SEARCHCOHORTobstetrics and gynecology, epidemiology

cohort·obstetrics and gynecology, epidemiology, public health, surgery·PMC10019649

Trend and associated factors of cesarean section rate in Ethiopia: Evidence from 2000–2019 Ethiopia demographic and health survey data

PLOS ONE · 7 authors, 5 centres

AI SUMMARY

FIDELITY 100%

This summary was generated by AI from a single paper. It has not been reviewed by a clinician and is not clinical advice. Verify against the source before acting on it.

AGENT 01 · STRUCTURED SUMMARY

TRACE TO SOURCE

“

TL;DR

Multiple pregnancies, higher maternal education, urban residence, and older maternal age were factors significantly associated with a higher odds of cesarean delivery.

Full summary

586 CHARS

Trend analysis showed the overall CS rate increased from 0.8% in 1995 to 6% in 2019. Multi-level logistic regression on the 2016 data found higher odds of CS among women aged 25-34 (AOR=2.79) and 34-49 (AOR=5.23), those with primary, secondary, or higher education, those with multiple pregnancies (AOR=11.12), obesity (AOR=1.73), urban residence (AOR=2.28), and increased antenatal care visits. Lower odds were associated with higher parity and higher birth order. Limitations include the use of 2019 mini-survey data for trends and 2016 data for factors due to incomplete information.

STUDY TYPE

cohort

SPECIALTY

obstetrics and gynecology

SUMMARISED BY

AI pipeline

FIDELITY CHECK

100% · A

ORIGINAL PAPER

PMC10019649

Trend and associated factors of cesarean section rate in Ethiopia: Evidence from 2000–2019 Ethiopia demographic and health survey data

PLOS ONE

READ THE FULL PAPER

ABSTRACT

Abstract Background The world health organization considers cesarean section (CS) prevalence of less than 5% suggests an unmet need. On the other hand, a prevalence of more than 15% may pose to risk to mother and child, however, access to CS in a resource-limited country like Ethiopia was much lower than the aforementioned level, Therefore, this was the first study to determine the trend of CS, and factors that influence it. Methods This was done based on the five Ethiopia Demographic and Health Surveys. Trend analysis was done separately for rural and urban. The significance of the trend was assessed using the Extended Mantel-Haenszel chi-square test. The factors on CS delivery were identified based on DHS 2016 data. A multi-level logistic regression analysis technique was used to identify the factors associated with cesarean section delivery. The analysis was adjusted for the different individual- and community-level factors affecting cesarean section delivery. Data analysis was conducted using STATA 14.1 software. Result The rate of cesarean section increased from 5.1% in 1995 to 16% in 2019 in an urban area and 0.001 in 1995 to 3% in a rural area, the overall increment of CS rate was 0.7% in 1995 to 2019 at 6%. The odds of cesarean section were higher among 25–34 years (AOR = 2.79; 95% CI: 1.92, 4.07) and 34–49 years (AOR = 5.23;95% CI: 2.85,9.59), among those educated at primary school level (AOR = 1.94; 95% CI: 1.23,3.11), secondary education (AOR = 2.01; 95% CI: 1.17, 3.56) and higher education (AOR = 4.12; 95% CI: 2.33–7.29)with multiple pregnancies (AOR = 11.12; 95% CI: 5.37, 23.), with obesity (AOR = 1.73; 95% CI: 1.22, 2.45), living in an urban area (AOR = 2.28; /95% CI: 1.35–3.88), and increased with the number of ANC visit of 1–3 and 4 th (AOR = 2.26; 95% CI: 1.12, 4.58), (AOR = 3.34; 95% CI: 1.12, 4.58), respectively. The odds of cesarean section are lower among parity of 2–4 children (AOR = 0.54; 95% CI: 0 .37, 0.80) and greater than four birth order (AOR = 0.42;95% CI: 0.21,0.84). Conclusion In Ethiopia, the CS rate is below the WHO recommended level in both urban and rural areas, thus, intervention efforts need to be prioritized for women living in a rural area, empowering women’s education, encouraging co-services such as ANC usage could all help to address the current problem.

CITATION EXPORT

Rahel Mezemir, Oladapo Olayemi, Yadeta Dessie et al.. Trend and associated factors of cesarean section rate in Ethiopia: Evidence from 2000–2019 Ethiopia demographic and health survey data. PLOS ONE. (2023). https://doi.org/10.1371/journal.pone.0282951

AUTHORS

7 · 5 CENTRES

Rahel Mezemir, Oladapo Olayemi, Yadeta Dessie, Faisal Abbas, Temesgen Muche Ewunie, Temesgen Muche Ewunie, Temesgen Muche Ewunie

1Pan African University, Life and Earth Sciences Institute (Including Health and Agriculture), Ibadan, Nigeria
2St. Paul’s Hospital Millennium Medical College, School of Nursing, Addis Ababa, Ethiopia
3Department of Obstetrics and Gynaecology, College of Medicine, Pan African University Life and Earth Sciences Institutes, University of Ibadan, Ibadan, Nigeria
4College of Health and Medical Sciences Haramaya University, Harar, Ethiopia
5Dilla University, ETHIOPIA