scholarly journals The associated factors of cesarean section during COVID-19 pandemic: a cross-sectional study in nine cities of China

2020 ◽  
Vol 25 (1) ◽  
Author(s):  
Jian Zhang ◽  
Yumei Zhang ◽  
Yidi Ma ◽  
Yalei Ke ◽  
Shanshan Huo ◽  
...  
Keyword(s):  
Sensitivity Analysis ◽  
Cesarean Section ◽  
Cesarean Delivery ◽  
Subgroup Analysis ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Global Priority ◽  
Cesarean Delivery Rate ◽  
Nutrition Instruction ◽  
Different Characteristics

Abstract Background Improving and maintaining the health of mothers and newborns is indisputably a global priority, especially during a pandemic. This study intends to examine the factors associated with cesarean section (CS) during lockdown time. Methods A total of 678 women who just gave birth within 7 days were enrolled from maternal and children hospitals in nine cities of China from April to May 2020. The delivery modes and potential influencing factors were investigated. The subgroup analysis and sensitivity analysis were used to examine the association of CS and risk factors among populations with different characteristics and to control for possible confounding, respectively. Results The overall rate of cesarean delivery was 37.3%. In multi-variant model, maternal age > 30 years (OR, 95% CI = 1.71, 1.21–2.41), higher pre-gestational BMI (OR, 95% CI = 1.16, 1.10–1.23), living in regions with confirmed COVID-19 cases > 500 (OR, 95% CI = 2.45, 1.74–3.45), and excess gestational weight gain (OR, 95% CI = 1.73, 1.17–2.55) were associated with cesarean delivery. These trends of associations were not changes in sensitivity analysis and subgroup analysis. Cesarean delivery occurred more in women who got more nutrition instruction during the pandemic period in the univariant model; however, this association showed insignificance in the multiple-variant analysis. Conclusion A high cesarean delivery rate was found in uninfected women who experienced lockdown in their third trimester. During the COVID-19 pandemic, more medical support should be provided in severely affected regions to ensure and promote health in pregnancy.

scholarly journals Cesarean Section Among all Deliveries in a Tertiary Care Centre of Nepal: A Descriptive Cross-sectional Study

2021 ◽  
Vol 59 (241) ◽  
pp. 839-843
Author(s):  
Renuka Tamrakar ◽  
Sachin Sapkota ◽  
Deekshanta Sitaula ◽  
Rohit Thapa ◽  
Bandana Pokharel ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Cesarean Delivery ◽  
Tertiary Care ◽  
Fetal Distress ◽  
Cross Sectional Study ◽  
Care Centre ◽  
Sectional Study ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Cesarean Deliveries

Introduction: Worldwide there is a tremendous increase in cesarean section rate over the last decades which has been a global public health issue. This study aimed to find out the prevalence of cesarean delivery in a tertiary care center of Nepal. Methods: A descriptive cross-sectional study was conducted among pregnant women at tertiary care centre from 15th September 2019 to 15th October 2020. Ethical clearance was taken from the Institutional Review Committee (Ref: CMC-IRC/077/078-200). Convenience sampling was done to reach the sample size. Basic demographic data, clinical indications and neonatal outcomes were noted. Data entry was done using Statistical Package for the Social Sciences version 20. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: Out of 3193 total deliveries, cesarean deliveries were 1412 (44.22%) at 95% Confidence Interval (42.49-45.94). Among caesarean deliveries 1086 (76.9%) were emergency cesarean sections. Most common indication for cesarean section was fetal distress (24.9%). Among 1437 newborns, 1428 (99.4%) were live births, 1387 (98.2%) were singleton and 801 (55.7%) were male. Nearly one third 418 (29.1%) neonates required neonatal intensive care unit admission and transient tachypnoea of newborns (44.28% in emergency and 60.46% in elective cesarean delivery) was the most common indication for admission. Conclusions: The prevalence of cesarean delivery was found to be higher than that recommended by the World Health Organisation. Fetal distress was the leading indication for cesarean deliveries.

