Department of obstetrics and gynecology, school of Medicine, college of medicine and health sciences, Bahir Dar University, Bahir Dar, P.O.Box 79, Ethiopia.
Department of Health promotion & Behavioral science, school of public health, college of medicine and health sciences, Bahir Dar University, Bahir Dar, Ethiopia.
BMC Womens Health. 2023 May 6;23(1):237. doi: 10.1186/s12905-023-02388-y.
Cesarean delivery carries both short term and long-term maternal complications. Eventhough it's being a public burden, the proportion of complications and underlying risk factors are not studied well in our setup. This study aimed to assess the proportion and associated factors of complications of cesarean sections among mothers who delivered at Bahir Dar city public specialized hospitals, Bahir Dar, Ethiopia 2021.
A cross-sectional study was conducted at two specialized Hospitals in Bahir Dar city, Ethiopia. The sample size was 495 mothers who had cesarean section in the time period from January 1, 2020 to December 30, 2020. Checklist was used to retrieve information from the patient medical document. Study population was selected from the operation registration book. Systematic sampling was used after arranging the study frame based on date of operation. Both bivariable and multivariable logistic regression was done. In multivariable logistic regression variables with p value < 0.05 at 95% confidence interval were significantly associated with outcome variable.
Overall maternal complication rate was 44.04% (95% CI: 39.6-48.5). Living in rural setting (AOR = 4.247,95%CI: 2.765-6.522), having one or more obstetric complication (AOR = 1.913,95% CI: 1.214-3.015), cesarean section done at Second stage of labor (AOR = 4.358,95%CI: 1.841-10.317), having previous cesarean section (AOR = 3.540,95%CI: 2.121-5.910), emergency operation (AOR = 2.967,95%CI: 1.492-5.901), duration of surgery taking more than 60 min (AOR = 3.476,95%CI: 1.521-7.947) were found to be significantly associated with maternal complications.
The magnitude of maternal complication of cesarean section was higher than most studies. Living in rural setting, having obstetric complications, previous cesarean scar, emergency surgeries, operation done in second stage of labor and prolonged duration of surgery are important predictors of maternal complication. Therefore, we recommend timely and adequate progress of labor evaluation, timely decision for cesarean delivery and vigilant care in post-operative period shall be conducted.
剖宫产术会带来短期和长期的产妇并发症。尽管这是一个公共负担，但在我们的设定中，并发症的比例和潜在的危险因素并没有得到很好的研究。本研究旨在评估 2021 年在埃塞俄比亚巴赫达尔市公立专科医院分娩的母亲中剖宫产的并发症比例及其相关因素。
这是一项在巴赫达尔市的两家专科医院进行的横断面研究。样本量为 2020 年 1 月 1 日至 12 月 30 日期间进行剖宫产术的 495 名母亲。检查表用于从患者的医疗文件中检索信息。研究人群是从手术登记册中选择的。在根据手术日期安排研究框架后，使用系统抽样。进行了单变量和多变量逻辑回归。在多变量逻辑回归中，95%置信区间内 p 值 < 0.05 的变量与结局变量显著相关。
总的产妇并发症发生率为 44.04%（95%CI：39.6-48.5）。居住在农村地区（AOR=4.247，95%CI：2.765-6.522）、有 1 种或多种产科并发症（AOR=1.913，95%CI：1.214-3.015）、第二产程进行剖宫产术（AOR=4.358，95%CI：1.841-10.317）、有既往剖宫产史（AOR=3.540，95%CI：2.121-5.910）、紧急手术（AOR=2.967，95%CI：1.492-5.901）、手术时间超过 60 分钟（AOR=3.476，95%CI：1.521-7.947）与产妇并发症显著相关。
剖宫产术产妇并发症的发生率高于大多数研究。居住在农村地区、有产科并发症、既往剖宫产瘢痕、紧急手术、第二产程手术和手术时间延长是产妇并发症的重要预测因素。因此，我们建议及时、充分地进行分娩评估，及时决定剖宫产，并在术后期间进行警惕护理。
