EFFECT OF AGE AND PARITY ON THE MEDICAL INDICATIONS OF CESAREAN SECTIONS AMONG PREGNANT WOMEN
DOI:
https://doi.org/10.46827/ejphs.v6i1.147Keywords:
caesarean section, maternal age, parity, indicationsAbstract
Introduction: Caesarean section (CS) is considered the most common and important surgical procedure for women of childbearing age to deliver a baby. Over the years the rate of CS has been increasing and the cause of this rise in CS is multifactorial. Yet, the literature suggests that it largely results from advanced maternal age, particularly in primiparous women. This study, therefore, sought to investigate the effect of age and parity on CS and its indications. Methods: A retrospective study design and data for all mothers who had previously given birth at the hospital’s obstetric and gynaecological departments was used. A descriptive statistic was conducted to ascertain the distribution of the various dependent and independent variables. The P-value was determined using Pearson’s Chi-square and statistical significance was set at less than 0.05. Results: 40.6% of the participants delivered through CS. Foetal indications for CS contributed to 30% of the cases while previous CS contributed to 20.6% of current CS cases in this study. Finally, there were associations between CS, indications for CS, and some age-parity classifications but these associations were not parallel.
References
M. Abd Al Karim, W.M. Hadi, M.T. Abed, W.A. Ameen, H.M. Obaid, Indications and Common Complications of Caesarean Section: An Overview Study, Eurasian Med. Res. Period. 3 (2021) 40–44.
A. Abu-Heija, R. Rasheed, O. El-Qaraan, Effect of age and parity on primary caesarean sections, Clinical and experimental obstetrics & gynecology. 25 (1998) 38-39.
E.O. Adewuyi, A. Auta, V. Khanal, S.J. Tapshak, Y. Zhao, Cesarean delivery in Nigeria: Prevalence and associated factors - A population-based cross-sectional study, BMJ Open. 9 (2019) 1–12.
B. G/Mariam, T. Tilahun, E. Merdassa, D. Tesema, Indications, Outcome and Risk Factors of Cesarean Delivery Among Pregnant Women Utilizing Delivery Services at Selected Public Health Institutions, Oromia Region, South West Ethiopia, Patient Relat. Outcome Meas. Volume 12 (2021) 227–236.
S. Hailegebreal, G. Gilano, B.T. Seboka, M.H. Ahmed, A.E. Simegn, G.A. Tesfa, D.E. Yehualashet, Prevalence and associated factors of caesarian section in Ethiopia: a multilevel analysis of the 2019 Ethiopia Mini Demographic Health Survey, BMC Pregnancy Childbirth. 21 (2021) 1–9.
Z. Kanji, S.D. Simonovich, N. Najmi, J. Bishop-Royse, Examining Clinical Indications for Cesarean Section in a University Hospital in Karachi, Pakistan., J. Asian Midwives. 6 (2019) 14–25.
C. Kietpeerakool, P. Lumbiganon, M. Laopaiboon, S. Rattanakanokchai, J.P. Vogel, A.M. Gülmezoglu, Pregnancy outcomes of women with previous caesarean sections: Secondary analysis of World Health Organization Multicountry Survey on Maternal and Newborn Health, Sci. Rep. 9 (2019) 1–9.
G. Monamodi, T.M. Phologolo, Predictors of cesarean delivery in public referral hospitals in Botswana: a case control study, PAMJ - One Heal. 8 (2022).
K.D. Paul, Z. Hyacinthe, C. Ousséni, A.S. Nancy, M. Françoise, O. Ali, B. Blandine, Cesarean Section Indications and Prognosis in Adolescents Girls at the Mother-Child Pool of the Teaching Hospital of Tengandogo (CHU-T) in Burkina Faso, Open J. Obstet. Gynecol. 11 (2021) 1744–1751.
J. Prah, A. Kudom, A. Afrifa, M. Abdulai, I. Sirikyi, E. Abu, Caesarean section in a primary health facility in Ghana: Clinical indications and, J. Public Health Africa. 8 (2017) 98–102.
H. Qublan, A. Alghoweri, M. Al-Taani, S. Abu-Khait, A. Abu-Salem, A. Merhej, Cesarean section rate: The effect of age and parity, J. Obstet. Gynaecol. Res. 28 (2002) 22–25.
M.A. Al Rowaily, F.A. Alsalem, M.A. Abolfotouh, Cesarean section in a high-parity community in Saudi Arabia: Clinical indications and obstetric outcomes, BMC Pregnancy Childbirth. 14 (2014).
E. Rydahl, E. Declercq, M. Juhl, R.D. Maimburg, Cesarean section on a rise—Does advanced maternal age explain the increase? A population register-based study, PLoS One. 14 (2019) 1–16.
D. Singh, R. Regmi, T. Gurung, L. Sunar, Cesarean Delivery and its indication: a Cross Sectional Study in a Tertiary Care Hospital, Pokhara, Nepal, Nepal J. Obstet. Gynaecol. 12 (2018) 79–82.
N. Singh, Y. Pradeep, S. Juahari, Indications and Determinants of Cesareab Section: A Cross-Sectional Study, Int. J. Appl. Basic Med. Res. (2020).
C.S. Tarimo, M.J. Mahande, J. Obure, Prevalence and risk factors for caesarean delivery following labor induction at a tertiary hospital in North Tanzania: A retrospective cohort study (2000-2015), BMC Pregnancy Childbirth. 20 (2020) 1–8.
WHO, WHO non-clinical recommendations unnecessary to reduce interventions caesarean sections, 2018.
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