:RATE OF CAESAREAN SECTION DELIVERY AND ASSOCIATED FACTOR AMONG WOMEN GAVE BRITH IN THE LAST ONE YEAR AT WOLKITE UNIVERSITY SPECIALIZED TEACHING HOSPITAL AND ATAT PRIMARY HOSPITAL, GUARGE ZONE, SNNP, ETHIOPIA, 2021.

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 rate of cesarean section delivery and associated factor among women who gave birth in the last one year at Wolkite university Specialized Teaching Hospital And Atat Primary Hospital, Gurage Zone, SNNP, Ethiopia, 2021Methods: Institutional based retrospective cross- sectional study was conducted from Aug 25,2021 to Nov 21,2021 at Wolkite university specialized teaching Hospital And Atat primary 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 Wolkite specialized teaching Hospital and Atat primary 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 Rate of CS in Wolkite university specialized hospital and Atat primary hospital was 23.2% 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 CPD which is (22.%) and 11.9% were severe pre-eclampsia. Independent variable such as rural resident (AOR 4.095, 95%CI (1.896,8.846) and previous history of miscarriage (AOR 8.287, 95%CI (1.804, 38.063) are significantly associated with CS and age (AOR 0.511,95%CI (0.088,2.960), fetal weight (AOR 0.737, 95%CI (0.321, 1.693)were negatively associated with CS.Conclusion and recommendation: The Rate of CS in study area (23.2%) was higher than the WHO recommendation 15% upper limit. In this study major CS indication was NRFHR, abnormal position and presentation and also CPD. Therefore, provide time for conservative management of fetal distress rather than rushing to operation theatre with a single episode of fetal heart rate abnormality, enhancemanual correction in case of abnormal position and presentation by experienced physician and partographic follow up is needed early as possible.