scholarly journals Do provider birth attitudes influence cesarean delivery rate: a cross-sectional study

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Emily White VanGompel ◽  
Elliott K. Main ◽  
Daniel Tancredi ◽  
Joy Melnikow
Keyword(s):  
Cesarean Delivery ◽  
Cross Sectional Study ◽  
Delivery Rate ◽  
Sectional Study ◽  
Cross Sectional ◽  
Cesarean Delivery Rate

scholarly journals Cesarean Delivery on Maternal Request among Patients Undergoing Cesarean Section in a Tertiary Care Hospital: A Descriptive Cross-sectional Study

2021 ◽  
Vol 59 (237) ◽  
Author(s):  
Dipty Shrestha ◽  
Rachana Saha ◽  
Shilpi Mahato
Keyword(s):  
Cesarean Section ◽  
Cesarean Delivery ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Labor Pain ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Maternal Request

Introduction: Caesarean delivery on maternal request in absence of any maternal and fetal indications and has become a concerning issue among obstetricians. It seems to be one of the contributory factors of increased cesarean rate all over the world. This study aims to find out the prevalence of cesarean delivery on maternal request among cesarean deliveries in a tertiary care hospital. Methods: This descriptive cross-sectional study was conducted from November 1st 2019 to February 1st 2020 among women undergoing cesarean section in a tertiary care hospital. The ethical clearance was taken from the Institutional Review Committee of Kathmandu Medical College (reference number: 201120192). Convenient sampling was used. Statistical Package for Social Sciences version 20.0 was used for analysis. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: Out of 386 cesarean sections, maternal request was the indication in 72 (18.65%) (95% Confidence Interval = 14.76–22.54) mothers. Among the 72, 38 (52.7%) chose cesarean section for fear of labor pain, 14 (19.4%) for date-of-birth selection, 10 (13.8%) for anxiety of labor pain, because of cord around the neck in four (5.5%), male baby in three (4.1%), to avoid pelvic trauma in two (2.7%), and to go abroad in one (1.3%). Conclusions: Our study showed a prevalence of cesarean delivery on maternal request higher than other national studies but was similar to the global prevalence. The commonest reasons were fear of labor followed by date-of-birth selection.

scholarly journals Determinant factors, trend and outcomes of cesarean delivery in Debre Berhan referral hospital, North Shewa Zone, Ethiopia

2020 ◽  
Vol 12 (2) ◽  
Author(s):  
Tsegahun Asfaw ◽  
Aleminesh Tesema
Keyword(s):  
Cesarean Delivery ◽  
Fetal Distress ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Determinant Factors ◽  
Uterine Incision ◽  
Cesarean Deliveries ◽  
Debre Berhan ◽  
Cesarean Delivery Rate

Cesarean Section (CS) refers to the delivery of a fetus, placenta and membrane through the abdominal and uterine incision after 28 weeks of gestation. Unless used appropriately, the potential risk to the mother and baby becomes more than the vaginal delivery. Therefore, this study is designed to assess the determinant factors, trends and outcomes of caesarean delivery. Hospital based cross-sectional study was conducted from January 2015 to December 2016. All cesarean deliveries performed after period of viability (28 weeks) were included. The data was collected by using checklist and pretested questionnaire. The data was entered into EpiData and analyzed by SPSS version 21. There were 2587 deliveries in 2015 and 3423 deliveries in 2016, from those 440 and 660 were delivered by CS in each year respectively. The rate of CS in 2015 and 2016 was 17% and 19.3% respectively. The most common indication of CS was fetal distress. Mothers who had no antenatal care (ANC) follow-up had 3.16 times more risk for fetal death than mothers having ANC follow-up. We can conclude that the cesarean delivery rate is greater than WHO recommendation. ANC follow-up, parity, duration of labor, gestational age, types of CS and types of anesthesia are the main risk factors for CS and influence maternal and fetal outcomes.

scholarly journals Causes and Complications of Cesarean Section Delivery among Women in Cox’s Bazaar, Bangladesh

