PREVALENCE OF CAESAREN SECTION DELIVERY AND ASSOCIATED FACTORA AMONG WOMEN GAVE BRITH IN THE LAST ONE YEAR AT BUTAJIRA GENERAL HOSPITAL, GUARGE ZONE, SNNP, ETHIOPIA, 2019.

Abstract

Back ground: caesarean section is an operational procedure where by the fetus after the end of 28th week is delivered through an incision on the abdominal and uterine walls. Objective: To assess prevalence of cesarean section delivery and associated factor among women who gave brith in the one last year at Butajira general hospital, Garage Zone, SNNP, Ethiopia, 2019.Methods: Institutional based retrospective cross- sectional study was conducted from April 25,2019 to May 15, 2019 at Butajira general hospitals. The total sample size was 250. The data was collected by using structured questionnaire by systematic random sampling method from women record document that gave birth last one year at Butajira general hospital. Last. Data were entered and analyzed using SPSS version 21. Independent variables found to be significant in the bivariate logistic regression analysis at a cut-off point of p-value <0.25 with were included in the multivariate logistic regression models. Adjusted odds ratios with their 95% confidence intervals and p-value < 0.05 were considered to have significant association with CS. Finally, the data were described and presented using table’s frequency, percentage and sentence. Result: The prevalence of CS in Butajira general hospital was 21% with CI (15-25.8). The indication of CS in the study area was NRFHR (47.2%) which was followed by malposition and mal presentation (30.7%) and previous CS (28.8%).Independent variable such as fetal weight (AOR 6.871, 95%CI (1.996, 23.654),rural resident (AOR 2.744, 95%CI (1.235,6.096) and history of no previous stillbirth (AOR 0.133, 95%CI (0.033, 0.536) were significantly associated with CS. Conclusion and recommendation: The prevalence of CS in study area (21%) was higher than the WHO recommendation 15% upper limit. In this study major CS indication was NRFHR, previous CS and abnormal position and presentation. Therefore, provide time for conservative management of fetal distress rather than rushing to operation theatre with a single episode of fetal heart rate abnormality, enhance manual correction in case of abnormal position and presentation by experienced physician and encourage VBAC in appropriate cases.