01；95%CI为1.00，1.03）、多胎妊娠（AOR=1.11；95%CI为1.08，1.15）、多产（AOR=0.98；95%CI为0.97，0.99）、胎儿体型较大（AOR=1.01；95%CI为1.001，1.02）、最富裕家庭（AOR=0.98；95%CI为0.97，0.99）、农村居住（AOR=0.98，95%CI为0.96，0.99）和亚的斯亚贝巴（AOR=1.06；95%CI为1.04，1.09）。作为结论和建议，私立机构和亚的斯亚贝巴的剖宫产患病率较高，因此专业人员应仅在有医学指征时应用剖宫产。
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