2021 ◽  
pp. 1-11
Keyword(s):  
Cesarean Section ◽  
Cesarean Delivery ◽  
Supply And Demand ◽  
Total Sample ◽  
Cross Sectional Study ◽  
Labor Pain ◽  
Cross Sectional ◽  
Normal Delivery ◽  
Cesarean Section Delivery ◽  
Mother’S Age

Unnecessary cesarean section (CS) delivery is a major problem in Bangladesh and it is draining resources from both supply and demand sides. Many women do their cesarean delivery because of indicated causes in pregnancy, fear of unbearable labor pain, thinking about the safety of the child, etc. which leads to many unwanted complications. The aim of this research was to investigate the causes and preferences of cesarean delivery and to characterize the outcomes after cesarean section delivery. This cross-sectional study was conducted by using a semi-structured questionnaire among women who delivered in selected hospitals in Cox’s Bazaar, Bangladesh. The total sample size number was 273 women with a mean age of 26.72 years. In this study, the key reasons found for doing CS delivery were mother’s age, occupation, higher education, previous cesarean, doctor’s recommendation, fear of normal delivery, and concern about baby’s health. Results showed that 48.7% of women faced complications and 50.3% of participants didn’t face any complications after CS delivery. The most frequent complications were pus, 22%, and obesity,13.9% among the participants and breakdown of the membrane, 28.2%, excess bleeding, 19.4% extreme pain, 19%, and prolonged labor, 18.3% were found as the main causes indicated by the doctors for cesarean delivery. The prevalence of CS found much higher than the anticipation of WHO. The Causes of cesarean delivery lead to complications with various factors that affect women's health directly and indirectly. It is necessary to reduce the rate by making the mothers aware of the risks of cesarean delivery and providing training workshops as well to overcome the fear of normal delivery.

scholarly journals Attitudes of Primary Pregnant Women Toward Preference of Birth Method in Dezful, Iran: A Cross-Sectional Study

2021 ◽  
Vol 4 (1) ◽  
pp. p1
Author(s):  
Mahnaz Nosratabadi ◽  
Nasrin Sarabi ◽  
Leila Masoudiyekta ◽  
Zahra Abbaspoor ◽  
Aziz Kassani
Keyword(s):  
Cesarean Section ◽  
Pregnant Women ◽  
Cesarean Delivery ◽  
Vaginal Delivery ◽  
Cross Sectional Study ◽  
Vaginal Birth ◽  
Normal Vaginal Delivery ◽  
Sectional Study ◽  
Delivery Method ◽  
Cross Sectional

Introduction: Choosing the birth method is a major issue for pregnant women that is affected by multifaceted physiological, psychological and socio-cultural factors. Aim(s): The aim research was performed to explore factors influencing pregnant women’s attitude toward birth method. Methods: This is a cross-sectional study on 220 healthy nulliparous pregnant women with uncomplicated pregnancies without any contraindication for vaginal birth in Medical Centers of Dezful, in the south west of Iran. Data collection tool was a questionnaire for factors affecting the choice of delivery method. Differences in attitude were compared between two groups of natural vaginal delivery preference and cesarean delivery preference. Statistical analysis was performed with SPSS Version 16.0 statistic software package. Descriptive statistics were used to report percentages, mean, and standard deviation, and t-test, chi-square were applied to analyze the data. Results: During the study period, 206 primary pregnant women were examined to determine the attitudinal influencing factors the birth method preference. 131 women (64%) chose the natural delivery method and 71 women (36%) chose the cesarean delivery method. In addition, the results showed a statistically significant difference between the two groups regarding the general attitude of the participants towards natural delivery (164.43 in the normal vaginal delivery (NVD) group versus 134.50 in the cesarean section (CS) group (p < 0.001)). Conclusion: There is a direct relationship between the attitude of pregnant women towards vaginal birth and the tendency to normal vaginal delivery and cesarean section. Also, according to the results of the study of 8 components of attitudes, counseling sessions and prenatal training sessions can be identified based on counseling needs and be guided counseling sessions more purposefully.

