Tetema Mesfin Difer, Jima Gudeta Beriso, Abza Legese Fekede, Demissie Mebratu, Mohammed Seid Jemal, Abdo Ayele Sahile
Department of Midwifery, Wolkite University, Wolkite, Ethiopia.
Department of Nursing, Wolkite University, Wolkite, Ethiopia.
BMC Pregnancy Childbirth. 2025 Aug 1;25(1):801. doi: 10.1186/s12884-025-07928-y.
The length of hospital stay is an important indicator of quality peripartum and postoperative obstetric care. In light of this, the World Health Organization recommended that women stay in the hospital for 48–96 h after giving birth by cesarean. However, the length of stay varies between nations and institutions. The differences may have a variety of detrimental effects on the mother and/or on the infant. In Ethiopia, little is known about the duration of stay and the factors that affect it. This study aimed to determine the magnitude of prolonged length of hospital stay and associated factors among women who had cesarean sections in Gurage Zone public hospitals in Southern Ethiopia in 2023.
A facility-based cross-sectional study was conducted in public hospitals in Gurage Zone, Southern Ethiopia, from January 1, 2023 to May 30, 2023. A systematic sampling technique was used to select 423 study participants. The data was gathered through structured pretested interviews with mothers. After entering the data into Epi Data version 4.6, it was exported to the Statistical Package for Social Sciences version 25.0 for analysis. Bivariable and multivariable logistic regression analyses were used to assess factors related to prolonged hospital stay length. A -value of less than 0.05 with a 95% confidence level was used to establish statistical significance in multivariable analysis.
The average length of stay in Guraghe zone hospitals for mothers who gave birth via cesarean section was 73.4 h. Longer hospital stays were reported by 21.7% of respondents (95% CI, 17.3%, 26.2%). Longer hospital stay was associated with gestational age less than 37 weeks [AOR = 1.61 (1.04, 2.19)], birth weight less than 1500 g [AOR = 2.70 (1.80, 3.7)], birth weight between 1500 and 2500 g [AOR = 1.40 (1.03, 1.79)], and duration of membrane rupture greater than 24 h [AOR = 1.82 (1.06, 2.58)].
Longer hospital stays after cesarean sections were common in the study area. It is critical to improve the recovery time of mothers who have had a preterm delivery, a low birth weight baby, or a prolonged rupture of membrane.
住院时间是围产期及产后产科护理质量的一项重要指标。有鉴于此，世界卫生组织建议剖宫产术后女性住院48 - 96小时。然而，不同国家和机构的住院时间有所不同。这些差异可能会对母亲和/或婴儿产生多种不利影响。在埃塞俄比亚，人们对住院时间及其影响因素知之甚少。本研究旨在确定2023年埃塞俄比亚南部古拉格地区公立医院剖宫产女性的住院时间延长情况及相关因素。
2023年1月1日至2023年5月30日，在埃塞俄比亚南部古拉格地区的公立医院开展了一项基于机构的横断面研究。采用系统抽样技术选取423名研究参与者。通过对母亲进行结构化的预测试访谈收集数据。将数据录入Epi Data 4.6版本后，导出至社会科学统计软件包25.0版本进行分析。采用双变量和多变量逻辑回归分析评估与住院时间延长相关的因素。在多变量分析中，使用95%置信水平下小于0.05的P值来确定统计学显著性。
在古拉格地区医院剖宫产的母亲平均住院时间为73.4小时。21.7%的受访者报告住院时间延长（95%置信区间，17.3%，26.2%）。住院时间延长与孕周小于37周[AOR = 1.61（1.04，2.19）]、出生体重小于l500克[AOR = 2.70（1.80，3.7）]、出生体重在1500至2500克之间[AOR = 1.40（1.03，1.79）]以及胎膜破裂时间大于24小时[AOR = 1.82（1.06，2.58）]有关。
剖宫产术后住院时间延长在研究区域较为常见。改善早产、低出生体重或胎膜破裂时间延长的母亲的恢复时间至关重要。
