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Background: Prevalence and Cesarean section (CS) rates have increased worldwide in recent decades, even though the world health organization (WHO) recommends a caesarean section rate of 15% or less to balance the benefits and risks of it, Ethiopian demographic health survey (EDHS) 2016, reported over utilization of cesarean section rates in Addis Ababa (21.4%). Therefore, this study was conducted to review the prevalence of C/S secondary to pregnancy induced hypertension (PIH) and associated factors in Trunesh Beijing Hospital (TBGH).
Objectives: The aim of the study is to determine the proportion of C/S with the indication of PIH and associated factors in Tirunesh Beijing General Hospital (TBGH).
Methods: Institutional based cross-sectional study design was employed on 354 post CS records from January, 12019 G.C to December, 2019 G.C. Study sample were selected using systematic random sampling by considering the number of all CS deliveries. The data were coded and entered into epi Info version 7 and the analysis was carried out in SPSS versions 20.
Results: Majority 303(85.6%) of the mothers were in the age group (18-35yrs). The overall prevalence of C/S secondary to PIH was (22%). The top five indications for C/S were; prior C/S 85 (24%), PIH 78 (22%), fetal distress or NRFHR 72 (20.7%) and mal position 65 (18.4%). Age, Gravidity and multiple pregnancies were associated with PIH as an indication for C/S.
Conclusion and Recommendation: C/S rates are rising, and identifying factors contributing to this increase and ensuring decisions for C/S are appropriate and important to limit the risk of morbidity to mother and fetus. Government health policy makers should work to reduce the rate of CS by introducing a set of indicative criteria for CS and should work on the root causes.......................................Thesis available at ACIPH Library |
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