scholarly journals PREVALENCE AND INDICATION AND OUTCOME OF CESAREAN SECTION IN JUGAL HOSPITAL, HARARI REGIONAL STATE, ETHIOPIA, 2019: A RETROSPECTIVE STUDY

2019 ◽  
Vol 5 (4) ◽  
pp. 85-90
Author(s):  
Arif Hussen Jamie
Keyword(s):  
Cesarean Section ◽  
Cesarean Delivery ◽  
Birth Asphyxia ◽  
Fetal Distress ◽  
Cross Sectional Study ◽  
World Health ◽  
Steady Increase ◽  
Cross Sectional ◽  
Cesarean Section Delivery ◽  
Regional State

Background: Rising rates of cesarean delivery is becoming a concern to developing countries. Though cesarean section is a lifesaving surgical intervention, the rise in rates has resulted in significant health problems of mothers and newborns. Objective: The aim to undertaking this research is to know the prevalence, indications and outcome of cesarean section delivery In Jugal Hospital, Harari regional state, Ethiopia.Methods: Hospital based record review cross-sectional study was conducted in Jugal Hospital, Harar, Ethiopia from September 1, 2015 to September 1, 2019. Trained data collector and the principal investigator collected data employing a pre-tested extraction format. After checking the filled extraction format for completeness, data was entered, cleaned and analyzed using SPSS software Version 20.Results: In five years’ time (2015-2019), there were 6,111 deliveries, of which 1,817 were delivered by cesarean section which gives the overall rate of 29.7%. The most common indications for cesarean section were Cephalo-pelvic Disproportion (CPD) 323 (17.78%) followed by fetal distress 292(16.07%) and the least indication was pre-eclampsia 9(0.5%) and the most cause of prenatal death was birth asphyxia 38% followed by prematurity34%.Conclusion: In this study, there is a steady increase in the rates of cesarean delivery in five years’ time, the overall rate of C-section in Jugal Hospital was 29.7%. This rate is higher than the World Health Organization standard. Policies and efforts aimed at decreasing the unnecessary cesarean sections should be promoted and implemented at each health facility. 

scholarly journals Timely Initiation of Breast Feeding and Associated Factors among Caesarian Section Delivered Mothers in Health Facilities of Dessie City Administration, North Eastern Ethiopia

2020 ◽  
Vol 13 (1) ◽  
pp. 1-8
Author(s):  
Roza Shiferaw ◽  
Sisay Eshete Tadesse ◽  
Tefera Chane Mekonnen ◽  
Aregash Abebayehu Zerga
Keyword(s):  
Cesarean Section ◽  
Breast Feeding ◽  
Associated Factors ◽  
Statistical Significance ◽  
Data Entry ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Timely Initiation ◽  
Eastern Ethiopia

Objective: To assess the magnitude and associated factors of timely initiation of breastfeeding among cesarean section delivered mothers. Methods: A health facility-based cross-sectional study was employed among 421 systematically selected mothers from February to June, 2017. Data were collected by a structured questionnaire. Data entry and analysis was done using Epi Data and SPSS version 24. Binary logistic regression was computed to identify factors. Adjusted odds ratio with a 95% confidence interval was used to declare statistical significance. Result: The magnitude of timely initiation of breast feeding (among mothers who gave birth by cesarean section was 57%. Counseling during antenatal care (AOR = 3.32; 95% CI: 1.80, 6.13), facility where cesarean section (CS) was performed (AOR = 2.55; 95% CI: 1.57, 4.14), and post-CS counseling (AOR = 6.93; 95% CI: 3.99, 12.02) were factors that contributed for the practice of timely initiation among cesarean section delivered mothers. Conclusions: The magnitude of TIBF was good. Counseling during ANC, the facility where CS was performed and post-natal advice were factors associated with TIBF. Implementation of baby-friendly hospital initiatives should be strengthened in order to promote timely initiation of breast feeding.

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