Department of Health Informatics, College of Medicine and Health Sciences, School of Public Health, Arba Minch University, Arba Minch, Ethiopia.
Department of Health Informatics, College of Medicine and Health Sciences, Dilla University, Dilla, Ethiopia.
BMC Pregnancy Childbirth. 2021 Nov 30;21(1):798. doi: 10.1186/s12884-021-04266-7.
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, 5 plus, and urban residence were associated with higher odds of caesarian section as 1.4 (1.05-1.80]), 2.2 (1.51-3.12), 1.7 (1.12-2.46), and 2.4 (1.65-3.44) 1.6(1.04-2.57) respectively.
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.
剖宫产术是挽救母婴生命的重要产科急救干预措施。然而，导致剖宫产的因素在国家层面的数据中尚未得到很好的确定。因此，本研究旨在评估埃塞俄比亚剖宫产的流行率及其相关因素。
本研究使用 2019 年埃塞俄比亚微型人口与健康调查的数据来确定与埃塞俄比亚剖宫产相关的因素。我们应用多水平逻辑回归模型，将 p 值<0.25 的变量纳入模型，并将 p 值<0.05 且置信区间为 95%的变量纳入最终结果。
2019 年，埃塞俄比亚的剖宫产率为 5.44%（95%CI；0.048-0.06）。与 15-29 岁年龄组的女性相比，30-39 岁和 40-49 岁年龄组的女性剖宫产的几率更高（AOR=2.14，95%CI=1.55-2.94）和（AOR=2，95%CI=1.20-3.97）。与未受过教育的女性相比，接受过中等教育和高等教育的女性剖宫产的几率更高（AOR=2.15，95%CI=1.38-3.34）和（AOR=2.8，95%CI=1.73-4.53）。与东正教相比，穆斯林和新教的剖宫产率较低，AOR 分别为 0.50（0.34-0.73）和 0.53（0.34-0.85）。生育次数<2 次也与剖宫产率较低有关，比值比为 0.61（0.52-1.22）。使用现代避孕方法、接受 1-3、4、5 次以上产前检查以及居住在城市与剖宫产的几率较高有关，比值比分别为 1.4（1.05-1.80）、2.2（1.51-3.12）、1.7（1.12-2.46）和 2.4（1.65-3.44）、1.6（1.04-2.57）。
尽管有证据表明，发达国家和发展中国家的剖宫产分娩数量都有所增加，但目前埃塞俄比亚的剖宫产数量非常低，这可能表明存在错失的机会，可能会危及母婴的生命。妇女的年龄、宗教、教育程度、生育次数、避孕方法和 ANC 就诊次数是影响剖宫产的个体因素。而地区和居住地是影响该国剖宫产的社区因素。根据这些因素，该国需要做出政策决定，以进一步在国家层面进行干预。
